2025 Schedule
At RISE National 2025, handpicked industry experts provided the guidance, training, and education needed to navigate this evolving landscape with confidence. RISE National 2025 was extended by an extra day to accommodate even more essential content, regulatory updates, networking opportunities, and after-hours fun! Attendees had even more time to hear directly from the top minds in Medicare Advantage about the game-changing shifts coming with the new administration's fresh priorities and regulations.
Due to a recent Executive Order signed by the President, the OIG and DOJ were unable to attend or speak virtually. Despite this, we restructured our agenda and added a Former CMS Director to ensure attendees still received the valuable insights, key takeaways, and meaningful connections they expect from RISE.
11:00 AM 5:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
8:00 AM 2:00 PM
12:00 PM 6:00 PM
11:00 AM 5:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
Please note: This workshop requires additional registration.
Instructors:
Laura Sheriff, RN, MSN, CPC, CRC
Healthcare Expert
Susan Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS, Trainer, Director, Risk Adjustment
Baylor Scott & White
There will be the letter A on your badge if you are registered for this program. Two refreshment breaks and lunch is included.
12:00 PM 6:00 PM
11:00 AM 5:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
Please note: This workshop requires additional registration.
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:
Instructors:
Colleen Gianatasio
Value Based Care Expert
Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP
Director Risk Capture – Population Health
Mass General Brigham
There will be the letter B on your badge if you are registered for this program. Two refreshment breaks and lunch is included.
8:30 AM 6:30 PM
7:30 AM 5:30 PM
6:30 AM 4:30 PM
5:30 AM 3:30 PM
10:00 AM 1:00 PM
9:00 AM 12:00 PM
8:00 AM 11:00 AM
7:00 AM 10:00 AM
Please note: This workshop requires additional registration.
Jason E. Christ, Member of the Firm
Epstein Becker Green
David Meyer, Medicare Advantage Expert
Tom Kornfield
MAST Health Policy Solutions
There will be the letter C on your badge if you are registered for this program. Registration for this workshop includes a refreshment break.
10:00 AM 1:00 PM
9:00 AM 12:00 PM
8:00 AM 11:00 AM
7:00 AM 10:00 AM
Please note: This workshop requires additional registration.
Designed for both health plan operations and risk bearing provider groups--both MA and ACO. During this workshop, we will discuss these key areas:
Risk
Quality
Total Cost of Care
Analytics & Reporting
Contract Evaluation
Dr. Shannon Decker, Principal
VBC One
Gaby Alcalá , Founder and CEO
MAPA HealthCare
There will be the letter D on your badge if you are registered for this program. Registration for this workshop includes a refreshment break.
10:00 AM 1:00 PM
9:00 AM 12:00 PM
8:00 AM 11:00 AM
7:00 AM 10:00 AM
Please note: This workshop requires additional registration.
How to Operationalize a Risk Adjustment Program for Leadership
This session will focus on the managerial role of risk adjustment, with strategies on operationalizing your program.
Laura Sheriff, RN, MSN, CPC, CRC
Healthcare Expert
Susan Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS, Trainer, Director, Risk Adjustment
Baylor Scott & White
There will be the letter E on your badge if you are registered for this program. Registration for this workshop includes a refreshment break.
1:00 PM 2:00 PM
12:00 PM 1:00 PM
11:00 AM 12:00 PM
10:00 AM 11:00 AM
*Registration Required
Networking Lunch for Workshop Attendee's only
2:00 PM 2:15 PM
1:00 PM 1:15 PM
12:00 PM 12:15 PM
11:00 AM 11:15 AM
Ellen Wofford, Founder & CEO
RISE
Conference Chairs:
Liz Haynes MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment
CareFirst BlueCross BlueShield
Kim Miller, D.C., CPC, CEDC, CRC, Government Programs Clinical Coordinator, SR.
