March 22, 2022
RaeAnn Grossman, EVP, Cotiviti, who co-chaired RISE National 2022 with Kevin Healy, CEO, Allymar Health Solutions, reflects on her experience at this year’s conference, which returned to Nashville as a live, in-person event for the first time since March 2019.
March 09, 2022
The associate chief medical officer of HonorHealth Medical Group in Arizona received the Dr. Martin L. Block Award for Innovation & Excellence on Wednesday, March 9 at RISE National 2022 in Nashville.
March 09, 2022
What an incredible two days we’ve had at RISE National 2022!
March 08, 2022
More than 1,600 participants (a RISE National record) representing 562 organizations across 46 states gathered at the Gaylord Opryland Resort & Convention Center to learn the latest on Medicare Advantage, regulatory and compliance updates, risk adjustment, quality, HEDIS®, Star ratings, member experience, social determinants of health (SDoH), the latest technology advancements, and payer/provider collaboration.
February 22, 2022
It’s been a long three years and we are counting down the days until we are all back together again in Nashville, Tenn. for RISE National 2022. You’ve heard about the incredible content and speakers we’ve lined up, but you may be unaware of all the fun and activities we’ve planned. Here’s a helpful guide so you can make the most out of the three-day event, March 7-9.
February 15, 2022
Future forecaster and game designer Jane McGonigal, Ph.D., specializes in creating simulations that help people imagine the biggest global challenges they might face in the future. In 2008, one of those simulations was a global outbreak of a fictional respiratory virus originating in China set 11 years in the future, in the fall of 2019. Sound familiar?
February 10, 2022
Members of the RISE Risk Adjustment Policy Committee share their thoughts on the Centers for Medicare & Medicaid Services’ (CMS) recently released proposed 2023 Medicare Advantage (MA) and Part D Advance Notice and its impact on MA plans.
February 02, 2022
The Centers for Medicare & Medicaid Services (CMS) on Wednesday released proposed payment policy changes for Medicare Advantage (MA) and Part D drug programs in 2023. Here’s a summary of the proposed changes to risk adjustment, Star Ratings, and the agency’s plans to advance health equity.
January 25, 2022
These tech-led retrospective approaches can help health plans ensure the data they submit is complete and accurate—without leading to further provider abrasion.
January 24, 2022
RISE is pleased to confirm that representatives from the Centers for Medicare & Medicaid Services (CMS) and Office of Inspector General (OIG) will join our roster of more than 150 speakers at RISE National 2022, which will take place live, in-person in Nashville, Tenn. on March 7-9.
January 07, 2022
The proposed rule would revise Medicare Advantage (MA) and Medicare Part D regulations related to marketing and communications, Star ratings, the criteria used to review applications for new or expanded plans, provider network adequacy requirements, medical loss ratio reporting, special requirements during disasters or public emergencies, and the use of pharmacy price concessions to reduce the out-of-pocket costs for prescription drugs under Part D.
January 06, 2022
Jane McGonigal, Ph.D., a world-renowned designer of alternate reality games—games that are designed to improve real lives and solve real problems—will speak on the second day of the main conference about how we can apply gaming to the health care industry.
January 04, 2022
Here are our predictions for the health care industry in 2022 based on interviews with industry experts in 2021, presentations at RISE conferences, and observations from our editorial team.
December 20, 2021
Dr. Nancy Messonnier, former director of the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention, answers questions about the pandemic. The Q&A was originally published by Participant.
December 10, 2021
Ryan Avery, a world record holder, two-time best-selling author, Emmy award winning journalist, and world champion, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact our three communities: Quality & Revenue; Member Acquisition & Experience; and Social Determinants of Health.
November 12, 2021
RISE National 2022—the #1 trusted source for all things Medicare Advantage—returns to Nashville, Tenn. on March 7-9 as a live, in-person event and will feature two blockbuster keynotes.
September 28, 2021
Nominations are now open for RISE’s annual Martin L. Block Award for Innovation & Excellence. RISE’s highest honor recognizes excellence and clinical leaders’ passion to improve patient care.
