Rise

Connect with Medicare Advantage, Medicaid managed care, and ACA plan executives, with responsibilities in the following areas: 

Health Plans: Medicare, Commercial/Exchange, and Medicaid  

• Health Plans: Medicare, Commercial/Exchange, and Medicaid
• Government Agencies
• Community-Based Organizations
• Health Care Providers: Integrated Delivery Networks, Medical Groups, ACOs, IPAs

Expect to meet executives in the following functions:

• Risk Adjustment
• HCC Coding
• Quality Improvement & Star Ratings
• Provider Engagement & Education
• Member / Patient Engagement
• Finance / Revenue / Actuarial
• Government Programs

There's a reason that attendees come back year after year. This May, your peers from around the country are signing up in teams to: 

• Improve operational practices to mitigate risks effectively and create robust response plans to enhance documentation workflows and reduce discrepancies.
• Identify ways to better utilize clinical resources, augment staffing models, and drive risk adjustment/quality values for long-term customer value. 
• Explore critical insights regarding CMS/ ACA updates and anticipated changes. 
• Evaluate best practices for three-year phasing in period regarding HCC model V24 to V28.
• Develop compliant processes, oversight roles, and respond to RADV Rule and OIG audits to ensure documentation is frequent and aligned with regulatory requirements. 
• Review the impact of ACO models to protect against inappropriate risk score growth, and gain insights into program nuances for increased predictability. 
• Understand the impact of artificial intelligence on workforce and coding precision and assisting with quality metrics management.