RISE National 2022 featured 25 hours of programming, 40+ timely sessions, and 90+ expert speakers, with an agenda designed for the functional thinker to leave equipped and re-energized to push your organization forward in the evolving Medicare Advantage landscape. Take a look at what attendees experienced at our 2022 event and make plans to join us in 2023!
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
10:00 AM 5:00 PM
9:00 AM 4:00 PM
8:00 AM 3:00 PM
7:00 AM 2:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
8:00 AM 2:00 PM
7:00 AM 1:00 PM
Instructors:
Laura Sheriff, RN, MSN, CPC, CRC
Risk Adjustment Specialist
Susan Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS, Trainer, Director, Risk Adjustment
Scott & White Health Plan
Scott Weiner, Director, Government Programs
Sentara
10:00 AM 4:00 PM
9:00 AM 3:00 PM
8:00 AM 2:00 PM
7:00 AM 1:00 PM
The HCC Coding for Accuracy workshop is not just for those directly involved in HCC coding work. It is designed for other disciplines, as well, including finance and analytics professionals. Join us for an introduction to best practices, the opportunity to work through case examples, and to share experiences with your peers. This workshop will zero-in on regulatory compliance while teaching you how to optimize the accuracy of the information gathered and submitted at the practice level. What you will also learn about the way charting is often done, how to overcome “disconnect” with the clinicians and how their typical charting practices and EMRs can create significant problems, and how RADV views documentation in contrast with the way clinicians were taught and EMRs were built initially.
Please note: Attendees are encouraged to bring questions to pose to our expert workshop facilitators and to the table for the group. We provide your workbook which includes copies of the slide deck. You will not need your coding manuals, but most people take notes on their laptop or tablet.
Dialogue, interact and work in small, facilitated groups with peers and colleagues
Instructors:
Colleen Gianatasio, Director of Ambulatory CDQI
Mount Sinai Health Partners
Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP
Director Clinical Documentation and Quality Improvement (CDQI),
Mount Sinai Hospital System
2:00 PM 5:00 PM
1:00 PM 4:00 PM
12:00 PM 3:00 PM
11:00 AM 2:00 PM
Connect your network “web” and address key pain points to keep your plan “out of danger”.
Megan Zakrewsky, Director of Product, Clinical Data Exchange
Veradigm
Meghan West, Sr. Solutions Manager, Collabor8
Pulse8
Scott Stratton, Chief Data Scientist, Business Development
Pulse8
Sharon Kuhrt, Director, Medicare Stars
Priority Health
Mike Baker, Director, Enterprise Risk Adjustment
EmblemHealth
Dean Ratzlaff, Actuary
Optima Health
1:00 PM 5:00 PM
12:00 PM 4:00 PM
11:00 AM 3:00 PM
10:00 AM 2:00 PM
This four-hour workshop is designed for those new to leadership for risk adjustment, or for existing RA leaders who are looking for a conversation on the latest trends and issues around RA operations, compliance, coding, and vendor management.
You will discuss:
Speakers:
David Meyer, Member
RISE Policy Committee
Laura Sheriff, RN, MSN, CPC, CRC
Risk Adjustment Specialist
Sean Creighton, Member
RISE Policy Committee
Jason Eric Christ, JD, Attorney
Epstein Becker Green
5:00 PM 6:00 PM
4:00 PM 5:00 PM
3:00 PM 4:00 PM
2:00 PM 3:00 PM
Let's kick off the mega Medicare Advantage event of the year! All attendees are invited to join us in the exhibit hall for drinks, hors d'oeuvres, and face-to-face networking. We will have a color-coded system in place to allow attendees to self-select and display their comfort level for interacting with peers.
8:30 AM 9:30 AM
7:30 AM 8:30 AM
6:30 AM 7:30 AM
5:30 AM 6:30 AM
8:30 AM 7:00 PM
7:30 AM 6:00 PM
6:30 AM 5:00 PM
5:30 AM 4:00 PM
8:30 AM 8:30 PM
7:30 AM 7:30 PM
6:30 AM 6:30 PM
5:30 AM 5:30 PM
9:45 AM 10:00 AM
8:45 AM 9:00 AM
7:45 AM 8:00 AM
6:45 AM 7:00 AM
Ellen Wofford, Managing Director
RISE
Conference Chairs:
RaeAnn Grossman, EVP, Operations - Risk Adjustment, Population Health Management, and Quality
Cotiviti, Inc.