Blue Cross Blue Shield of Kansas City
2:15 PM 3:15 PM
1:15 PM 2:15 PM
12:15 PM 1:15 PM
11:15 AM 12:15 PM
Moderator:
Melissa Smith, Founder
Newton Smith
Ana Handshuh, Principal
CAT5 Strategies
Sean Creighton, Former CMS
Managing Director
Avalere Health
Andrew Schwab, Founder & CEO
Platform Government Strategies
3:15 PM 3:45 PM
2:15 PM 2:45 PM
1:15 PM 1:45 PM
12:15 PM 12:45 PM
Track 1: Risk Adjustment Strategies - Track Chair: Matt McClasky, Executive Vice President - Fusion Advantage
Track 2: Integrating Silos - Track Chair: Steven Berkow, Senior Advisor, Value Based Care- InterSystems
Track 3: Quality and Member Experience - Track Chair: Reva Sheehan, Sr. Director of Customer Insights -mPulse
Track 4: Provider/Payer Strategic Alignment - Track Chair: Beth Zuehlke, Chief Customer Officer - Moxe Health
Track 5: Technology/Data Analytics - Track Chair: Amit Jindal, SVP, Healthcare & Private Equity - Ciklum
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
12:45 PM 1:30 PM
Moderator:
Swati Patel, AVP, Product Development
GeBBS Healthcare Solutions
Dr. Shannon Decker, Principal
VBC One
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
12:45 PM 1:30 PM
Moderator:
Dr. Summerpal Kahlon, Chief Medical Officer
Edifecs
Brian Murtha, Senior Director, Digital Initiatives
Centene
Jennifer Holman, Senior Director, Risk Adjustment Program Oversight
Centene
Chris Punzalan, Director, Financial Analysis
Caloptima Health
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
12:45 PM 1:30 PM
This panel discussion will delve into the complex issues of trust, cultural humility, and Black infant mortality. Within the context of Medicare Advantage, panelists will explore how community-centered design, philanthropic investment, and patient-centric care can create meaningful change.
Expected Outcomes:
Moderator
Veronica Villalobos, JD, VP DEI Strategy, Enterprise Equitable Health Institute
Highmark Health/ Allegheny Health Network
Dr. Margaret Larkins-Pettigrew, Senior Vice President and Enterprise Chief Diversity, Equity and Inclusion Officer, Enterprise Equitable
Health Institute for Highmark Health / Allegheny Health Network
Dean for Obstetrics and Gynecology
Drexel School of Medicine
Kenya Boswell, Senior Vice President, Community Affairs
Highmark Health
Dr. Eugene Scioscia, Chief Patient Experience Officer, Obstetrics and Gynecology
Allegheny Health Network
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
12:45 PM 1:30 PM
Moderator:
Amy Frankowski, MD, Clinical Leader
Optum
Dr. Marie McCormack, MD, Division Chief of Primary Care
Renown Medical Group
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
12:45 PM 1:30 PM
Paul Burke, Chief Product Officer
Reveleer
Reza Alavi, MD, MHS, MBA, Faculty
Johns Hopkins Medicine
Henish Bhansali, MD, FACP, Chief Medical Officer
Medical Home Network
4:40 PM 5:40 PM
3:40 PM 4:40 PM
2:40 PM 3:40 PM
1:40 PM 2:40 PM
Sponsored by
Justin will take you through an exploration of the power of service, the profound difference we can make in the lives of others, and the ripple effect that extends far beyond what we can imagine – including the transformation that occurs within ourselves when we choose to live purposefully and serve selflessly. He also unravels the secrets of the overcomer’s mindset, the unyielding spirit that separates the victors from the defeated. You will learn how to transform pain into fuel, setbacks into comebacks, and doubts into unwavering belief—in order to overcome obstacles and win this fight called life.
Justin Wren
Elite UFC/MMA Fighter turned Global Humanitarian and Founder of Fight for The Forgotten
Introduced by
Mike Jones, President & General Manager, Payer
Inovalon
5:30 PM 7:30 PM
4:30 PM 6:30 PM
3:30 PM 5:30 PM
2:30 PM 4:30 PM
5:45 PM 7:30 PM
4:45 PM 6:30 PM
3:45 PM 5:30 PM
2:45 PM 4:30 PM
Let's kick off the mega Medicare Advantage event of the year Fiesta style! In celebration of Fiesta San Antonio which honors the battles of the Alamo and San Jacinto, we encourage all attendees to wear bright and cheerful colors. Join us for drinks, hors d'oeuvres, lively networking, and fun!
8:30 AM 6:00 PM
7:30 AM 5:00 PM
6:30 AM 4:00 PM
5:30 AM 3:00 PM
9:00 AM 7:00 PM
8:00 AM 6:00 PM
7:00 AM 5:00 PM
6:00 AM 4:00 PM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
10:30 AM 10:40 AM
9:30 AM 9:40 AM
8:30 AM 8:40 AM
7:30 AM 7:40 AM
Conference Chairs:
Liz Haynes MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment
CareFirst BlueCross BlueShield
Kim Miller, D.C., CPC, CEDC, CRC, Government Programs Clinical Coordinator, SR.
