Medical Group Management Association
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| Medical Group Management Association | |
|---|---|
| Name | Medical Group Management Association |
| Type | Professional association |
| Founded | 1926 |
| Headquarters | Englewood, Colorado |
| Location | United States |
| Products | Education, advocacy, publications |
Medical Group Management Association is a professional association serving leaders of physician practices, clinics, and health systems in the United States. It provides education, advocacy, research, and consulting to improve financial, clinical, and operational performance for group practices, ambulatory care organizations, and integrated delivery networks. The association engages executives, administrators, and consultants through conferences, benchmarking, certification, and policy activities.
History
Founded in 1926, the organization emerged during a period of growth in physician group practice and hospital expansion, contemporaneous with developments such as the American Medical Association's evolving role and the expansion of Blue Cross Blue Shield plans. Early decades saw engagement with issues prominent in the Great Depression, the postwar hospital construction boom associated with the Hill–Burton Act, and federal programs like Medicare and Medicaid. During the late 20th century it adapted to transformations driven by entities such as Kaiser Permanente, the rise of health maintenance organization models, and legislative changes including the Health Insurance Portability and Accountability Act of 1996. In the 21st century the group responded to shifts from fee-for-service to value-based care influenced by the Affordable Care Act and managed care trends exemplified by organizations like UnitedHealth Group and Aetna.
Organization and Governance
The association is governed by a board of directors comprised of executives from multispecialty groups, single-specialty practices, academic medical centers such as Mayo Clinic and Cleveland Clinic, and representatives of regional health systems like Geisinger Health System and Intermountain Healthcare. Its corporate structure includes professional staff for education, research, government affairs, and marketing, with offices aligned to regulatory environments such as those overseen by the Centers for Medicare & Medicaid Services and the Department of Health and Human Services. Governance practices reflect nonprofit association models frequently compared to organizations like the American Hospital Association and the American Academy of Family Physicians.
Membership and Certification
Membership spans practice executives, practice managers, consultants, CFOs, and administrators serving physician groups, ambulatory clinics, and integrated delivery networks. Members often work in settings affiliated with institutions like Johns Hopkins Medicine, Massachusetts General Hospital, Stanford Health Care, and regional physician networks. The association offers professional certification programs including the Certified Medical Practice Executive credential, aligning with credentialing frameworks similar to those offered by entities such as the Project Management Institute and the Healthcare Financial Management Association. Continuing education, competency standards, and pathways connect to broader professional development ecosystems involving organizations like American College of Healthcare Executives and university-based Executive MBA programs at institutions like Harvard Business School and University of Pennsylvania's Wharton School.
Programs and Services
Programs include educational curricula, leadership development, consulting services, practice benchmarking, and operational toolkits used by practices ranging from solo physicians to large group practices affiliated with organizations like Sutter Health and Providence Health & Services. Services address revenue cycle management, coding and compliance aligned to Current Procedural Terminology and regulatory guidance from Office of Inspector General (United States Department of Health and Human Services), workforce management reflecting trends reported by Bureau of Labor Statistics, and technology adoption influenced by vendors such as Epic Systems Corporation and Cerner Corporation. The association partners with certification bodies, academic centers, and consulting firms to deliver content comparable to programs run by Johns Hopkins Bloomberg School of Public Health and KPMG advisory practices.
Research, Publications, and Events
The association publishes benchmarking studies, financial and operational surveys, white papers, and practitioner-focused journals similar in function to publications like Health Affairs and NEJM Catalyst. Its research informs metrics used by physician groups, ambulatory clinics, and health systems including comparative analytics used by organizations like Truven Health Analytics and IQVIA. Annual and regional conferences attract executives from institutions such as Cedars-Sinai Medical Center and NYU Langone Health, and feature speakers from regulatory bodies like Centers for Medicare & Medicaid Services and thought leaders tied to programs at Dartmouth Institute for Health Policy and Clinical Practice.
Advocacy and Policy Positions
The association engages in advocacy on reimbursement, practice administration, workforce, and regulatory compliance, filing comments and participating in rulemaking processes led by agencies like Centers for Medicare & Medicaid Services and the Internal Revenue Service. Policy positions have addressed payment reform, administrative burden, prior authorization practices involving insurers such as Cigna and Anthem, Inc., and telehealth policy informed by emergency waivers during the COVID-19 pandemic. The association collaborates with coalitions including the American Hospital Association and specialty societies such as the American College of Surgeons to influence legislation and regulatory proposals affecting ambulatory care and group practice operations.