April 06, 2021
Join us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact our three communities: Quality & Revenue; Member Acquisition & Experience; and Social Determinants of Health.
March 30, 2021
Heather O’Toole, M.D., chief medical officer at Innovation Care Partners, a clinically integrated network and an accountable care organization in Arizona, received RISE’s highest quality award at this year’s RISE National.
March 30, 2021
It’s been an amazing three days of RISE National 2021!
March 29, 2021
RISE National was in full swing today, filled with timely updates for 2021 and 2022, an insightful keynote address, collaborative panel discussions, and so much more.
March 26, 2021
RISE National is finally here! Our 2021 virtual summit kicked off Friday with pre-conference workshops, an inspiring family-friendly keynote, and virtual networking. If you missed it, we’ve got you covered. We’ve summarized the day below—and there’s still time to register for the main conference, which begins on Monday.
March 19, 2021
Xavier Becerra was narrowly confirmed as secretary of the Department of Health and Human Services (HHS) on Thursday but health care organizations across the country applauded the move.
March 16, 2021
RISE National is right around the corner. Check out the interactive virtual sessions and activities planned for our live-streamed event, which will take place March 26, 29, and 30.
March 08, 2021
Luciana Borio, M.D., who warned the public in an opinion piece published in the Wall Street Journal in late January 2020 about the pending COVID-19 pandemic, will be a keynote speaker at RISE National, a virtual live-streaming event, later this month. In this interview, Dr. Borio talks to RISE about COVID, what’s on the horizon, and what health plans can do to support their members.
March 02, 2021
Four representatives from the Centers for Medicare & Medicaid Services (CMS) will kick off the RISE National main conference with a policy update on Monday, March 29. The virtual live-streamed event will include preconference workshops on Friday, March 26 and the main conference March 29-30.
March 02, 2021
Health care policy expert Ezekiel J. Emanuel, M.D., will present a keynote on the future direction of the American health care system on Monday, March 29, the first day of RISE National. Dr. Emanuel, former advisor to President Joe Biden’s transition team on COVID-19, talked to RISE ahead of the virtual conference about the current health care landscape and potential changes that could improve it.
February 24, 2021
Wendy Sue Swanson, M.D., a pediatrician, author of Mama Doc Medicine, and a pioneer in the use of the digital space to provide humanistic doctor-patient information, will be one of five keynote speakers at RISE National, a virtual live-streamed event March 26, 29, and 30. In this interview, Dr. Swanson previews her talk and offers insight into the current landscape as well as the potential for even more innovation to transform the health care system into one that is both patient-centered and provider-centered.
February 18, 2021
Representatives from the U.S. Department of Health & Human Services’ Office of Inspector General (OIG) will join our roster of more than 50 speakers at RISE National, which will be live-streamed March 26, 29, and 30.
February 17, 2021
Join us for the second episode of RISE Radio, our new podcast series that focuses on issues that impact our three communities: Quality & Revenue; Member Acquisition & Experience; and Social Determinants of Health.
February 08, 2021
Tara Lipinski, internationally acclaimed figure skater and Olympic gold medalist, will share her inspirational life lessons about how she overcame adversity to achieve her storied career in figure skating, at 4 p.m. EST Friday, March 26 during a presentation to kick off RISE National, a live-streaming virtual event.
February 05, 2021
RISE is pleased to introduce the launch of RISE Radio, a series of podcast episodes that will focus on issues that impact our three RISE communities: Quality & Revenue; Member Acquisition & Experience; and Social Determinants of Health. Joining us for our inaugural episode of RISE Radio are the members of the RISE Risk Adjustment Policy Committee.
January 27, 2021
The Better Medicare Alliance’s Center for Innovation in Medicare Advantage today released new research that examines the current limitations of measuring patient experience in the Medicare Advantage and Prescription Drug (MA-PD) Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Based on those findings, the advocacy group proposes changes to modernize the measurement tool.
January 16, 2021
The Centers for Medicare & Medicaid Services late Friday announced it released Medicare Advantage (MA) and Part D payment information due to COVID-19. The Rate Announcement includes final policies on risk adjustment for 2022.