Blue Cross Blue Shield of Kansas City
10:40 AM 11:00 AM
9:40 AM 10:00 AM
8:40 AM 9:00 AM
7:40 AM 8:00 AM
In the spirit of the RISE mission to drive meaningful impact in the health care industry, the RISE Trailblazer Award honors outstanding innovation, leadership, and dedication. This prestigious accolade celebrates an individual who has made a significant difference in the lives of America’s seniors by introducing groundbreaking ideas, driving transformative change in the industry or community, and setting an inspiring example through courage, creativity, and determination. Inspired by the legacy of the late Dr. Martin L. Block, this award pays tribute to his enduring passion for transforming the health care system and his tireless efforts to inspire positive change.
11:00 AM 11:45 AM
10:00 AM 10:45 AM
9:00 AM 9:45 AM
8:00 AM 8:45 AM
A discussion of what has emerged during the first 7 weeks of the Trump Administration, how this transition is materially different than any previous transition, and why that matters to any company that depends upon federal health programs for stable revenue. The discussion will close by noting the unfortunate side effects for the government that presents an opportunity for the industry.
Jeffrey Grant
Former Operations Director
Center for Consumer Information and Insurance Oversight at Centers for Medicare & Medicaid Services
11:45 AM 12:15 PM
10:45 AM 11:15 AM
9:45 AM 10:15 AM
8:45 AM 9:15 AM
Track 1: Risk Adjustment Strategies - Track Chair: Matt McClasky, Executive Vice President - Fusion Advantage
Track 2: Integrating Silos - Track Chair: Steven Berkow, Senior Advisor, Value Based Care- InterSystems
Track 3: Quality and Member Experience - Track Chair: Reva Sheehan, Sr. Director of Customer Insights - mPulse
Track 4: Hot Topic - Track Chair: Beth Zuehlke, Chief Customer Officer - Moxe Health
Track 5: Technology/Data Analytics - Track Chair: Amit Jindal, SVP, Healthcare & Private Equity - Ciklum
RISE Innovation Theater 1: Track Chair: Mark Dabney, Director, Risk Adjustment - Community Health Plan of Washington
RISE Regulatory Compliance Theater 2 - Track Chair: Ana Handshuh, Principal - CAT5 Strategies
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Key Discussion Points:
Moderator:
Bill Horn, Chief Commercial Office, Payer
Datavant
Josh Weisbrod, Risk Adjustment and Payment Integrity
Network Health
Gabriel Medley, Vice President, Risk Adjustment
BCBS-MI
Amir Keren, Senior Vice President of Payer Solutions
Datavant
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Hemanth Doma, AVP, Product Management
Inovalon
Kathryn Eshelman, MD, MPH, VP, Medical Informatics
Inovalon
Matt Yancisin, Chief Financial Officer
Alterwood Health
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Moderator:
John Criswell, Founder, CEO, Chairman
Porter
BK Kajopaiye - Risk Adjustment and STARS Manager
CareFirst BlueCross BlueShield
Melissa McVaugh - AVP Clinical Operations
Mountain Health CO-OP
John Barkley – Vice President, Enterprise Risk Adjustment & Data Integrity
Emblem Health/ConnectiCare
Deb Curry, Risk Adjustment Programs Director
Paramount
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Moderator:
Michael Clark, President & Chief Growth Officer
RAAPID
Wynda Clayton, Consultant, Risk Adjustment
Nehal Shah, CEO DataOrb, CTO
RAAPID
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Andrew Lockhart, CEO
Fathom
RaeAnn Grossman
Medicare Advantage Expert
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
This phenomenological study gets at the essence of our motivations. You will walk away with a better understanding how to engage with key stakeholders, particularly those that have experienced COVID and in the wake of all these regulatory changes.
Leave with insights and strategies to yield better engagement and better performance in light of "cuts" imposed by greater restrictions on risk, quality, and other key areas.
Dr. Shannon Decker, Principal
VBC One
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
from initial sealed whistleblower complaint alleging risk adjustment fraud to DOJ investigation, intervention and ultimate settlement
Many of the biggest Medicare Advantage insurers face False Claims Act lawsuits accusing them of risk adjustment fraud. Most of those lawsuits were initiated by whistleblowers who were current or former employees of the plans.
