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.