January 11, 2021
Dr. Emanuel, a member of President-elect Joe Biden’s transition COVID-19 advisory board, will kick off the first day of RISE National on Monday, March 29, with a keynote address on the future direction of the American health care system. Also slated to speak at the virtual conference: Tara Lipinski, internationally acclaimed figure skater and Olympic gold medalist; infection disease expert Dr. Luciana Borio, who warned the public in January 2020 about the pending COVID-19 pandemic; Dr. Wendy Sue Swanson, M.D., a leading innovator in digital health, innovation and prevention; and health care futurist Ian Morrison.
January 08, 2021
What’s in store for the RISE Association communities in 2021? We asked experts in Medicare Advantage, quality and revenue, consumer engagement, and social determinants of health for their predictions on trends that will impact the industry in the upcoming year. Spoiler alert: COVID-19 will continue to play a big role.
December 18, 2020
RISE summarizes the findings of a recent Wakely report commissioned by the America’s Health Insurance Plans (AHIP) that analyzes the information contained in the 2022 Medicare Advantage Advance Notice, including changes to the risk adjustment models, and the impact of COVID-19 on the Centers for Medicare & Medicaid Services (CMS) projections.
November 23, 2020
Morrison will address the future of the health care marketplace, trends, and implications during RISE National 2021, which will take place March 28-30, 2021.
November 06, 2020
The RISE team is looking forward to seeing conference attendees live and in person when the time is right. Here are the measures RISE has taken to create a healthier and safer conference experience− let us know when you’re ready.
October 08, 2020
The Centers for Medicare & Medicaid Services (CMS) released the quality ratings so that beneficiaries can compare plans before Medicare Open Enrollment begins on Oct. 15.
September 29, 2020
Mark your calendars! We are excited to return to Nashville, Tenn. in March for RISE National 2021. Get a first look at the new tracks we’ve already planned for you.
September 15, 2020
The Centers for Medicare & Medicaid Services (CMS) on Monday released Part 1 of its 2022 Advance Notice, which outlines changes to Part C CMS-Hierarchical Condition Categories (HCC) risk adjustment model and the use of encounter data for 2022. CMS intends to finalize the payment policies by April 5, 2021.
July 09, 2020
Did you miss last month’s RISE National 2020 virtual conference? Here’s a summary of a few of the sessions.
July 08, 2020
Phenomenal keynote speakers took the virtual stage over two days at the annual event, RISE National 2020, and offered stories of hope and perseverance during the darkest of times.
July 07, 2020
Leading experts in the Medicare Advantage and Affordable Care Act market continue to call for collaboration between providers and payers. Take an inside-look at their tips to bridge the gap.
June 22, 2020
Check out the interactive learning sessions and fun activities we’ve got planned for our 14th annual event, which takes place June 26-30.
May 27, 2020
Each year RISE presents an award to an individual who exemplifies the life work of Dr. Martin L. Block, an expert in the risk adjustment industry who had a passion to improve patient care. This year RISE National will forgo the traditional criteria of the award and present it in honor of health care professionals within our affiliated provider networks who contracted and died from COVID-19.
May 21, 2020
The annual event, formerly known as RISE Nashville, will now stream live on June 29-30 with pre-conference workshops on Friday, June 26.
March 10, 2020
RISE reschedules national conferences due to concerns over COVID-19.
February 18, 2020
Speaker update: Erin Sutton, Kelly Drury from the Center for Medicare & Medicaid Services (CMS) have been added to a roster of more than 100 speakers at RISE National, a virtual event, June 29-30.
January 31, 2020
The broadcast journalist and host of the popular television show, What Would You Do?, will speak at RISE National Summit, a virtual event, on Monday, June 29.
January 30, 2020
An executive coach and celebrated artist, Allison Massari survived a devastating car accident that left her severely burned. She’ll share her health care experience, the importance of compassionate care, and how to transform lives through the art of person-centered care at RISE National.
January 27, 2020
Expect the Centers for Medicare & Medicaid Services (CMS) to take a closer look at retrospective chart reviews this year, says Jason Christ, a member of the health care and life sciences practice of Epstein Becker & Green.