Follow along with whistleblower Teresa Ross, a former Director of Risk Adjustment at Group Health Cooperative (GHC) and her whistleblower counsel as they take you through the story of Ross’s successful whistleblower lawsuit against health insurers GHC and Independent Health for alleged risk adjustment fraud.
Learn about the risks posed to GHC and Independent Health by their use of the same risk adjustment coding vendor. Hear about the types of evidence uncovered in the whistleblower’s and DOJ’s joint investigation that led to successful settlements with both insurers.
Attendees will leave this session with:
Teresa Ross
Whistleblower
Mary A. Inman, Partner
Whistleblower Partners LLP
Max Voldman, Partner
Whistleblower Partners LLP
1:00 PM 1:55 PM
12:00 PM 12:55 PM
11:00 AM 11:55 AM
10:00 AM 10:55 AM
Track 1: Risk Adjustment Strategies - Track Chair: Matt McClasky, Executive Vice President - Fusion Advantage
Track 2: Integrating Silos - Track Chair: Steven Berkow, Senior Advisor, Value Based Care- InterSystems
Track 3: Quality and Member Experience - Track Chair: Reva Sheehan, Sr. Director of Customer Insights - mPulse
Track 4: Hot Topic - Track Chair: Beth Zuehlke, Chief Customer Officer - Moxe Health
Track 5: Technology/Data Analytics - Track Chair: Amit Jindal, SVP, Healthcare & Private Equity - Ciklum
RISE Innovation Theater 1: Track Chair: Mark Dabney, Director, Risk Adjustment - Community Health Plan of Washington
RISE Regulatory Compliance Theater 2 - Track Chair: Ana Handshuh, Principal - CAT5 Strategies
2:00 PM 2:45 PM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
Jimmy Liu, VP, Analytics and MRR Solutions
Advantmed
Jennifer Hawkes, Manger of Member Engagement
Blue Cross of Idaho
2:00 PM 2:45 PM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
Shannon Thorpe, DNP, RN, CNL, SVP
Sharecare/CareLinx
Kevin Agatstein, Consultant
Sharecare
Miranda Meunier, NP, Vice President of Clinical Services
Greater Good Health
Michelle Nelson, Senior Vice President of Risk Adjustment
Illumed
2:00 PM 2:45 PM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
Cory Busse, VP, Strategy & Sales Enablement
Icario
Barb Nelson, Director of Clinical Services Optimization
Medica Health Plans
Crystal Sawyer, Associate Director, Process Improvement
Humana
2:00 PM 2:45 PM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
Moderator:
Dr. Edward Likovich, CEO
Nymbl
Lori Rund, Former VP Government Programs
Blue KC
Dr. Robert Mirsky, Former CMO
Aetna Medicare
Charlotte Yeh, Former CMO
AARP
Jessica Muratore
Muratore Advisory Services, LLC
2:00 PM 2:45 PM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
This session walks through the foundation of value-based care and the importance of accurate documentation, including:
Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP
Director Risk Capture – Population Health
Mass General Brigham
2:00 PM 2:45 PM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
In order to take advantage of Shared Savings opportunities, AdventHealth needed to undergo a practice transformation from a Fee for Service to Model to providing value-based care.
Part of this transformation included educating clinicians on proper Coding Documentation Integrity.
Michael Zeli, Executive Director of Clinical Documentation Integrity PHSO
AdventHealth
2:00 PM 2:45 PM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
Dan Weaver, Senior Vice President, Stars & Quality
Zing Health
2:45 PM 3:15 PM
1:45 PM 2:15 PM
12:45 PM 1:15 PM
11:45 AM 12:15 PM
Track 3: Quality and Member Experience- Track Chair: Reva Sheehan, Sr. Director of Customer Insights - mPulse
Track 4: Provider/Payer Strategic Alignment - Track Chair: Jenny Ritchie, Area Vice President Sales, East -Veradigm
Track 5: Hot Topic - Track Chair: Branka Sustic, Vice President, Risk & Quality Operations - Cotiviti, Inc.
RISE Innovation Theater 1: Track Chair: Mark Dabney, Director, Risk Adjustment - Community Health Plan of Washington
3:15 PM 4:00 PM
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
Government-sponsored health plans are navigating and balancing seasonal surges, operational efficiency goals, Stars, Quality and Risk Adjustment goals and the need to consistently drive strong member experiences and outcomes.
