September 14, 2022
The three-day annual event included four preconference workshops and two days of general and concurrent track sessions that addressed risk adjustment strategies, quality, compliance/regulatory updates, payer/provider alignment, and how to achieve health equity and address the social determinants of health (SDoH) for the aging population. Below are highlights from select sessions.
September 14, 2022
The keynote presentations at RISE West 2022 offered lessons on leadership as well as strategies on how to live a better life. If you were unable to attend the annual conference in Los Angeles, here are six quotes that may inspire you in your personal and professional lives.
September 14, 2022
The three-day annual event included four preconference workshops and two days of general and concurrent track sessions that addressed risk adjustment strategies, quality, compliance/regulatory updates, payer/provider alignment, and how to achieve health equity and address the social determinants of health (SDoH) for the aging population. Below are highlights from select sessions.
September 01, 2022
RISE West attendees are abuzz with excitement as we all gather at the InterContinental Los Angeles Downtown for two days of learning and networking.
August 23, 2022
RISE West is just days away, so we’ve gathered everything you need to know to maximize your experience in Los Angeles.
August 18, 2022
Medicare beneficiaries will pay less for their prescription drugs and the amount they pay each year for prescription drugs will be capped at $2,000.
August 15, 2022
In this article we look at the RISE West 2022 sessions planned as part of the payer/provider alignment track at the annual RISE West conference, September 1-2, in Los Angeles.
August 11, 2022
In this article we look at the RISE West 2022 sessions planned as part of the Compliance and Regulatory Updates track at the annual RISE West conference, September 1-2, in Los Angeles.
August 09, 2022
The Centers for Medicare & Medicaid Services (CMS) blames a codification error for the disappearance of the Tukey outlier deletion, a statistical method for removing outliers when calculating Star measure cut points, when the final rule for Medicare Advantage (MA) and Part D prescription drug programs was implemented on June 28. While we watch and wait for this to be fixed, here’s why “TukeyGate” matters and what to do next.
August 02, 2022
Five panelists who will speak about health policy at the upcoming RISE West 2022 conference 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.
July 28, 2022
During the special breakfast session that kicks off the second day of RISE West 2022 in Los Angeles, a panel featuring four Black women in health care leadership positions will discuss their career paths and what needs to change in the industry to further promote women across all sectors.
July 26, 2022
In this article we look at the RISE West 2022 sessions planned as part of the Quality track and the Intersection of Risk Adjustment Quality, and Population Health track, two of the scheduled tracks to take place at the annual RISE West conference, September 1-2, in Los Angeles.
July 11, 2022
In this article we look at the sessions planned as part of the Risk Adjustment Strategies track, one of the scheduled tracks to take place at the annual RISE West conference, September 1-2, in Los Angeles. Upcoming articles will focus on the other tracks: Quality, compliance/regulatory updates, payer/provider alignment, the intersection of risk adjustment, quality, and population health.
June 15, 2022
The premier Medicare Advantage senior leadership conference will take place September 1-2, with preconference workshops on August 31, in Los Angeles. Here’s a look at the presenters who will take the main stage.
September 02, 2021
The learning continued at our hybrid-event with two keynotes, a Medicare Advantage member focus group, legal insights, and a panel discussion on member engagement and experience. Here are a few highlights from our favorite sessions.
September 01, 2021
Our 2021 hybrid event kicked off on Wednesday with 400 attendees gathering in-person at The Broadmoor in Colorado Springs, while 200 others participated in the event via their home offices.
August 17, 2021
Our guide to hot-topic sessions, keynotes, and networking opportunities at RISE West, a hybrid event that will take place August 30-Sept. 2.
August 09, 2021
In an August 5 memo to all Medicare Advantage (MA) plans, the agency announced that the COVID-19 public health emergency significantly impacted the validity of measures related to physical and mental health currently used in the Star Ratings.
August 09, 2021
Learning will take place at RISE West even before the main conference begins.
August 02, 2021
The government has intervened in False Claims Act lawsuits against Kaiser Permanente affiliates for submitting inaccurate diagnosis codes for risk-adjusted payments to the Medicare Advantage (MA) program. Mary A. Inman, a partner in the whistleblower practice group at Constantine Cannon, which is representing one of the whistleblowers, will take a deeper look at the case as part of a RISE West session on lessons learned from whistleblower-litigated False Claims Act cases.
