November 21 NCMGMA-NCMSF Webinar: Happiness, Work-Life Balance, and the Everyday Practice of Medicine

NCMGMA-NCMS Webinar Series

Happiness, Work-Life Balance, and the Everyday Practice of Medicine
November 21, 2017 | 12:00 PM – 1:00 PM

Clark Gaither, MD, and Medical Director at NCPHP, who has extensive personal and clinical experience within the areas of addiction and recovery earning him the title of “Dr. Burnout,” will present the symptoms to job related burnout and the steps towards happiness in achieving a work-life balance.


Clark Gaither, MD, FAAFP
Medical Director
North Carolina Physicians Health Plan
Dr. Clark Gaither is the Medical Director for the North Carolina Physicians Health Plan (NCPHP). At NCPHP, he has served as a physician monitor for program participants since 2000, volunteered as a member of the Compliance Committee, and served on the Board of Directors, including two consecutive years as the Board Chairman.

Dr. Gaither completed his Bachelor of Science in Biology from Lenoir-Rhyne College and later earned his Master of Biology at East Carolina University. He graduated from ECU School of Medicine in 1989. Dr. Gaither became a Fellow of the American Academy of Family Physicians in 2010.

In addition to practicing as a family physician for 27 years, he has gained an additional area of expertise in job related burnout. His primary focus is to help transform the lives of individuals who feel they are burned out by retooling their mindset for success and unleashing their creative potential.


This webinar is complimentary but space is limited so make sure to register early! After you register, you will receive an emailed confirmation with webinar and phone-in instructions.Click here to register

Continuing education credit may be granted through your professional organization (MGMA, PAHCOM, AHIMA, etc.). Please self-submit for these organizations.


For questions or more information please contact the NC Medical Society offices at

House Passes Repeal of IPAB; Tell Your Senators to do the Same!

Originally published in the November 8th issue of MGMA’s Washington Connection
Reprinted with permission from MGMA

Last week, the House of Representatives passed a bipartisan bill, the Protecting Seniors’ Access to Medicare Act (H.R. 849), to repeal the Independent Payment Advisory Board (IPAB) by a vote of 307–111. The IPAB is a cost containment tool created under the Affordable Care Act to convene if Medicare spending exceeds a particular limit. The board has draconian power to make changes to Medicare spending, leaving little-to-no room for recourse if IPAB-mandated payment cuts are triggered.

The fight to eliminate the IPAB is not yet over. The companion bill (S.260) to H.R. 849 now moves to the Senate; if it is successful there, it will advance to the President for his signature. Please join MGMA in urging the Senate to expeditiously pass this important legislation, before future actuary reports trigger the IPAB and activate payment reductions to Medicare providers. Contact your senators now via MGMA’s Advocacy Center to express support for IPAB repeal!

NCMGMA Survey: Medicare Advantage Organizations (MAOs) in NC

NCMGMA Member Survey
Medicare Advantage Organizations (MAOs) in NC

NCMGMA values your opinion. The NCMGMA leadership has a scheduled meeting with CMS leaders and this survey is intended to capture the extent and financial impact of improper sequestration by Medicare Advantage Organizations (MAOs) in North Carolina.

The results could be helpful to underscore MAO behavior and the responsibility of CMS to actively monitor – and respond to – complaints by providers about violations of CMS rules.

Please take a moment to complete our brief survey. If you have any questions, please email our offices at

Thank you and we appreciate your time!

House Passes Bipartisan Bill to Repeal IPAB

Washington, DC – November 2, 2017

The House of Representatives today passed H.R. 849, the Protecting Seniors Access to Medicare Act, by a vote of 307-111.

H.R. 849, authored by Rep. Phil Roe (R-TN) and Rep. Raul Ruiz (D-CA), would repeal the Independent Payment Advisory Board (IPAB), which was created under the Affordable Care Act with the objective of identifying savings by restricting access to health care for Medicare beneficiaries. If IPAB is triggered, even if the board has not been filled, the Secretary of Health and Human Services (HHS) has the authority to carry out cuts to vital services.

At a July #SubHealth hearing, Ms. Mary Grealy, President, Healthcare Leadership Council, testified in support of H.R. 849, saying, “Nearly 800 organizations representing patients, health care providers, seniors, employers, veterans, Americans with disabilities, and others are asking Congress to do away with the Independent Payment Advisory Board before harm is done to Medicare beneficiaries.”

“Repealing the threat of this powerful, unelected board has been a bipartisan effort for years,” said Health Subcommittee Chairman Michael C. Burgess, M.D. (R-TX). “Today, the House acted yet again to repeal this board and its unconstitutional relinquishment of Congressional authority. I urge the Senate to follow suit so we can return oversight of the future of the Medicare program where it belongs. We must prevent potential cuts from being implemented by this unelected board once and for all.”

Note from MGMA

Please visit the MGMA Advocacy Center to ask their Senators to vote YES to this IPAB repeal legislation.