Kevin M. Healy, CEO
Allymar Health Solutions
10:00 AM 10:45 AM
9:00 AM 9:45 AM
8:00 AM 8:45 AM
7:00 AM 7:45 AM
Join CMS representatives as they discuss the latest HHS-Operated Risk Adjustment and Risk Adjustment Data Validation Updates. This conversation will include an overview of the risk adjustment and risk adjustment data validation policies in the proposed 2023 Payment Notice and a progress report on 2019 and 2020 HHS-RADV processes
Allison Yadsko, Deputy Director, Division of Policy and Analysis
Centers for Medicare & Medicaid Services (CMS)
Catherine Anderson, Deputy Director, Division of Risk Adjustment Operations
Centers for Medicare & Medicaid Services (CMS)
Joshua Paul, Risk Adjustment and HHS-RADV Technical Lead
Centers for Medicare & Medicaid Services (CMS)
10:45 AM 11:30 AM
9:45 AM 10:30 AM
8:45 AM 9:30 AM
7:45 AM 8:30 AM
Presenters will provide an overview of OIG’s recent reports and current priorities in the managed care space. Topics will include chart reviews and health risk assessments, as well as industry responses to OIG risk adjustment data validation audits. The panel will also take a deep dive into the use of Medicare Advantage encounter data for program integrity.
Megan H. Tinker, Assistant Inspector General
Office of Inspector General
U.S. Department of Health and Human Services (HHS)
Jacqualine Reid, Social Science Research Analyst
Office of Inspector General
U.S. Department of Health and Human Services (HHS)
Robert E. Kirkner, Social Science Research Analyst for Evaluation and Inspections
Office of Inspector General
U.S. Department of Health and Human Services (HHS)
11:30 AM 11:40 AM
10:30 AM 10:40 AM
9:30 AM 9:40 AM
8:30 AM 8:40 AM
11:40 AM 12:35 PM
10:40 AM 11:35 AM
9:40 AM 10:35 AM
8:40 AM 9:35 AM
Join the RISE Policy Committee members and experts as they breakdown the 2022 most impactful regulatory changes and expectations placed on health plans around the country. They will discuss the first notice under the new administration, and what to expect in the regulatory landscape.
Sean Creighton, Member
RISE Policy Committee
Michael S. Adelberg, Principal
Faegre Drinker Consulting
David Meyer, Member
RISE Policy Committee
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
9:35 AM 10:20 AM
Elaine Taverna, Senior Vice President for Risk Adjustment and Quality
Advantasure
Susan Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS, Trainer, Director, Risk Adjustment
Scott & White Health Plan
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
9:35 AM 10:20 AM
Anne Stowell, Vice President Product Consumer Experience
Signify Health
Rachel Sterner, MPH, Stars Program Manager
UCare
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
9:35 AM 10:20 AM
Katy Davis, MBA, CPC, CPMA, Director, Risk Adjustment Coding Quality and Compliance
Medical Mutual of Ohio
Shahyan Currimbhoy, Vice President Product Management
Edifecs
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
9:35 AM 10:20 AM
Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland
Steve Goldberg, MD, MBA, VP, Chief Health Officer, Medical Affairs & Diagnostic Services
Quest Diagnostics
Nicholaos C. Bellos, MD, FIDSA, FACP, Medical Director, Extended Care Svc Franchise
Quest Diagnostics
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
9:35 AM 10:20 AM
Wayne Gibson, Senior Managing Director, Health Solutions
FTI Consulting
Laurin Dixon, Lead Executive - Medicare Products
Arkansas BCBS
Michael Schopke, Chief Growth Officer
DataLink Software
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
9:35 AM 10:20 AM
Jay Sultan, Vice President, Healthcare Strategy
LexisNexis Risk Solutions
Josh Weisbrod, Vice President Risk Adjustment
Network Health
1:20 PM 2:10 PM
12:20 PM 1:10 PM
11:20 AM 12:10 PM
10:20 AM 11:10 AM
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Lisa Slattery, Chief Strategy and Compliance Officer
Allymar Health Solution
Milan Vyas, Senior Vice President of Value Based Care
MyCare Medical
Brian McCarthy, Board Member
ATRIO Health Plans
Roshan Desai, Chief Financial Officer
ATRIO Health Plans
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Dave Etling, Senior Vice President & General Manager
InComm
Hannah Neylon, Manager, Government Products and Relations
Network Health
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Aria Sameni, Vice President of Growth and Strategy
Optum
James Hereford, Chief Executive Officer
M Health Fairview
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Eric Hedrick, Vice President, Analytics
Advantmed
Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP
Director Clinical Documentation and Quality Improvement (CDQI),
Mount Sinai Hospital System
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Dan Ablett, President
