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Fred Horton, MHA, is president of AMGA Consulting. Fred is a dynamic healthcare advisor who possesses industry experience, market insight, exemplary capabilities managing diverse and challenging projects and the ability to create tangible results on behalf of his clients. Fred has over 20 years of experience working inside the healthcare industry, including serving as CEO of several large multispecialty medical groups and integrated health systems. He brings his operational, strategic, and financial acumen to his clients in order to create effective and market-sensitive solutions to their challenges. A sampling of his extensive variety of projects includes:

• Developing and implementing operations improvement plans for system integrated medical groups

• Managing start-up and turnaround plans for independent and system-integrated medical groups

• Designing and implementing numerous single-specialty and multispecialty physician compensation plans that create strategic alignment of physicians’ efforts with organizational goals and objectives

• Developing a strategic redesign of centralized physician recruitment services for regional healthcare systems

• Assisting health organizations in negotiating various compensation arrangements (i.e., physician employment agreements, physician service agreements, income distribution plans, co-management agreements, and call coverage arrangements)

Fred holds a Bachelor of Arts degree in Healthcare/ Business Administration from Augustana College. He also holds a Master of Healthcare Administration degree from The University of Minnesota. Fred has authored numerous articles and is a frequent speaker on the topics of physician/hospital integration, governance of system based medical groups, medical group operational performance improvement, and physician compensation and physician recruitment.

More from Fred

• A promise fulfilled, for now
• Top Five Trends Impacting Medical Groups and Health Systems in 2024
• Primary Colors
• Rethink Big: Comprehensive Compensation Redesign in a Value-Based World
• Is This the New Normal?
• A Cure for Retention Deficit Disorder

Rose Wagner, RN, MHS, FACMPE, is a vice president at AMGA Consulting. Rose is recognized as a proven medical practice executive with years of experience working inside both private practice and integrated delivery systems. She possesses strategic and tactical expertise that results in successful financial, operational, and clinical outcomes. She is a collaborative leader and applies this style working with complex teams of internal and external stakeholders.

Rose has more than 25 years of experience providing leadership in the healthcare industry, including serving as Senior Vice President of Operations for a health system-sponsored medical group that was part of a large integrated health system in Kansas City, MO. Rose also has significant medical group consulting experience, working with numerous groups across the country including developing a comprehensive onboarding for a large medical group in Southern California. She has served as an interim President and CAO for a large employed medical group. She is responsible for leading physician practice management engagements to improve overall medical group performance and operational efficiencies.

Rose’s special qualifications include:

• Medical group practice assessment, development and implementation of practice optimization plans to improve operational efficiency

• Subject matter expert in patient access to care within medical groups

• Operational process improvement

• Physician and provider onboarding

• Medical group best practice development

• Physician/hospital alignment strategies

• Executive Recruitment

Rose received an undergraduate degree and a master’s degree in Health Services Management from Webster University in Kansas City, MO, in addition to an RN from St. Luke’s School of Nursing, Kansas City, MO She is also a Fellow in the American College of Medical Practice Executives and holds a Green Belt in Lean Six Sigma.

More from Rose

• The Calculus of Addition: Three Factors to Consider Before Hiring More APCs for Your Medical Group

• Beyond the Bottom Line

• To Fill a Seat

Jill Powelson, DrPH, MPH, MBA, RN, CPC, CPPM, is a principal for the High-Performing Physician Enterprise Program at AMGA. Prior to joining AMGA, she was vice president for physician services at the University of Tennessee Medical Group and an executive director at Baptist Medical Group (both in Memphis, TN). She is an experienced administrator in medical group operations and quality leadership.

Prior to becoming a medical group administrator in the late 1990s, Jill spent 10 years as a consulting leader at a long-term care and senior living organization. Her total healthcare career spans 30+ years. Jill has undergraduate degrees in finance and nursing and began her career as a financial analyst before becoming a registered nurse. She has master’s degrees in business (University of Memphis) and public health (Johns Hopkins University), and a doctorate in public health from the University of North Carolina at Chapel Hill. Jill is also a certified professional coder and certified physician practice manager through the American Academy of Professional Coders. Since 2019, she has also taught MHA students at the University of Memphis on the subject of healthcare finance.

Mary Jane Kornacki, partnered with Jack Silversin to found Amicus, a Cambridge, Massachusetts-based healthcare consultancy. Her special interests include developing clinical leaders, team dynamics, and culture change in medical organizations. She has developed, and trained facilitators to deliver, programs on patient relations and interpersonal cooperation in healthcare teams. she has brought the construct of compacts to the health care arena. She has worked with clients across the US and England. She is the author of, A New Compact: Aligning Physician-Organization Expectations to Transform Patient Care and co-author of multiple articles and, Leading Physicians through Change: How to Achieve and Sustain Results. She has contributed multiple pieces to the New England Journal of Medicine’s blog, Catalyst.

Matthew Wells, PhD, is a Director with AMGA Consulting. Having worked with clients nationally from a care delivery perspective, and, most recently, leading compensation efforts for a nationally known Health Insurer, Matthew brings a unique perspective to the healthcare landscape. Matthew’s extensive background spans 10+ years in healthcare and includes supporting health systems, hospitals, medical groups, and other healthcare entities in operational, financial, and compensation/staffing initiatives.

Matthew’s areas of expertise include:

• Compensation plans for value-based and FFS models
• FMV assessment of individual, PSA, MSA, and other arrangements
• Merger, acquisition, and integration strategies
• Organizational effectiveness and staffing ratios
• Pay equity and pay transparency
• Data analytics and operational efficiencies
• Broad-based experience with Physician, APC, staff, and executive compensation and benefits strategies

Matthew received dual undergraduate degrees in Mathematics and Statistics from Grand Valley State University in Allendale, Michigan, as well as his M.S. and Ph.D. in Mathematics from the University of Kentucky in Lexington, Kentucky. Matthew also earned certification as a CVA in 2017.

Dustin Gunderson, MBA, is the director of business development for AMGA Consulting and the AMGA High-Performing Physician Enterprise Program. He has supported members of AMGA for more than 12 years in various roles with the association. He helps amplify AMGA Consulting’s exemplary capabilities to organizations across the country. He holds a master’s degree in business administration from Marymount University and a bachelor’s degree in marketing from the George Mason University.