Welcome New Members

Our membership continues to grow! Take a look at the list of healthcare professionals and students who have recently joined NCMGMA (September 27, 2017 through October 27, 2017):

Active Members

  • Stephanie Appling, Novant, Charlotte, NC
  • Dawn Bryant, Midtown Dermatology, Raleigh, NC
  • Annette Chatman, Vickery Family Medicine, Asheville, NC
  • Laura Erceg, Saleeby & Wessels Proctology, Raleigh, NC
  • Cynthia Forcade, Baby+Company, Charlotte, NC
  • Donna Fox, Bethleham Family Practice, Taylorsville, NC
  • Nikki Hairston, Pediatrics – Kernersville, Kernersville, NC
  • Stephanie Hall, Digestive Health Specialists, Winston-Salem, NC
  • Ryan Halos, Raleigh Radiology, Raleigh, NC
  • Ryan Hampton, Duke Neurosciences of Raleigh, Raleigh, NC
  • Melissa Kale, Catawba Pediatric Associates, PA, Hickory, NC
  • Patricia Matheis, Wake Forest Dermatology, Wake Forest, NC
  • Matt Papach, New Hanover Regional Medical Center, Wilmington, NC
  • Reba Rinehart, Duke Medicine – Duke Primary Care, Raleigh, NC
  • William Schiff, Duke PDC, Durham, NC
  • Leslie Sonnenberg, Duke Private Diagnostic Center, Durham, NC
  • Pamela Walker, New Hanover Regional Medical Center, Wilmington, NC
  • Debbie Watson, Claremont Family Medicine, Claremont, NC
  • Diana Zambrano, Dept of Psychiatry, Durham, NC

Affiliate Members

  • Jenna Moyer, The Response Institute: CPR Consultants, Inc., Raleigh, NC
  • Christine Myers, MSOC Health, Chapel Hill, NC

Student Members

  • April Macedo, East Carolina University, Clemmons, NC


Managing Mandatory Employee Flu Vaccine Policies

2018 Alliance sponsor article provided courtesy of Medical Mutual

By Breni Malpass, HR Advisor, HR|Experts

The start of flu season—which typically runs from October through May—is a good time to take a look at some considerations practices with mandatory flu vaccine policies should keep in mind. The federal Americans With Disabilities Act and some state regulations establish guidelines that a practice must adhere to when requiring mandatory employee flu shots. Specifically, practices should be mindful of disabilities that might prevent an employee from obtaining the vaccination and religious beliefs that give them the opportunity to opt out.


Practices that require employees to have a flu shot need to consider whether any employees have medical conditions or disabilities that would prevent them from being vaccinated. The ADA mandates that employees with medical conditions that prevent them from getting a flu shot must be accommodated unless doing so would cause an undue hardship. In a blog post on the employment law website HRLegalist, attorneys Ivo Becicia and Alexander Batoff note, “When an accommodation is requested, the employer should engage in the interactive process—a dialogue with the employee to determine his or her limitations and what accommodations are feasible (i.e. exemption from the shot and permission to wear a protective mask).”

Religious Beliefs

Practices must also consider any religious beliefs that may prevent an employee from getting a flu shot. Title VII of the Civil Rights Act and many state anti-discrimination laws mandate that employers accommodate all aspects of religious observances and practices based on sincere religious beliefs. Therefore, a practice likely has to accommodate an employee requesting a religious exemption from flu vaccination. According to the HRLegalist post, employers still need to accommodate exemption requests even when they are based on religious beliefs that are not recognized by an organized sect or theological in nature.

For more information or further assistance, Medical Mutual member practices are encouraged to call 1.888.HREXPRT or email

Membership Renewal Gift Card Winners

Congratulations to our VISA gift card winners!

Gift cards provided courtesy of MagMutual

Every NCMGMA member who paid their 2017-18 membership dues by October 17th was entered into a drawing to win three VISA gift cards, provided courtesy of MagMutual. The winners of this year’s card drawings are:

  • Byron Grimmett, Carolina Neurosurgery & Spine Associates, Charlotte, NC
  • Colleen O’Keefe, Raleigh Foot and Ankle Center, Raleigh, NC
  • Lee Katherine Ayer, MSOC Health, Chapel Hill, NC

Renew Your Membership Online and Update Your Member Profile

North Carolina Medical Group Management Association (NCMGMA) was formed to provide professional administrators with a rich source of information and contacts for professional growth. From the mountains to the coast, our membership includes executives and managers of private group practices, academic medical centers, integrated delivery systems, and companies that support medical provider organizations. Over the past 46 years, we have expanded our resources and have made exceptional strides across the state in representing our industry including:


  • Expanded membership growth to over 850+ members from all across the state.
  • Active and engaging Chapters to increase local networking and educational opportunities.
  • Job Postings sent through our membership and posted on our website.
  • Updated NCMGMA website with member directory.
  • Active membership listserve.


  • In 2018, NCMGMA is planning for our Annual Conference (May 9-11 at Harrah’s Cherokee in Cherokee, NC), and our Fall Conference (October 17-19 at the Charleston Marriott in Charleston, SC). These educational offerings provide CEUs and update our membership with valuable and timely industry information and knowledge.
  • In addition, we partner with the North Carolina Medical Society to add ten free webinars during the year.


  • Formed alliances and partnerships with organizations, such as the NC Medical Society and the NC Healthcare Information & Communications Alliance (NCHICA) and others in order to provide more industry knowledge to our members.
  • Committees such as BCBS, Advocacy, Medicaid and Medicare with active members engaged to help you and your practice navigate through questions and concerns.

NCMGM Member Discount for healthcare systems!

If your practice or company has 5 or more members, then you qualify for a membership discount!

  • 5-10 members — 10% reduction
  • 11+ members — 15% reduction

Renew Your Membership Today!

Don’t miss out! Pay your NCMGMA dues online prior to December 1st when your membership benefits will expire. Go to, click Member Login, and insert your username and password. If you have forgotten your password or need to set up a new one click here and follow the instructions.

Please contact the NCMGMA offices for additional details at