July 19, 2021
RISE West 2021 will bring together senior leaders from Medicare Advantage health plans, commercial marketplace sponsors, Part D health plans, providers groups, pharmacy benefit managers, and accountable care organizations to discuss the hot topics facing the industry. We talked to four of the 50 speakers about their sessions to learn what attendees can expect at this year’s hybrid event, which will take place live in Colorado Springs and virtually via livestream August 30-September 2.
July 18, 2021
COVID-19 accelerated the adoption of telehealth services. But what does the future hold? RISE West will explore innovative approaches to telehealth efforts during a panel discussion on Wednesday, Sept. 1, the first day of the main conference. We talked to Andy Ellner, M.D., one of the panelists ahead of the hybrid event, about Firefly Health, a virtual primary care practice established in 2016.
July 17, 2021
Provider engagement is a key theme at this year’s RISE West, a hybrid event that will take place live in Colorado Springs and via livestream August 30-Sept. 2. In this article we talk to Jeslie Jacob of Blue Cross and Blue Shield of Illinois, one of the panelists at the session on payer experiences in provider engagement.
June 22, 2021
Check out the keynotes and officials who have joined our blockbuster roster of more than 50 speakers and 30 sessions for RISE West 2021. The hybrid event will take place August 30-September 2 both live in Colorado Springs and virtually via livestream. This article spotlights four of the can’t-miss sessions.
May 11, 2021
Join RISE for a special presentation with Jim Loehr, Ed.D., co-founder of Johnson & Johnson Human Performance Institute, who will offer insights into his 30-plus years of propriety research and training of elite performers, including Olympic gold medalists, military Special Forces, hostage rescue teams, surgeons, and Fortune 500 CEOs to achieve sustained high performance.
September 25, 2020
The two-day virtual event featured inspiring keynote presentations on how to successfully lead through crisis and how to prioritize your mental health through stress management and better sleep.
September 11, 2020
It’s been a busy couple of days and the virtual RISE West 2020 has officially come to a close!
September 11, 2020
RISE Managing Director Ellen Wofford made the following announcement during RISE West on Friday:
September 10, 2020
The first full day of RISE West 2020 is on the books and what a day we had!
September 03, 2020
Learn more about the interactive virtual sessions and activities we’ve planned for RISE West 2020, which will take place Sept. 9-11.
September 01, 2020
In this 10-minute video with RISE, Stephen Klasko, M.D., MBA, president and chief executive officer, Thomas Jefferson University and Jefferson Health, provides a glimpse into what a global pandemic would look like in 2030 based on what we’ve learned during the COVID-19 public health emergency of 2020.
August 27, 2020
RISE has once again teamed up with Engagys to find out how communications tactics have changed throughout the COVID-19 pandemic. Here are five findings from our most recent survey. Learn more when we discuss the complete results during a one-hour webinar at 1:30 p.m. EST, Wednesday, Sept. 16. The webinar is free to RISE Association members.
August 26, 2020
COVID-19 has made member engagement more important than ever before. In this article, RISE talks to three of the facilitators of RISE West’s upcoming preconference workshop that tackles the need for Medicare Advantage (MA) plans to double down on member engagement in the second half of 2020.
August 20, 2020
The High Court will hear oral arguments over the constitutionality of the Affordable Care Act (ACA) on November 10, a week after the presidential election.
August 20, 2020
Part 2 of our interview with John E. McDonough, DrPH, MPA, professor of public health practice, Harvard T.H. Chan School of Public Health, who will be a featured speaker at RISE’s upcoming virtual event, RISE West 2020, Sept. 9-11.
August 13, 2020
John E. McDonough, DrPH, MPA, professor of public health practice, Harvard T.H. Chan School of Public Health, will be a featured speaker at RISE’s upcoming virtual event, RISE West 2020, Sept. 9-11.
August 11, 2020
Marc Milstein, Ph.D., a scientist and researcher on health and happiness, will be a keynote speaker at RISE West 2020 in September. In this article, RISE talks to Milstein about his upcoming presentation and how American adults can get a better night’s sleep amid worries of COVID-19.