Previon Solutions, LLC
Adele L. Towers, MD MPH FACP, Associate Professor of Medicine and Psychiatry, Director, Risk Adjustment
UPMC Enterprises
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Steve Wigginton, CEO
Icario
Jason Sloan, Medicare Stars Performance Officer
BCBS of South Carolina
Brian Krajewski, Managing Director, Member Solutions and Administration
Blue Cross Blue Shield of Michigan / Senior Health Services
3:00 PM 3:20 PM
2:00 PM 2:20 PM
1:00 PM 1:20 PM
12:00 PM 12:20 PM
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Moderator:
David Meyer, Member
RISE Policy Committee
Bill Horn, Senior Vice President of Payer Growth
Ciox Health / Datavant
Scott Weiner, Director, Government Programs
Sentara
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Moderator:
Adele L. Towers, MD MPH FACP, Associate Professor of Medicine and Psychiatry, Director, Risk Adjustment
UPMC Enterprises
Rebecca Welling, AVP, Risk Adjustment and Coding
SelectHealth
Jessica Columbus, AVP STARs & Risk Adjustment
Apex Health Solutions
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Join this key update focused on the move to digital measures, new measures for 2022 and expectations for health plans, why HEDIS measures are still important during and post COVID, and a discussion involving SDoH, health equity, and the new Health Equity Accreditation program. Mr. Micciche will also discuss behavioral health challenges and related measures.
Moderator:
Ana Handshuh, Principal
CAT5 Strategies
Frank Micciche, Vice President, Public Policy and External Relations
National Committee for Quality Assurance (NCQA)
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Moderator:
Courtney Breece, Sr. Director, Product Management
Inovalon
Speakers:
Dr. Paige Kilian, Chief Medical Officer
Inovalon
James Clement, Vice President, Product & Services
Inovalon
Kevin Greer, Director, Medicare and ACA Risk Adjustment Programs and Analysis
AmeriHealth
Leah Hannum, Director of Government Funding
BlueCross of Idaho
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Richard Lieberman, Chief Executive Officer
Cortex Analytics, Inc. / Mile High Healthcare Consulting, LLC
Ramin Gozleveli, President
Innovative Medical Solutions, LLC
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Amy McDonough, Managing Director and General Manager
Fitbit Health Solutions| Google
Kapil Parakh, MD, PhD, Medical Lead
Fitbit | Google
William Shrank, Chief Medical Officer
Humana
Vandna Pandita, Vice President, HEDIS Strategy & Analytics
AmeriHealth Caritas
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Chad Wege, Director, Product Management
Apixio
Kelley Scott, MSN FNP-c, Nurse Practitioner
Providence St Joes
Alan Sun, Vice President of Product
Apixio
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
• New AI reimagines claims validation
• CMS strategies for automating review of Medicare claims
• With NLP, financial performance and compliance are friends
Jim Parker
Former Senior Advisor to the Secretary of HHS for Health Reform
Melanie Combs-Dyer
Former Director, Provider Compliance Group, Center for Program Integrity, CMS
Ana Handshuh, Principal
CAT5 Strategies
George Witwer, CEO
Cavo Health
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Josh Stern, Chief Revenue Officer
Vatica Health
John M. Barkley, Vice President, Enterprise Risk Adjustment & Data Integrity
EmblemHealth/ConnectiCare
Margaret Paroski, MD, MMM, President & CEO and Chief Medical Officer
Catholic Medical Partners
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland
Will Stabler, Executive Vice President, Payer Solutions
GeBBS Healthcare Solutions
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Vinitha Ramnathan, Senior Vice President, Product
Episource
Amber Harris, CPC, CRC, Director of Risk Adjustment
MediGold
Mike Sloan, Manager, Risk Adjustment Submissions and Analytics
MediGold
4:10 PM 4:55 PM
3:10 PM 3:55 PM
2:10 PM 2:55 PM
1:10 PM 1:55 PM
Kurt Waltenbaugh, Senior Vice President Insights + Growth
Unite Us
Tracy Parris-Benjamin (She/her/hers), LMSW, FHELA, Dir, Clinical Design Community Health
Horizon Blue Cross Blue Shield of New Jersey
5:00 PM 5:50 PM
4:00 PM 4:50 PM
3:00 PM 3:50 PM
2:00 PM 2:50 PM
Sponsored By
Today’s world is competitive, innovative, and seriously fast-paced. When we are serious about growing our business, it is no longer acceptable to offer A product, A solution or even be A Leader. Today’s consumers, employees and followers want THE product, THE solution and THE leader to follow. When we want to eliminate our competition, set record sales, motivate others to action and produce solutions that actually matter, it’s time to go from A to THE.
