Agenda
Get a sneak peek at RISE National 2026
At RISE National 2026, handpicked industry experts will provide the guidance, training, and education you need to navigate today’s evolving health care landscape with confidence. Several concurrent sessions and pre-conference workshops are already confirmed ... explore the anticipated session themes, focus areas, and workshop formats. This year, your all-inclusive ticket gives you access to every session, ensuring you don’t miss a moment of learning and networking.
Monday - March 23, 2026
8:00 AM
8:00 AM – 4:30 PM
Information Desk Open
9:00 AM
9:00 AM – 4:00 PM
Women's Day
Click Here to View The Full Agenda and Session Details Included with your all-inclusive ticket, our brand-new Women’s Day is designed for anyone passionate about addressing the challenges women face in today’s workplace and unlocking new paths for career growth. Learn directly from leadership coaches, health care executives, and motivational speakers who will share actionable strategies and inspiration. Whether you’re just starting out or are an established senior leader, these sessions offer the tools, insights, and community to help you thrive.
- Welcome and Opening Remarks
- Leading in the Aftermath: Post-Crisis Trauma-Informed Leadership
- To Be Announced
- Leveraging YOU: Turning Personal Perspective into Professional Power
- Balancing Many Identities: A Fireside Chat with Laura Cooley, PhD and Namita Seth Mohta, MD
- Roundtable Discussions - Choose Your Own Adventure!
- The Power of the Ask: Gain Hands-On Negotiation Skills
- Closing Remarks
Speaker
Jen Callahan
President and Chief Executive Officer, at ATRIO Health Plans
Speaker
Natasha VanWright
SVP Clinical Operations at Belong Health
Speaker
Alecia Mitchell
Senior Manager of Coding Compliance and RADV Operations at Health Care Service Corporation
Speaker
Shannon Decker
Principal at VBC One
Speaker
Nicole Blue
Sales Director-Arizona & Utah at Devoted Health
Speaker
Vandna Bhrany
MPH, Principal at 8BAdvisors
Speaker
Hannah Austin
CEO/Founder/ Author at SheShatters, LLC.
Speaker
Jen Coken
CEO at Embrace the Ridiculousness of Life LLC
Speaker
Dr. Heather Denniston
WELLFIT and FED
Speaker
Dr. Christie McMullen
CEO at AIM...Analyze, Improve, Move
Speaker
Katharine Manning
Author of The Empathetic Workplace at President of Blackbird DC
Speaker
Namita Seth Mohta
M.D., Executive Editor at NEJM Catalyst Innovations in Care Delivery
Speaker
Laura Cooley
PhD, Editor-in-Chief at Journal of Patient Experience
Speaker
Jennifer Sarrett
Founder & CEO at Disruptive Inclusion
9:00 AM
9:00 AM – 4:30 PM
Workshop A: Risk Adjustment Practitioner
- The essentials of and differences between Medicare Advantage, Commercial and Medicaid risk adjustment
- Understanding how risk scores are calculated
- Understanding the different payment models, and how plans are paid
- Provider engagement strategies that will impact your risk adjustment initiatives
- Member engagement and SDOH Risk adjustment vendor selection and management
- Strategies for ongoing, thorough vendor management
- Initial steps for preparing for a RADV
- Which staff is essential to oversee your RADV audit prep?
- Staying ahead – key items to monitor well in advance of an actual audit
- The future of risk adjustment – what you need to know to stay ahead of changes
Speaker
Laura Sheriff
Healthcare Expert
Speaker
Susan Waterman
Director, Risk Adjustment at Baylor Scott & White
9:00 AM – 4:30 PM
Workshop B: Advanced HCC Auditor
With the switch from V24 to V28 and unprecedented scrutiny on the work we do in Risk Adjustment now is the time to consider attending our always popular HCC Coding for Accuracy workshop!