August 06, 2020
RISE is pleased to announce that Frank Micciche, vice president of public policy and external relations for the National Committee for Quality Assurance (NCQA), will be a featured speaker at the RISE West 2020 virtual event Sept. 9-11.
August 04, 2020
Chief Derek Bergsten of the Rockford, Ill. Fire Department talks to RISE ahead of the RISE West virtual summit, where he will share the success of a collaborative social determinants of health (SDoH) program that has reduced emergency department visits, ambulance runs, and hospital admissions.
July 29, 2020
The live-streamed virtual event will take place Sept. 9-11 and features presentations from leading experts in risk adjustment, quality performance, documentation, HCC coding practices, member engagement, payer-provider collaboration, and social determinants of health. Take a look at the sessions we’ve planned.
October 15, 2019
SAN DIEGO—More than 450 attendees gathered at the Loews Coronado Bay Resort in San Diego for RISE West 2019 to learn about payer/provider collaboration, leadership, and the member experience. Below are takeaways from select sessions:
October 14, 2019
SAN DIEGO —Among the highlights of RISE West 2019: An amazing story of survival and heroics during our nation’s darkest day; a new way of thinking about health care innovation; and tips to change behavior to enrich the member experience. Here’s a sampling of the keynote presentations.
August 28, 2019
RISE is headed to San Diego Sept. 9-11 for our annual leadership conference. Here’s everything you need to know about the event, as well as fun things to do after hours at the Loews Coronado Bay Resort in San Diego.
August 21, 2019
RISE West 2019 will feature more than 50 speakers who will showcase their success stories and strategies to improve programs for leadership, risk adjustment, documentation, HCC coding, quality, social determinants of health, RADV audits, payer-provider collaboration, and member engagement. This article highlights five speakers who are scheduled to present during the first day of the main conference on Tuesday, Sept. 10.
July 26, 2019
For years people have been told during brainstorming meetings to think “outside the box” and come up with innovative ideas to solve a problem. But that’s bad advice—it’s the walls within the box that hold the answer, according to innovation expert Stephen Shapiro, who will speak at RISE West’s plenary session this fall.
July 23, 2019
The Association for Community Affiliated Plans (ACAP) said Friday it would appeal a U.S. District Court’s ruling that the Trump administration can expand the sale and renewal of short-term limited-duration insurance (STLDI) as a substitute for comprehensive health insurance.
July 18, 2019
Shannon I. Decker, Ph.D., one of 45 speakers at this year’s RISE West, talked to RISE about her work with social determinants of health (SDoH) and provider engagement ahead of the annual conference, which will take place Sept. 9-11 at the Loews Coronado Bay Resort in San Diego.
June 27, 2019
Speaker Kathleen Stillo, president and chief operating officer of the clinical redesign direct care delivery unit in UnitedHealthcare’s Community & State division, talks to RISE ahead of the September conference about the organization’s mission to provide its most medically and socially complex members with better care at lower cost.
June 17, 2019
RISE West 2019 is shaping up to be bigger than ever. Our annual event returns to San Diego on September 9-11 to bring together senior leaders from Medicare Advantage health plans, commercial marketplace sponsors, Part D health plans, providers groups, pharmacy benefit managers, and accountable care organizations to discuss strategies to improve payer-provider collaboration and the member experience and address social determinants of health. We talked to Kevin Mowll, executive director of the RISE Association, and Marina Adamsky, executive director of production for RISE, to learn what’s new and what attendees can expect at this year’s premier event.
September 26, 2018
The risk adjustment track at RISE West provided attendees with useful information and innovative strategies to strengthen their programs. This article looks at the success that Brown & Toland Physicians have had with three partnerships that provided HCC Analytics, Natural Language Processing, and the Annual Health Assessment Program.
September 26, 2018
It is possible to survive a Medicare Advantage Risk Adjustment Data Validation Audit, according to Deb Curry, RHIA, CCS-P, manager, risk adjustment, of Promedica, who spoke at RISE WEST 2018.
September 26, 2018
RISE West 2018 featured a presentation by Joanna Bisgaier, Ph.D., deputy regional inspector general at the U.S. Department of Health & Human Services, on MA encounter data. Among the findings of the OIG report: The most common errors involved duplicated services, incorrect original control numbers, inappropriate codes, and missing values from other data.