Moderator:
Venkat Kavarthapu, CEO
Edifecs
Ryan Avery
Emmy-award winning journalist, two-time bestselling author and world record holder
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
Select from Different Presentations Spotlighting Health Care’s Most Influential Technology and Solution Gurus Presenting Tools to Elevate Your Plan’s Initiatives.
Pull up a chair and settle in for this unique opportunity to select three interactive, speed-networking type presentations featuring the latest technologies and solutions for boosting your plan’s risk, quality and data management endeavours. A bell will ring three times within this special 60-minute session, alerting you to transition to the next roundtable of your choice.
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
5:50 PM 6:50 PM
4:50 PM 5:50 PM
3:50 PM 4:50 PM
2:50 PM 3:50 PM
6:50 PM 8:30 PM
5:50 PM 7:30 PM
4:50 PM 6:30 PM
3:50 PM 5:30 PM
Grab a cocktail and small bite, and get back to that face-to-face networking we’ve all been missing. During this extended networking reception, enjoy comfortable networking with our color-coded system in place allowing attendees to self-select and display their comfort level for interacting with peers.
8:30 AM 10:00 AM
7:30 AM 9:00 AM
6:30 AM 8:00 AM
5:30 AM 7:00 AM
8:30 AM 3:15 PM
7:30 AM 2:15 PM
6:30 AM 1:15 PM
5:30 AM 12:15 PM
8:30 AM 4:35 PM
7:30 AM 3:35 PM
6:30 AM 2:35 PM
5:30 AM 1:35 PM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
Select from Different Presentations Spotlighting Health Care’s Most Influential Technology and Solution Gurus Presenting Tools to Elevate Your Plan’s Initiatives.
Pull up a chair and settle in for this unique opportunity to select three interactive, speed-networking type presentations featuring the latest technologies and solutions for boosting your plan’s risk, quality and data management endeavours. A bell will ring three times within this special 60-minute session, alerting you to transition to the next roundtable of your choice.
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
10:00 AM 10:05 AM
9:00 AM 9:05 AM
8:00 AM 8:05 AM
7:00 AM 7:05 AM
Conference Chairs:
RaeAnn Grossman, EVP, Operations - Risk Adjustment, Population Health Management, and Quality
Cotiviti, Inc.
Kevin M. Healy, CEO
Allymar Health Solutions
10:05 AM 10:25 AM
9:05 AM 9:25 AM
8:05 AM 8:25 AM
7:05 AM 7:25 AM
In the spirit of the RISE mission to encourage continuous improvement in the health care system, The Dr. Martin L. Block Award for Innovation & Excellence is presented to an esteemed nominee each year at RISE National. This prestigious accolade acknowledges an individual’s effort to enhance the lives of America’s seniors through clinical leadership, policy vision and by superior example. Nominate a colleague today at risehealth.org/MLblock.
10:25 AM 11:25 AM
9:25 AM 10:25 AM
8:25 AM 9:25 AM
7:25 AM 8:25 AM
Dr. Messonnier has first-hand insight from the most important chapter in the history of US public health. She led efforts including distribution, administration, education and partner engagement, safety and effectiveness evaluation and access for hard-to-reach populations with the goal of ensuring that a safe and effective COVID-19 vaccine would be available to every American who wanted one. She is now Executive Director for Pandemic Prevention and Health Systems at the Skoll Foundation. She will discuss the current healthcare landscape, immunization hesitancy, and the future of public health.
Dr. Nancy Messonnier, Former Director of the Centers for Disease Control
National Center for Immunization and Respiratory Diseases
Executive Director for Pandemic Prevention and Health Systems
Skoll Foundation
11:25 AM 11:45 AM
10:25 AM 10:45 AM
9:25 AM 9:45 AM
8:25 AM 8:45 AM
11:45 AM 12:40 PM
10:45 AM 11:40 AM
9:45 AM 10:40 AM
8:45 AM 9:40 AM
Jane will discuss how we can apply gaming to health care. It can be as simple as lessons on user interface, engaging patients, the effective use of rewards, or something more profound. Jane has worked with the CDC and US Army on using games to heal, and with the Robert Wood Johnson Foundation on using games to improve medical research. SuperBetter has just been shown to be successful in using smart-phone interventions to treat depression and anxiety. Jane has been named one of the 100 most creative people in business, as well as one of the most innovative voices by Business Week and MITTechnology Review.