If you are responsible for the coding, auditing, analytics, or financials of your program you can’t miss this discussion! Join us for an introduction to best practices, the opportunity to work through case examples, and to share experiences with your peers. This workshop will zero-in on regulatory compliance while teaching you how to optimize the accuracy of the information gathered and submitted at the practice level. You will also learn about the way charting is often done, how to overcome “disconnect” with the clinicians and how their typical charting practices and EMRs can create significant problems, and how RADV views documentation in contrast with the way clinicians were taught and EMRs were built initially.
Please note: Attendees are encouraged to bring questions to pose to our expert workshop facilitators and to the table for the group. We provide your workbook which includes copies of the slide deck. You will not need your coding manuals, but most people take notes on their laptop or tablet.
You will learn the answers to:
- How will the transition to V28 impact your organization? We will provide an overview of the financial overlay – HCC codes mapping to risk adjustment scores
- Why is Clinical Documentation Integrity more important than ever? Join us to discuss A single coding and documentation process for Risk adjustment
- How challenging is accurate coding? You will have the opportunity to review real life examples of accurately coding from various portions of the encounter.
- Why are providers burning out? Learn about the clinical documentation barriers clinicians and practices face.
Speaker
Colleen Gianatasio
Value Based Care expert
Speaker
Donna Malone
AAPC Approved Instructor, AHCCA, RAP, Director Risk Capture – Population Health at Mass General Brigham
9:00 AM
9:00 AM – 11:30 AM
Workshop F: Want Different Results? Do It Differently! High-Impact Quality Improvement Strategies Hiding in Plain Sight
With regulatory demands rising and margins shrinking, health plans must drive stronger quality outcomes, often without extra staff or resources. This workshop delivers a practical, cross-product roadmap for achieving measurable results on a lean budget.
Through real-world examples from quality professionals who’ve successfully implemented these strategies inside health plans, attendees will learn how to optimize performance across Medicare Advantage, Medicaid, Marketplace, and Commercial lines of business using existing assets, free resources, and smarter prioritization and conceptualization.
Topics include:
- Managed Care Remix - Navigating the New Era: Learn how the evolving managed care landscape is reshaping quality strategies and discover practical approaches to adapt, thrive, and stay ahead.
- Margin Pressure Showdown: Strategies for thriving under shrinking budgets while still driving measurable quality improvements.
- Quality Wins in the Wild - Case Studies & Peer Exchange: Explore real-world examples and peer insights showing measurable improvements in quality measures with minimal resources.
- Frugal & Fabulous - Big Wins, Small Spend: Maximize impact using existing assets, creative solutions, and cost-conscious approaches.
- CFO Says “No!” Lightning Round: Rapid-fire tactics for overcoming budget pushback and securing executive buy-in.
- What Would You Cut? Debate: Interactive exercise on prioritizing initiatives and trimming low-impact activities without hurting results.
- Toolkit Show & Tell: Explore panelists’ favorite practical templates, dashboards, and free resources that can be implemented immediately.
Whether you’re a health plan quality executive, clinical leader, or quality strategist, this session will show you how to rethink what’s possible, unlock hidden opportunities, and build a playbook for sustainable, high-impact success. With hands-on exercises, expert peer exchange, and practical takeaways, you’ll leave ready to implement strategies immediately.
Speaker
Liz Haynes
MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment at CareFirst
Speaker
Jessica Muratore
Founder & Principal Consultant at Muratore Advisory Services
12:30 PM
12:30 PM – 4:30 PM
Workshop C: Government Audits, Enforcement and Compliance in 2026 – Balancing Business Goals with RADV, Investigations and Program Integrity…It Ain’t Easy
- Educate attendees on issue spotting key risk areas and takeaways based on developing cases and agency audits
- Discussion of the hard questions related to auditing, monitoring, and overpayments
- The promise and pitfalls of AI as it relates to enforcement risk
- What we learned from 2025 RADV and the current state of CMS audits Discuss emerging enforcement areas such as prior authorizations, network (in) adequacy and UM
- Round table on what attendees think are better ways to ensure benefit integrity and agency oversight
Speaker
Jason Christ
Member of the Firm at Epstein Becker Green
Speaker
David Meyer
Medicare Advantage Expert
Speaker
Teresa Mason
Member of the Firm at Epstein Becker Green
Speaker
Mark Hassenstab
VP of Risk Adjustment & Product Optimization at Curana Health
12:30 PM – 4:30 PM
Workshop D: Doing More with Less: Lean Methodologies and Project Management in Healthcare
Healthcare organizations are under more pressure than ever to deliver high-quality outcomes with limited resources. This interactive workshop will give attendees the chance to roll up their sleeves and apply lean methodologies and project management techniques directly to real-world healthcare challenges.