Providing timely support to members with live resources is an ongoing challenge. Communication automation and Agentic AI solutions offer a scalable, secure, and empathetic way to meet these challenges, enabling members to be digitally guided to take better actions and complete self-service tasks across the plan year for member service, quality and population health, and more.
In this session, explore how Automation and AI are transforming member engagement while ensuring HIPAA compliance and seamless escalation to proper or live resources for sensitive inquiries.
Moderator
Yvonne Daugherty, Global Head of Industries
Ushur
Dan Weaver, Senior Vice President, Stars & Quality
Zing Health
Jenny Smith, Market Strategy
Consultant
3:15 PM 4:00 PM
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
Moderator:
Rohit Shinde, Vice President
Healow
Aurelious Bankston, Information Technology (IT) Director
SOUTH TEXAS RENAL CARE GROUP
Brian Murtha, Senior Director, Digital Initiatives
Centene Corporation
3:15 PM 4:00 PM
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
Frederick Bloom, MD, President
Guthrie Medical Group
Hassan Rifaat, MD, CEO
Vatica Health
3:15 PM 4:00 PM
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
Risk adjustment has changed. In today’s landscape it is crucial to protect your organization from over coding and regulatory audits. Join us for this interactive session as we discuss ensuring payment integrity from various angles including:
Colleen Gianatasio
Value Based Care expert
Track 1: Risk Adjustment Strategies - Track Chair: Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP Director Risk Capture – Population Health - Mass General Brigham
Track 2: Integrating Silos - Track Chair: Laura Cooley, PhD, Editor-in-Chief - Journal of Patient Experience
Track 3: Quality and Member Experience - Track Chair: Reva Sheehan, Sr. Director of Customer Insights - mPulse
Track 4: Provider/Payer Strategic Alignment - Track Chair: Jenny Ritchie, Area Vice President Sales, East -Veradigm
Track 5: Hot Topic - Track Chair: Branka Sustic, Vice President, Risk & Quality Operations - Cotiviti, Inc.
RISE Innovation Theater 1: Track Chair: Mark Dabney, Director, Risk Adjustment - Community Health Plan of Washington
RISE Regulatory Compliance Theater 2 - Track Chair: Ana Handshuh, Principal - CAT5 Strategies
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Rebecca Elhassid
Secure Exchange Solutions
Brian Murtha,Senior Director, Digital Initiatives
Centene Corporation
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Karl Ulfers, Co-founder & CEO
DUOS
Jessica Assefa, President and Senior Consultant
Ameropia Advisors, LLC
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Moderator:
Luke Hansen, MD, MHS, Chief Medical Officer
Arcadia
Susan Kopp, Director, Provider Network Analytics
MVP Health Care
Marilee Klock, MBA, CPC, CRC, Senior Director, Diagnosis Accuracy Program Guidehealth
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Moderator:
Diana Allen, PhD, CEO
The SSI Group
Sharon Barnicle, Executive Director
Springhill Medical Center
Katrina Miller Parrish, M.D., FAAFP, Chief Medical Officer, President
SSI/Patient.com
Jeffrey A Blomgren, Director of Engineering
The SSI Group
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Jodi Buchholz, MSW, Director Ambulatory Case Management
Populance
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Let's take a deep dive into coding practices to ensure accuracy of data to avoid CMS fines. We will discuss:
Deb Curry, MBA, RHIA, CCS-P, CRC, Risk Adjustment Programs Director
Medical Mutual
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Rick Whitted, President & CEO
U.S. HUNGER
Ana Handshuh, Principal
CAT5 Strategies
5:05 PM 6:05 PM
4:05 PM 5:05 PM
3:05 PM 4:05 PM
2:05 PM 3:05 PM
5:05 PM 6:05 PM
4:05 PM 5:05 PM
3:05 PM 4:05 PM
2:05 PM 3:05 PM
Grab a seat and get ready for a unique opportunity to engage in three dynamic, speed-networking-style presentations. Each session will feature cutting-edge technologies and solutions designed to enhance your plan’s risk, quality, and data management efforts. Throughout this special 60-minute session, a bell will ring three times, signaling the transition to the next roundtable of your choice. Don’t miss out on this fast-paced, interactive experience!
