Rise

Thursday, March 13
4:05pm - 5:05pm
Exhibit Hall

How It Works:

1. Choose Your Roundtables: Select three roundtables from this list.

2. Engage and Rotate: Spend 20 minutes at each roundtable. When the bell rings, move to the next one.

3. Earn Points: Scan the QR code at each roundtable to earn 100 points in the RISE to the Challenge app game.

Roundtable 1 with Hello Heart

Boost Star ratings: the role of digital heart health solutions

• Equip Medicare Advantage plans with tools to adapt to CMS updates, improve Star Ratings, and meet evolving regulatory requirements effectively.
• Increase member engagement and achieve measurable health outcomes, helping plans excel in a competitive Medicare Advantage market.
• Improve high-impact quality measures, like controlling blood pressure, while minimizing administrative burden and integrating seamlessly into existing workflows.

Roundtable 2 with UST HealthProof

Powering Health Outcomes Through Provider and Payer Collaboration

• Crafting effective engagement strategies
• Implementing point-of-care solutions in outpatient ambulatory settings
• Targeting performance measures in three critical areas:
  •  Revenue management and accurate risk scores
  •  Boosting Quality Stars through comprehensive preventative care 
  • Addressing clinical flags that drive up medical costs

Roundtable 3 with Exact Science

Get ahead and stay ahead: Closing CRC screening gaps with the Cologuard Gap Closure Program by Exact Sciences

• Learn how incorporating the Cologuard test into your gap closure program can boost CRC screening adherence rates while satisfying 3 years of CRC screening HEDIS quality measure credit2,3:
• Discover how leading national health plans have successfully implemented the Cologuard Gap Closure program to increase screening rates for Medicare Advantage members.

Roundtable 4 with ATTAC Consulting

Uncover Insider Strategies from FormerHealth Plan Leaders to Elevate Risk Adjustment, STAR Ratings, Cost Management and Plan Success

• How a population health approach is relevant to risk adjustment, compliance, STAR ratings and healthcare operations
• Breaking Barriers: Why organizations still operate in silos
• The importance of population health leadership in risk adjustment and STAR ratings

Roundtable 5 with Innovaccer

Enhancing Payer and Provider Collaboration Through Integrated Unified Member and Provider Platforms

• Innovative Care Interventions – Enhance member engagement through in-home test kits, pharmacy programs, provider incentives, and streamlined chart reviews..
• Seamless Workflow Integration – Improve efficiency with bi-directional EMR querying, automated prior authorization, and a unified payer-provider platform.
• AI-Driven Insights for Quality & Risk Management – Leverage AI analytics to identify quality gaps, prioritize interventions, and optimize risk management for improved outcomes.

Roundtable 6 with Get Well

The HALO Effect of Health Equity

• Discuss strategies to embed Health Equity into other initiatives, to impact both quality and financial outcomes.
• Learn how to build trust with members by closing the loop on effectiveness of important resources sent
• Explore how the use of live Navigators can be the secret sauce to extend your care team

Roundtable 7 with Cognizant

Optimizing payer-provider alignment and elevating patient care: The impact of quality intelligence in the value-based care era.

• A case study demonstrating how a client realized significant savings in a nation-wide value-based program that involved $200 million in quality-based procedures (QBPs) for over 5.5 million lives and included the rollout of Quality Intelligence capabilities.
• Learn about the strategies and technologies needed for achieving multi-stakeholder alignment, interoperability, analytics and business intelligence at scale in the value-based care era.
• Explore how to deliver high-quality, cost-effective care, while aligning payer and provider value-based contracts with quality improvement initiatives.

Roundtable 8 with Invent Health

Beyond Compliance: Transforming Risk Adjustment into Strategic Value

• Learn how to safeguard your plan against OIG audits
• Discover how to mitigate extrapolation risk
• Gain actionable insight on how to improve patient care quality

Roundtable 9 with Virtix Health

Curv^® Breaking Down Retrieval Gate Keeper Barriers: How to Streamline Retrieval Operations, Cut Costs, and Maximize Medical Record Yields

• Unlock Operational Efficiency – Learn about Virtix Health’s advanced retrieval operations, automation, and vast digital connectivity with our proprietary Linx platform. In 2024 alone, our platform processed over 70+ million medical records, saving plans 15-30% in net retrieval costs.
• See It in Action – We have established the industry’s first all-in-one platform that’s connected to the top HIH, ROI, & EHR vendors. Experience our retrieval innovation first-hand. We’ll show your team how we take a simple de-identified, non-PHI chase list, load it into our matching tool, and instantly “ping” our extensive network. Health plans typically achieve a 40-70% chart match result immediately.
• Hear from the Experts – Discover why 100+ health plans trust Virtix Health for retrieval, coding, auditing, and abstraction—and how our "art and science" approach is driving unmatched results.