Through exercises, group discussions, and hands-on tools, participants will leave with practical strategies they can implement right away.
- Practice applying lean principles to identify inefficiencies and maximize value
- Use project management strategies to navigate policy shifts, staffing challenges, and resource constraints
- Walk away with templates, frameworks, and actionable takeaways to keep your organization agile and resilient
Speaker
Celina Sullivan
Sr Dir, Program Management at Kaiser Permanente
3:45 PM
3:45 PM – 4:30 PM
Food Packing Event
4:30 PM
4:30 PM – 6:30 PM
Hoops & Happy Hour - Welcome Cocktail Reception
Step into the spirit of March Madness at our welcome cocktail reception in the Exhibit Hall! Enjoy cocktails, hors d’oeuvres, and plenty of opportunities to connect with peers and vendors in a friendly, lively atmosphere. Rep your favorite team - whether it’s your alma mater or your bracket pick - and join us for an evening of camaraderie and conversation with colleagues, speakers, and sponsors.
Tuesday - March 24, 2026
7:30 AM
7:30 AM – 5:00 PM
Main Conference Registration
8:00 AM
8:00 AM – 6:00 PM
Exhibit Hall Opens
8:00 AM
8:00 AM – 6:00 PM
Headshot Café
Need a fresh professional photo? Visit the Headshot Café for a quick, complimentary headshot session courtesy of Datavant. It’s the perfect opportunity to update your LinkedIn profile or company bio while you're onsite.
8:00 AM
8:00 AM – 9:00 AM
Networking Breakfast in Exhibit Hall
9:00 AM
9:00 AM – 9:10 AM
Welcome Remarks
Chairperson, Speaker
Liz Haynes
MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment at CareFirst
9:10 AM
9:10 AM – 10:00 AM
Keynote Address
Keynote
10:00 AM
10:00 AM – 10:45 AM
Keynote Address
Enforcement Perspective from the Department of Justice
In this session, Mr. Crooke will describe the statutory and regulatory tools available to the government in investigating and pursuing fraud on the Medicare Advantage program. The session will focus on the application of the False Claims Act to unlawful business practices involving Medicare Advantage plans, providers, and vendors. Mr. Crooke will highlight the schemes underlying recent settlements and ongoing enforcement actions pending in federal court.
Speaker
Edward C. Crooke
Assistant Director, Civil Division, Fraud Section at United States Department of Justice
10:45 AM
10:45 AM – 11:15 AM
Networking Break in Exhibit Hall
11:15 AM
11:15 AM – 12:00 PM
RISE Innovation Theater 1
Track Chair
Vandna Bhrany
MPH, Principal at 8BAdvisors
Building A Better Choice In Health Care
- Learn the tactics that drove a 175% Medicare membership increase at Peak Advantage in only nine months
- See how coordinated gap-closure and referral processes boosted patient outcomes and satisfaction
- Discover engagement strategies that deepened trust among local seniors and key community partners
- Get practical steps to unite hospital departments, from Case Management to Marketing, for seamless care and efficient operations
Speaker
Melissa Bazzo
Director, Medicare at Peak Health
Speaker
Tami Magruder
Director of Quality at WVU Medicine Wheeling Hospital and Reynolds Memorial Hospital
Speaker
Kelly Hicks
Value Based Care Coordinator at WVU Medicine Wheeling Hospital
11:15 AM – 12:00 PM
RISE Innovation Theater 2
Behavioral Health Access: Innovative Partnerships to Meet Growing Demand
- Learn best practices for integrating behavioral health into your existing infrastructure
- Develop a successful behavioral health partnership to effectively engage patients into care
- Define key metrics for expanding behavioral health access and outcomes at scale
Speaker
Claudio Stefan
VP of Enterprise Growth and Operations at Sondermind
Speaker
Steven Boos
Director, Program Operations- Value Based Care at Piedmont
11:15 AM – 12:00 PM
Track 1: Risk Adjustment and Program Integrity
A Year in Review Under the V28 Model: Transforming Risk, Quality, and Care Delivery