6:05 PM 7:00 PM
5:05 PM 6:00 PM
4:05 PM 5:00 PM
3:05 PM 4:00 PM
All attendees are invited to join us in the exhibit hall for drinks, hors d'oeuvres, and some lively networking. Come mingle, connect, and enjoy a fun evening with fellow attendees!
9:00 AM 12:00 PM
8:00 AM 11:00 AM
7:00 AM 10:00 AM
6:00 AM 9:00 AM
8:30 AM 12:00 PM
7:30 AM 11:00 AM
6:30 AM 10:00 AM
5:30 AM 9:00 AM
8:30 AM 10:00 AM
7:30 AM 9:00 AM
6:30 AM 8:00 AM
5:30 AM 7:00 AM
10:15 AM 10:20 AM
9:15 AM 9:20 AM
8:15 AM 8:20 AM
7:15 AM 7:20 AM
Conference Chairs:
Liz Haynes MSN, RN, CCM, Vice President of Quality, STARS, & Risk Adjustment
CareFirst BlueCross BlueShield
Kim Miller, D.C., CPC, CEDC, CRC, Government Programs Clinical Coordinator, SR.
Blue Cross Blue Shield of Kansas City
10:20 AM 11:20 AM
9:20 AM 10:20 AM
8:20 AM 9:20 AM
7:20 AM 8:20 AM
As the global population ages, healthcare systems are facing unprecedented challenges in providing quality care to older adults. In particular, the rapid growth of artificial intelligence, the need for data-driven and cost-controlled care, and the need for personalized medicine all make Elder Care particularly unique.
Dr. Sikka will explore how artificial intelligence is transforming elder care, enhancing diagnosis, treatment, and personalized care through predictive analytics, remote monitoring, and smart technology integration, and can meet patients halfway. By addressing issues such as chronic disease management, mobility, and cognitive decline, AI can empower healthcare professionals to offer more efficient, accessible, and patient-centered care to the aging population. This talk will highlight the latest innovations, real-world applications, and future trends in AI-driven solutions for senior health.
Robby Sikka, MD
NBA Physician & Technology Innovator
Former Senior Consultant at Tonal, Oura Ring, Pacaso & Other Tech Unicorns
Former Associate Director of Data Analytics at the Mayo Clinic
Introduced by American Logistics
Brandon Piersant, Chief Marketing Officer
11:20 AM 11:50 AM
10:20 AM 10:50 AM
9:20 AM 9:50 AM
8:20 AM 8:50 AM
Track 1: Risk Adjustment Strategies - Track Chair: Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP Director Risk Capture – Population Health - Mass General Brigham
Track 3: HOT TOPIC - Track Chair: Reva Sheehan, Sr. Director of Customer Insights - mPulse
Track 4: Provider/Payer Strategic Alignment - Track Chair: Jenny Ritchie, Area Vice President Sales, East -Veradigm
Track 5: Hot Topic - Track Chair: Branka Sustic, Vice President, Risk & Quality Operations- Cotiviti, Inc.
11:50 AM 12:35 PM
10:50 AM 11:35 AM
9:50 AM 10:35 AM
8:50 AM 9:35 AM
Kailey Collier, Director of Quality Performance
Kern Health Systems
Tina Dueringer, RN, BSN, CCM, PCC, CEO, Principal Advisor
Dueringer Advisors, Inc
11:50 AM 12:35 PM
10:50 AM 11:35 AM
9:50 AM 10:35 AM
8:50 AM 9:35 AM
Helen Liu, Pharm.D.
Health Plan Leader/ Senior Consultant
11:50 AM 12:35 PM
10:50 AM 11:35 AM
9:50 AM 10:35 AM
8:50 AM 9:35 AM
Donna Furlong, RN Clinical Services Senior Director
Banner Medical Group
11:50 AM 12:35 PM
10:50 AM 11:35 AM
9:50 AM 10:35 AM
8:50 AM 9:35 AM
Moderator:
Laura Cooley, PhD, Editor-in-Chief
Journal of Patient Experience
Rachel Biblow, Associate Editor of Strategy, Innovation, and Outcomes
Journal of Patient Experience
Calvin Chou, MD, PhD, FACH
Professor of Clinical Medicine, UCSF
Faculty, Academy of Communication in Healthcare
Director, UCSF-VALOR Program
Sustaining Member, UCSF Academy of Medical Educatorsy
Leticia Bresnahan, MBA
Patient Representative
Erika Bowen, PhD
Patient Representative