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.

Now in its 14th year, RISE Nashville has become the must-attend event for the latest information and strategies for risk adjustment, quality, Star ratings, CMS and OIG RADV audits, predictive analytics, payer-provider collaboration, social determinants of health, value-based care, member engagement, and physician engagement. In 2019, more than 1,400 attendees from 587 organizations joined RISE in Nashville for unmatched learning and networking opportunities. Here’s what you can expect at next year’s event: 

OIG takes center stage

Representatives from the Office of Inspector General will be on hand at 10:35 a.m. Monday, the first full day of the conference, to talk about the work the office has done to identify vulnerabilities that exist in Medicare Advantage. Megan H. Tinker, senior advisor for legal affairs, office of counsel to the inspector general; Jacqualine Reid, social science research analyst; and San Le, social science research analyst for evaluation and inspections, will provide an overview of OIG’s work to combat fraud, waste, and abuse in Medicare Advantage. They will also discuss the findings and recommendations of work the OIG’s Office of Evaluation and Inspections has done on the financial impact of chart reviews on risk scores in Medicare Advantage. 

Must-see keynote presenters

Attendees will hear from celebrity chef, Jeff Henderson, star of Flip My Food with Chef Jeff and author of “If You Can See It, You Can Be It,” on Tuesday, the second full day of the conference. Henderson, who once was an imprisoned drug dealer, will talk about his emotional journey of redemption from the streets to the stove and will share strategies to help you achieve your dreams, no matter your stage of life.

Allison Massari, executive coach, celebrated artist, and burn survivor, will follow the presentation with her riveting talk on the “art of person-centered care,” providing Nashville attendees with her perceptive view inside the patient experience. Massari will offer solutions to how the health care system can keep the patient first despite limited time and other practical constraints.


RISE Nashville 2019 attendees network, visit the exhibit hall

More than 100 speakers, 35 break-out sessions

RISE has gathered more than 100 of the industry’s leading experts to lead presentations and discussions throughout the conference. Targeted learning tracks will run concurrently and will focus on:

  • Risk adjustment strategies
  • Provider/payer collaboration
  • Technology and analytics
  • Social determinants of health
  • Compliance, quality, and Stars
  • Benefit innovation and care management
  • Talent retention and leadership management

RISE Nashville 2019 attendees gather for keynote presentations. More than 1,400 attendees from 587 organizations attended last year's event.

Here’s a sneak peek at a few planned break-out sessions:

Dave Meyer, vice president, Stars, Cigna, will join Jason Christ and Theresa Mason, R.N. from Epstein Becker & Green to explore hot 2020 legal and compliance issues for risk adjustment organizations. They’ll look at recent case settlements, as well as litigation with CMS, and identify key risk areas and best practices for risk mitigation in 2020.

Learn how to build a world class coding team by targeting the best candidates and learning where to find them. Christine D’Amico, executive vice president, Cognisight, will moderate the panel discussion, which will include strategies to measure success through quality and production benchmarks. Panelists will include Kristen Viviano, CPC, CRC, risk adjustment coding supervisor, Capital Districts Physicians’ Health Plan, and Colleen Gianatasio, director of ambulatory CDQI, Mount Sinai Health Partners.

Gabriel McGlamery, J.D., senior HCR policy consultant, Florida Blue Center for Health Policy, will explore commercial RADV—what’s wrong and what CMS plans to do about it. He’ll walk attendees through errors and actuarial risk and how they are related, how the IVA sample skews the data, and how much can be fixed by changing the data collected.  

Find out how to leverage data to optimize processes and find success in value-based health care with Wake Forest Baptist Health’s Jennifer Houlihan, vice president of value-based care and population, and Jessica Vaughn, manager, clinical documentation excellence. They’ll offer strategies to raise provider awareness and acceptance of initiatives aimed at improving performance in value-based contracts through improved expert relationships. 

Discover what member engagement initiatives are working and what is not as part of a peer workgroup. Merrill Friedman, senior director disability policy engagement, Anthem, will share best practices on effective communication and innovative avenues for reaching members, including barriers such as language, literacy, and implicit bias. Freedman will look at successful community outreach programs and how attendees can use existing resources to meet the needs of geographically remote populations.  

Kevin Mowll, executive director, The RISE Association, opens RISE Nashville 2019

5 hot topic pre-conference workshops

Two full-day workshops and three half-day workshops will be offered on Sunday, March 15:

The Risk Adjustment Practitioner will be taught by Laura Sheriff, RN, MSN, CPC, CRC, national director, risk adjustment, Molina Healthcare, Inc. and Susan Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS, trainer, director, risk adjustment, Scott & White Health Plan. The full-day course will provide newcomers to the industry with a basic knowledge of risk adjustment. Sheriff and Waterman will go over the essentials and differences between Medicare Advantage, commercial and Medicaid risk adjustment, provide an introduction into how to use data and predictive analytics to optimize your risk adjustment practices, help determine whether you need risk adjustment vendors and if so, how to manage them, and provider engagement strategies that will impact risk adjustment initiatives.

The second full-day offering is an Advanced HCC Auditor workshop that is open to other disciplines as well as those directly involved in HCC coding work. Led by Donna Malone, CPC, CRC, senior manager, enterprise risk adjustment, HCC coding and quality assurance, Tufts Health Plan, and Colleen Gianatasio, director of ambulatory CDQI, Mount Sinai Health Partners, the course will offer a mix of presentation, case studies, and hands-on workgroups throughout the day.

Three representatives from Pulse8 will join Paramount Healthcare’s Jennifer Hunt for a half-day workshop that examines the future of EMR connectivity, provider engagement, and social determinants of health. The workshop, “What Health Plans Should Be Seeing at the Crossroads of Better Data and Advanced Analytics,” will begin at 1 p.m. and will be led by Pulse 8’s Scott Fries, executive vice president, pharmacy solutions; Scott Stratton, chief data scientist & VP, product analytics; and Courtney Yeakel, chief product officer, and Hunt, administrative director, actuarial services, Paramount Healthcare.

Learn how to take your Medicare Advantage program to the next level. Ana Handshuh, vice president, managed care services, and Dave Meyer, vice president, Stars, Cigna, will lead the hands-on workshop designed for upper-level management and those in strategic planning roles.

Last year’s popular keynote speaker, Brain Scientist Dr. John Medina, will return to Nashville to conduct a half-day workshop on attention spans and the human brain. Medina, author of the New York Times bestseller, “Brain Rules: 12 Principles for Surviving at Work, Home and School,” will discuss brain processing and offer practical advice on how to make presentations sharp, stimulating, and sticky.

10-plus hours of network opportunities

Networking was a highlight at RISE Nashville 2019

Last year’s conference chair Nathan Goldstein, chief product officer, Signify Health, said it best: no other network event in the industry compares to RISE Nashville. Over the course of the three days, the conference will feature more than 10 hours of networking opportunities, including a welcome reception on Sunday, a cocktail reception on Monday, breakfasts, and roundtable discussions. “One of my ‘Dad’ jokes that I give at the podium is that this is the biggest gathering of people who understand what you do for a living,” Goldstein said. “Networking can become a cliché. But can you think of a place that gathers more than 1,000 people who understand your value to your company?”

RISE Nashville 2020 will take place March 15-17 at the Music City Center. Click here to see the full agenda and here to register.