Speaker
Doug Wackowski
VP of Service Solutions at Advantmed
11:15 AM – 12:00 PM
Track 2: Stars, Quality and Member Outcomes
The New Performance Equation: Risk × Quality = Value
- Discover how aligning risk adjustment and quality improvement multiplies impact—driving faster care gap closure, stronger Stars performance, and long-term financial success
- Learn how AI-powered workflows can help deliver revenue integrity at scale while supporting RADV compliance and reducing audit exposure
- See how integrated platforms equip healthcare leaders with transparency and confidence to make data-driven financial and operational decisions in value-based care
Speaker
Paul Burke
Chief Product Officer at Reveleer
11:15 AM – 12:00 PM
Track 3: Value-Based Partnerships and Provider Alignment
Transforming Healthcare Data Acquisition: A Blueprint for Building Payer-Provider Collaboration to Achieve Chart Retrieval Goals
- Accelerate retrieval timelines through cross-functional collaboration
- Reduce provider burden and strengthening payer-provider integration
- Drive cost reduction and efficiency with intelligent technology
- Deliver transparency and demonstrating measurable ROI Presented by Virtix Health
Presented by Virtix Health
11:15 AM – 12:00 PM
Track 4: AI Automation and Data Strategy
The Transparency Imperative: Building Trust Through Connected, Auditable Data Ecosystems
- Discover how real-time data connectivity across clinical, claims, and social sources creates transparent audit trails that support appropriate risk score capture and withstand regulatory scrutiny
- Learn from MA plans that have reduced RADV risk while improving risk score accuracy through comprehensive data transparency initiatives
- Understand how to build privacy-preserving data infrastructure that enables both prospective interventions and retrospective validation, ensuring every HCC is supported by accessible, verifiable documentation Presented by Datavant
Speaker
Patty Brennan
SVP Risk Adjustment Solutions at Datavant
12:00 PM
12:00 PM – 1:45 PM
Networking Lunch in Exhibit Hall and Interactive Roundtables
Interactive Roundtables
Select from Different Presentations Spotlighting Health Care’s Most Influential Technology and Solution Gurus Presenting Tools to Elevate Your Plan’s Initiatives.
Pull up a chair and settle in for this unique opportunity to select three interactive, speed-networking type presentations featuring the latest technologies and solutions for boosting your plan’s risk, quality and data management endeavours. A bell will ring three times within this special 60-minute session, alerting you to transition to the next roundtable of your choice.
1:45 PM
1:45 PM – 2:30 PM
RISE Innovation Theater 1
Track Chair
Vandna Bhrany
MPH, Principal at 8BAdvisors
The Netflix Effect in Population Health: Hyper-Personalized Journeys for Better Outcomes
- Recognize the limitations of standardized population health programs and why personalization is now essential
- Explore how data-driven segmentation, AI, and consumer-inspired strategies can be used to curate hyper-personalized “health playlists” to create more compelling education, outreach, and care management strategies
- Evaluate success through metrics that capture clinical outcomes, engagement and satisfaction
Speaker
Natasha VanWright
SVP Clinical Operations at Belong Health
1:45 PM – 2:30 PM
RISE Innovation Theater 2
Physician-Led Programs: Driving Quality and Sustainability
- See how physician-led programs ensure quality care while meeting risk adjustment standards
- Explore how to use data and metrics to guide performance, improve compliance, and support patient outcomes
- Understand how building strong, clinically sound programs today positions providers for long-term success regardless of policy changes
- Learn from examples like early dementia screening programs that improve detection and patient support.