Roundtable 10 with ECLAT Health Solutions

Integrating Value-Based Care into Risk Adjustment for Payers and Providers

• Risk Adjustment Accuracy & Financial Integrity – Ensure accurate and compliant documentation with AI-driven analytics and prospective CDI tools, maximizing RAF scores while reducing audit risks, enhancing financial sustainability in value-based care models
• Population Health Optimization – Identify and stratify at-risk populations through predictive modeling and real-time data insights, enabling proactive interventions that drive better patient outcomes, reduce hospitalizations, and improve overall healthcare quality.
• HEDIS Improvement & Quality Performance – Improve provider engagement strategies to close care gaps, enhance preventive screenings, and improve STAR ratings, ensuring compliance and optimal performance in value-based contracts.

Roundtable 11 with RazorMetrics

The Holy Trinity for pharmacy: Control risk, reduce costs, and improve member outcomes

• 50% of Americans have at least one chronic condition and 16% do not fill prescriptions due to costs
• Disparate data, lack of transparency, and technology utilized by providers leads to more expensive and unnecessary pharmacy utilization
• 24% of the population between 40-75 is on 5+ medications who are at risk for drug interactions, side effects, and cascading

Roundtable 12 with Pareto Intelligence

Serving Up Solutions: A Roundtable on Advancing Risk Adjustment & Quality Programs

• Discuss the critical role of operational assessments in risk adjustment programs and Stars success.
• Explore how qualitative analysis, combined with advanced analytics, drive actionable recommendations for immediate improvements and sustainable long-term enhancements.
• Gain strategic insights into vendor partnership performance and cost efficiency via operational assessments.

Roundtable 13 with Milliman MedInsight

The Next Frontier in Risk Adjustment: Comprehensive Data, Advanced Benchmarks, and AI-Driven Workflow

• Discover how to gain competitive NPI-level insights with the new MedInsight Risk Adjustment Platform—an enterprise solution leveraging Milliman’s normative data and spanning 100% Medicare FFS, 100% MA, 100% Medicaid, and nearly 50% of the Commercial market.
• Learn how to enable real-time performance modeling with industry‐leading Milliman utilization metrics for HCCs, STARS, and other key indicators.
• Hear how to boost efficiency and accuracy with flexible workflows for prospective, retrospective, and RADV audits—combining AI with 2,000+ EHR/EMRs for seamless, bi‐directional point‐of‐care interactions.

Roundtable 14 with Wolters Kluwer

RADV Audit MythBusters: Separating Fact from Fiction

• RADV Myths vs. Facts – Separate fact from fiction to avoid costly audit mistakes.
• Be Audit-Ready – Learn key strategies to minimize the risk of extrapolated repayment penalties.
• Leveraging Technology – Purpose-built, clinically intelligent AI can streamline RADV audit readiness.

Roundtable 15 with Cognisight

Transforming Healthcare Documentation: Post-Encounter Medical Record Coding and a Future with Pre-Encounter Solutions

• This session will dive into the critical process of post-encounter medical record coding, focusing on best practices, challenges, and how it impacts healthcare reimbursement, compliance, and clinical workflows.
• Offering case study overview of 100 encounter sample; demonstrating trend tracking for specification opportunities; quantifying claim correction as required to ensure submission of appropriately supported HCCs.
• Additionally, Cognisight will offer a sneak peek into a future with pre-encounter solutions that promise to further optimize the provider workflow within the patient visit.

Roundtable 16 with Centauri Health Solutions

No More Half Measures: Applying "Breaking Bad" Principles to Risk and Quality

• Operational quality is key and technical expertise is not enough
• Fully engage your stakeholders and know your members and providers
• Choose the right strategic partnerships and establish a culture of innovation

Roundtable 17 with Secondwave Delivery Systems

Leveraging Technology to Improve Provider Choice and Engagement

• Understand the impact of EMR integration on clinical documentation integrity and quality gap closure and discover best practices and strategies deployed at Secondwave for effective EMR integration.
• Compare different methods of presenting risk adjustment and quality data to providers: paper, portals, overlays, and EMR integration, highlighting their pros and cons.
• Learn about the challenges and benefits of pursuing a fully integrated approach to prospective risk adjustment and quality programs.

Roundtable 18 with Milliman

Curv® Risk Adjustment: Stop leaving money on the table! Identify new members with likely HCCs on Day 1.

• New members are chronically under-coded.
• Curv Risk Adjustment is a predictive model that uses Milliman IntelliScript’s proprietary claims data to sort incoming members according to their likely HCC coding value.
• Easy, accurate, results in minutes. Proven 6:1 benefit-to-cost ratio.