December 13, 2019
Back by popular demand! Brain Scientist Dr. John Medina, last year’s top keynote speaker at RISE Nashville, will return for our 2020 conference to lead a half-day virtual workshop on the brain science behind delivering powerful and engaging presentations.
November 25, 2019
You may know him as the star of the nationally syndicated series, Flip My Food with Chef Jeff, where he prepares healthier versions of favorite family and restaurant recipes. But before he discovered his passion for culinary arts, Jeff Henderson was a drug dealer and spent nearly a decade incarcerated in federal prison. He’ll tell his emotional story of how he overcame all odds during a virtual keynote presentation at RISE National (formerly known as RISE Nashville) on June 30th.
October 29, 2019
Early bird registration is now open for RISE Nashville 2020, the mega-conference for professionals of all levels in the Medicare Advantage and Affordable Care Act market. Read on to find out why people return year after year and why you don’t want to miss the 2020 event at Music City Center, March 15-17.
October 15, 2019
RISE is now accepting nominations for the 2020 Dr. Martin L. Block Award for Excellence and Innovation. The prestigious award is given to an individual who has advanced the lives of America’s seniors through clinical leadership, policy vision, and by superior example.
March 26, 2019
NASHVILLE, Tenn.— More than 1,400 executives and senior leaders from hundreds of health plans, provider groups, integrated health systems and service providers across the country came together last week in Nashville to share strategies to address regulatory challenges, the latest trends and developments in the industry, member engagement strategies, and care outcomes.
March 18, 2019
NASHVILLE, Tenn. (Mar. 18, 2019) – RISE announced today that Mark Dambro, M.D., senior vice president of health informatics for Signify Health, was awarded the Martin L. Block Award for Clinical Excellence and Innovation at the 13th Annual RISE Nashville Summit.
March 12, 2019
A St. Patrick’s Day party will kick off this year’s RISE Nashville Summit—the #1 ranked conference in the industry. The 13th annual event is designed for professionals of all levels in the Medicare Advantage and ACA market and will be our biggest one yet. We’ve compiled highlights, so attendees can make the most out of sessions and networking opportunities. For those who haven’t registered yet, don’t despair. There are a few delegate spots left. Take a look at what we’ve planned next week at the Gaylord Opryland.
March 11, 2019
For the fourth installment of our semi-regular series that recommends articles, white papers, or issue briefs of importance to RISE members, we suggest a recent Health Affairs blog post written by leaders at Avalere Health and Better Medicare Alliance. The post reviews the issues around Medicare Advantage (MA) encounter data, including its limitations to evaluate plan performance and its potential to offer new insights into MA.
March 08, 2019
This year RISE partnered with health care analytics company Cotiviti to conduct research (both surveys and in-depth interviews) on risk adjustment and quality integration. More than 55 health plan systems contributed insights into the reasons for integration. Fifty-four percent of respondents were from smaller-sized health plans (less than 500,000 members) and 18 percent were from larger-sized health plans (more than 2 million members). In this article RISE previews highlights of the findings. The complete results will be unveiled during the 13th Annual RISE Nashville Summit, March 17-19 at the Gaylord Opryland Resort.
November 27, 2018
John Bandler, author of the book, “Cybersecurity for the Home and Office: The Lawyer's Guide to Taking Charge of Your Own Information Security,” will be a speaker at the 13th Annual RISE Nashville Summit in March 2019. In this article, RISE talks to Bandler about the four pillars of cybersecurity that health plans must follow to protect their organizations and members from fraud, identity theft, and cyber attacks.
October 23, 2018
Brain Scientist Dr. John Medina, author of the New York Times bestseller, “Brain Rules: 12 Principles for Surviving at Work, Home and School,” will be the keynote speaker on the first day of RISE Nashville on Monday, March 18, 2019. In this exclusive Q&A, Medina answers questions about his research and common misconceptions about the brain.
September 27, 2018
The 13th Annual RISE Nashville Summit will take place March 17-19, 2019 at the Gaylord Opryland Resort. Here are six reasons why you don't want to miss the event of the year.