Speaker
Nirmala Kishun
Senior VP, Population Health at MCR Health
1:45 PM – 2:30 PM
Track 1: Risk Adjustment and Program Integrity
Lead with Quality, and Risk Will Follow: A Multi-Modality Strategy for Social Needs, Quality, Risk Adjustment, and Cost Reduction
- Closing quality gaps through in-home visits, telehealth, encounter facilitation, shipped labs, and health fairs provides efficient, scalable, and member-friendly ways to improve HEDIS® and Stars performance
- Members with open quality gaps often have risk-adjustable conditions, making these same clinical touchpoints an ideal opportunity to accurately capture risk while reducing RADV exposure and avoiding concerns about “diagnosis harvesting.”
- Investing in preventive care and SDoH gap closure is the most cost-effective approach, helping close gaps earlier, improve outcomes, boost Star Ratings, and generate long-term revenue through compliant, proactive risk adjustment
Speaker
John Criswell
Founder, CEO, Chairman at Porter
1:45 PM – 2:30 PM
Track 3: Value-Based Partnerships and Provider Alignment
Shifting to the left: Comprehensive In-Year Gap Closure for Risk and Quality
- Build comprehensive patient profile: Leveraging multiple data sets and implementing strategies from pre-visit to post-visit to help build comprehensive patient profiles at the point of care.
- Enable shift to value-based care: Implement programs and best practices to help providers navigate through the shift to value-based care and boost provider education year-over-year, assisting your team to stay up to date on the latest strategies.
- Mitigate risk and improve documentation: Evaluate and refine your tactics for effective documentation specificity gap closure using various care modalities, such as pre-visit, concurrent, in-office and in-home approaches to facilitate complete and accurate documentation and be prepared for CMS/HHS/OIG audits.
Speaker
Arati Swadi
VP of Risk Adjustment at Optum
Speaker
John Barkley
VP of Risk Adjustment & Data Integrity at Emblem
Speaker
Judith Cox-Lee
Director of KS/MO Region at Optum Care Midwest
1:45 PM – 2:30 PM
Track 4: AI Automation and Data Strategy
Harnessing AI to Transform RADV Audit Readiness, CDI, and HEDIS: Driving Accuracy, Compliance, and Quality Outcomes
- RADV (Risk Adjustment Data Validation) Audit Readiness: Learn how AI-powered chart reviews uncover missing or unsupported codes to reduce audit risk, support compliant revenue recapture, and strengthen regulatory adherence.
- CDI (Clinical Documentation Improvement): Discover how AI-driven, real-time chart review guides providers to close documentation gaps, improve coding accuracy, and optimize HCC capture of patient complexity.
- HEDIS (Healthcare Effectiveness Data and Information Set): Understand how AI automates measure abstraction from structured and unstructured data to proactively close care gaps, elevate HEDIS scores, and improve STAR ratings.
Speaker
Swati Patel
Associate Vice President of Product Development at GeBBS Healthcare Solutions
Speaker
Jen Callahan
President and Chief Executive Officer, at ATRIO Health Plans
2:30 PM
2:30 PM – 3:00 PM
Networking Break in Exhibit Hall
3:00 PM
3:00 PM – 3:45 PM
RISE Innovation Theater 1
Track Chair
Vandna Bhrany
MPH, Principal at 8BAdvisors
Kickbacks in Medicare Advantage: The New Enforcement Frontier
- Explore why DOJ and OIG are intensifying scrutiny of kickback schemes in Medicare Advantage
- Examine major settlements and court rulings that are shaping compliance expectations
- Evaluate the role of insurance brokers and brokerage firms in alleged kickback schemes
- Identify proactive steps plans and providers can take to avoid violations and strengthen compliance programs
Speaker
Max Voldman
Partner at Whistleblower Partners LLP
Speaker
Gregory A. Mason
Esquire at Pietragallo Gordon Alfano Bosick & Raspanti, LLP
3:00 PM – 3:45 PM
RISE Innovation Theater 2
Medicaid in Transition: Policy Shifts, Vulnerable Populations, and the Path Ahead
- Examine how the “One Big Beautiful Bill” and new government rules could reshape Medicaid and its connection to Medicare Advantage
