The 2026 RISE Virtual Seminar Series will feature five specialized online programs designed to help Medicare Advantage, Medicaid Managed Care, appeals and grievances, home-based care, and compliance leaders navigate rapidly changing operational and regulatory demands. Each virtual event offers deep subject-matter expertise and practical strategies tailored to the challenges facing today’s health plans and provider organizations.
CompliancePalooza: April 21–22
Primary focus: The new compliance era, regulatory readiness, AI oversight, and audit survival.
CompliancePalooza serves as a launch point for organizations preparing for Medicare Advantage’s shifting compliance expectations. The program centers on how plans must respond to final rules for 2025 and 2026 and offers expert analysis what’s newly required and what lies ahead.
The program is ideal for compliance executives, risk adjustment leaders, and operational managers seeking actionable strategies to strengthen readiness for 2026.
Sessions will focus on final rules, documentary accuracy, risk adjustment, vendor oversight, corrective action plans, the evolving role of the chief compliance officer, RADV audit preparation, AI’s promise and peril, and prior authorizations.
Medicaid Managed Care (May 5–6)
Primary focus: Policy shifts, funding uncertainty, digital quality measurement, member engagement, and integrated behavioral health.
This virtual event provides in-depth briefings and case-based insights to help Medicaid plans adapt to significant regulatory changes and state-level policy shifts. It’s recommend for Medicaid executives, quality leaders, CBOs, and cross-functional care teams.
Sessions will cover federal and state Medicaid policy updates, transitioning to digital quality measurement, member engagement strategies, cross-sector collaboration, Medicaid work requirements, advancing quality initiatives, integrated behavioral health and social supports, and collaborative care models.
Appeals & Grievances (May 12–13)
Primary focus: Oversight requirements, operational consistency, UM‑A&G coordination, ADA compliance, and communication clarity.
Designed for teams addressing rising case volumes and tightening regulatory expectations, the Optimizing Appeals & Grievances virtual conference helps participants build more resilient appeals and grievances operations.
Content includes regulatory updates, strategies to reduce appeals through UM collaboration, audit readiness for CMS and state regulators, FDR oversight, responsible automation and AI, ADA-compliant member communications, expedited appeals, repeat grievance management, preparing universe data, and future trends shaping A&G programs.
Medicare Advantage Member Accounting and Reconciliation Summit (May 19–20)
Primary focus: Revenue integrity, operational efficiency, and evolving MA payment policy.
This specialized summit offers targeted training for teams overseeing membership management, revenue reconciliation, and financial accuracy in Medicare Advantage. The agenda will include policy and payment updates, revenue integrity tactics, and strategies for operational alignment
Home Care Summit (June 16–17)
Primary focus: Home‑based care expansion, V28 coding, documentation excellence, telehealth, and care‑at‑home strategy.
As home-based care models continue to expand, the virtual Home Care Summit equips leaders with the operational strategies needed to implement or scale care-at-home programs.
Topics will include value-based home care models, V28 coding and documentation at home visits, telehealth and digital care tools, and SDOH-centered home care approaches.
For more information about the virtual programs and RISE in-person events, click here.