- Discuss the latest developments on Medicaid work requirements and the implications for managed Medicaid plans
- Explore how new legislation and federal initiatives around AI will influence care delivery, compliance, and oversight
- Consider the unique needs of individuals aging into Medicare from Medicaid and how to better support some of the nation’s most vulnerable populations
Moderator
Liz Haynes
MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment at CareFirst
Speaker
Prince Baawuah
Founder / Chief Tutor | Health Insurance Specialist at The HEALS Academy | Former CMS
3:00 PM – 3:45 PM
Track 1: Risk Adjustment and Program Integrity
Meeting Payers and Providers Where They Are: Creating Alignment to Drive Risk and Quality Success
- Regulatory, compliance and market headwinds are significantly impacting the healthcare landscape – and requiring a new framework
- Legacy models are under fire. Newer “tech-only” approaches can have deficiencies
- Collaboration and alignment between payers and providers, and integration of risk and quality, are more essential than ever to driving results. Hear from providers who have successfully collaborated with payers to drive risk and quality success
Speaker
Khanh Nguyen
CEO at Cozeva
Speaker
Jacob Van Houten
MD, PhD, MPH, MS, Assoc. Chief Medical Information Officer, Population Health Physician Advisor, Primary Care Physician at Bassett Healthcare Network, Cooperstown, N.Y.
3:00 PM – 3:45 PM
Track 3: Value-Based Partnerships and Provider Alignment
Assess Analyze Act: Strategy to Achieve Better Compliance & VBC Outcomes
- Build a unified platform for collecting robust & comprehensive supplemental data sets across your entire provider network, to achieve better risk, quality, and cost/utilization benchmarks for your members
- Access actionable data for improving compliance for closing gaps across quality, coding, pharmacy, care management, and population health while complying with regulatory requirements like medical prior authorization
- Analyze the data sets using sophisticated modeling techniques & standards based on regulatory and performance metrics
Speaker
Rohit Shinde
Vice President at Healow, LLC
3:00 PM – 3:45 PM
Track 4: AI Automation and Data Strategy
Activate Real-time EHR Integration to Enable Concurrent Risk Adjustment Accuracy and Improve Care Management
- Reduce administrative burden within your providers' workflow
- Streamline prior authorization efficiency
- Improve RADV preparedness and risk score accuracy
Speaker
Kathryn Eshelman
VP Clinical Informatics at Inovalon
3:00 PM – 3:45 PM
Track 5: Future of Health Care
From insideout to outsidein: Building symbiotic solutions across the healthcare ecosystem
- Learn what a difference pragmatism makes in creating solution stickiness: Discover why an “outsidein” approach — accounting for market, regulatory, and competitive forces — leads to technology that solves real problems and delivers measurable value
- Gain practical strategies from real-world cocreation stories: Hear directly from payers and providers who partnered with diverse teams to build tailored workflows and automation, and take away lessons you can apply in your own organization
- Identify highimpact opportunities to innovate: Explore lowlift, highreturn experiments and futureready approaches (Quality + Risk + Engagement) can help payers and providers stay ahead in valuebased care
Speaker
Summerpal Kahlon
SVP Risk Adjustment Product Management at Cotiviti
3:55 PM
3:55 PM – 4:40 PM
RISE Innovation Theater 1
Track Chair
Vandna Bhrany
MPH, Principal at 8BAdvisors
Bridging Benefits: Strengthening Coordination Between VA and Medicare Advantage
- Explore how VA and MA plans can collaborate to improve the veteran care experience
- Understand where veterans’ benefits and MA coverage intersect
- Share strategies for accurate coding and risk capture across both systems
- Identify opportunities to build a more seamless path forward for veteran populations
Speaker
Ray Shackelford
Medicare Product Development Partner at Select Health
3:55 PM – 4:40 PM
RISE Innovation Theater 2
Risk Mitigation and Coding Accuracy: Getting it Right the First Time
- Master best practices to meet CMS scrutiny and ensure precise diagnosis coding
- Identify vulnerabilities early and implement proactive strategies to reduce compliance risks
- Build stronger partnerships with providers to align on coding accuracy and streamline claims submissions
- Understand how accurate coding and effective collaboration drive compliance and organizational success
Speaker
Deb Curry
Director of Risk Adjustment Programs at Medical Mutual
Speaker
Lindsay Kovacs Kyster
Sr Risk Adjustment Project Manager at Medical Mutual
Speaker
Jennifer Hunt
Director Risk Adjustment Programs at Medical Mutual
Speaker
Kevin Tolles
Manager Risk Adjustment Programs Analytics at Medical Mutual
3:55 PM – 4:40 PM
Track 1: Risk Adjustment and Program Integrity
How Autonomous AI Coding Makes NLP Obsolete by Solving the Risk Adjustment Trilemma: Speed, Accuracy, and Value
- Quantify the Cost of Inefficiency: Learn to quantify the financial drain of outdated NLP and manual coding, revealing the true cost of these inefficient processes
- Avoid Financial Leakage and Mitigate Audit Risk: Discover how novel AI can eliminate coding waste and improve data accuracy, boosting financial performance and reducing millions in RADV Audit clawbacks
- Your Path to Autonomous Coding with Neuro-Symbolic AI: Learn how to transition from manual to autonomous coding on a unified platform, achieving unprecedented efficiency and full auditability
Speaker
Michael Clark
President & CGO at RAAPID INC
Speaker
Wynda Clayton
Director, Risk Adjustment at RAAPID INC
3:55 PM – 4:40 PM
Track 2: Stars, Quality and Member Outcomes
Measuring What Matters: Strategies for Value-Based Success Through HEDIS
3:55 PM – 4:40 PM
Track 5: Regulation to Actions
VBC Workshop
4:45 PM
4:45 PM – 5:30 PM
Keynote Address
The Future of Healthcare Fraud Prevention: A Human-AI Collaboration
As healthcare fraud schemes grow more sophisticated and costly, we are at a pivotal inflection point where artificial intelligence and human expertise must come together to protect the integrity of healthcare programs. This keynote will explore how AI is revolutionizing fraud detection and why human judgment, contextual understanding, and ethical oversight remain essential to building effective, trustworthy prevention strategies.
Speaker
Arjuna Swaminathan
Chief Artificial Intelligence Officer at Department of Health and Human Services Office of Inspector General (HHS OIG)
5:30 PM
5:30 PM – 6:45 PM
Networking Cocktail Reception in Exhibit Hall
Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.
Wednesday - March 25, 2026
7:30 AM
7:30 AM – 11:00 AM
Exhibit Hall Open
7:30 AM
7:30 AM – 9:00 AM
Networking Breakfast in Exhibit Hall
8:00 AM
8:00 AM – 11:00 AM
Help Desk Open
9:15 AM
9:15 AM – 9:20 AM
Day Two Welcome Remarks and Day One Takeaways
Chairperson
Liz Haynes
MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment at CareFirst
9:20 AM
9:20 AM – 10:20 AM
Keynote Address
Keynote
10:20 AM
10:20 AM – 10:50 AM
Networking Break in Exhibit Hall
11:35 AM
11:35 AM – 12:15 PM
Member Panel: From Metrics to Meaning: What Members Want from Health Plans in 2026 and Beyond
In this powerful panel, we hear directly from members and caregivers about their experiences navigating health plans, providers, and support systems. Panelists will share what builds (and breaks) trust, what meaningful engagement feels like, and how healthcare organizations can move from transactional encounters to lasting relationships.
- Understand member perspectives on communication, access, trust, and care coordination
- Explore how lived experiences shape engagement, adherence, and satisfaction
- Identify actionable ways health plans and providers can co-create systems that support whole-person health and improve outcomes
Moderator
Laura Cooley
PhD, Editor-in-Chief at Journal of Patient Experience
Speaker
Erica Olenski
Patient Advocate
Speaker
Pamela Corcoran
Patient Advocate
Speaker
Naomi Williams
Patient Advocate
12:15 PM
12:15 PM – 12:30 PM
Closing Remarks
Chairperson
Liz Haynes
MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment at CareFirst
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