Jane McGonigal, Director of Game Research and Development
Institute For The Future
Author of SuperBetter: How Gameful Living Makes You Stronger, Happier, Braver and More Resilient and Reality is Broken: Why games make us happy and how we they can change the world.
All RISE Association members will receive a complimentary copy of Jane's new book, Imaginable: How to See the Future Coming and Feel Ready For Anything - Even Things That Seem Impossible Today
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Dawn Carter, Director, Product Strategy
Centauri Health Solutions
Eden Encarnacion, MHA, Director of Quality and Star Programs
Clever Care Health Plan
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Moderator:
Dr. Shannon Decker, M.Ed., MBA, PhD., Vice President, Clinical Performance
Brown & Toland
Ashley Tyrner, Founder and CEO
FarmboxRx
Jennifer Spear, Associate Director of Population Health
Humana
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Dr. Ian Tong, Chief Medical Officer
Included Health
Jim Gallagher, Vice President Product Strategy & Innovation
Point32Health
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Lynne Padilla, Vice President of Risk Adjustment Solutions
Change Healthcare
Jimmy Liu, Vice President of Risk Analytics
Change Healthcare
Ana Handshuh, Principal
CAT5 Strategies
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Mike S. Jones, Vice President & General Manager, Clinical Quality and Revenue Integrity
Nuance Communications
Jill Tays RN, BSN, Director of Case Management, Coding, CDI
Magnolia Regional Health Center
1:30 PM 2:30 PM
12:30 PM 1:30 PM
11:30 AM 12:30 PM
10:30 AM 11:30 AM
2:30 PM 3:15 PM
1:30 PM 2:15 PM
12:30 PM 1:15 PM
11:30 AM 12:15 PM
Jonas Foit, Senior Vice President, RQNC Analytics & Reporting
Cotiviti, Inc.
Art Diaz, Vice President, Performance and Quality
Centrum Health
2:30 PM 3:15 PM
1:30 PM 2:15 PM
12:30 PM 1:15 PM
11:30 AM 12:15 PM
• Understand the current state of the law in the RA context of how courts draw the line between what the U.S. Supreme Court has characterized as “garden-variety breaches of contract or regulatory violations,” which are not actionable under the FCA, and compliance failures that constitute actual fraud
• Learn how RA compliance problems, if not addressed quickly and appropriately, can escalate into much bigger litigation headaches for an organization
• Hear about real-life best practices for responding to internal whistleblower complaints, and how the active use of internal hotlines can add value and profitability to an organization
Edward A. Baker, Of Counsel
Constantine Cannon LLP
Max Voldman, Attorney
Constantine Cannon LLP
2:30 PM 3:15 PM
1:30 PM 2:15 PM
12:30 PM 1:15 PM
11:30 AM 12:15 PM
J. Gabriel McGlamery, J.D., Senior Health Care Policy Consultant
Florida Blue Center for Health Policy
2:30 PM 3:15 PM
1:30 PM 2:15 PM
12:30 PM 1:15 PM
11:30 AM 12:15 PM
You've probably heard "Bring your authentic self to work" a hundred times in the last year [insert eye roll]. But here's the reality: being "yourself" at work probably feels like a fluffy unicorn that isn't really possible.
During this talk, Erin will help you see that authenticity is a much more nuanced and complex concept. And, when embraced in this way, it turns authenticity from a passive, la-ti-da concept to your active, dy-no-mite advantage that will ensure you get the success you deserve, without compromising everything else.
Grounded in her proprietary framework, The Six Principles of Strategic Authenticity (H.U.M.A.N.S.), she’ll provide some initial “plays” that will help you put your authenticity in motion as soon as you leave the session. Delivered of course with full-on authenticity, this talk will inspire you to break the crusty workplace "rules" to breakthrough to big success!
Erin Hatzikostas, Founder
b Authentic
Former Corporate Health Care Financial Institution CEO turned Professional Pot-Stirrer
Author of You Do You(ish) and TEDx Speaker
2:30 PM 3:15 PM
1:30 PM 2:15 PM
12:30 PM 1:15 PM
11:30 AM 12:15 PM
The COVID-19 pandemic thrust health care into a virtual mode of delivery. Technology solutions, such as electronic health records and telehealth utilization, are often criticized in connection to dehumanization of care delivery and to provider burnout.
Intersections between technology, human communication, and relationships pose both opportunities and threats to the quality of health care experiences.
This session will emphasize opportunities to leverage digital health care tools, while maintaining a strong human connection through skills to strengthen communication and relationships.
Participants will engage in brief interactive activities to demonstrate simple communication skill-building techniques.
You will:
Laura Cooley, PhD, Senior Director of Education and Outreach
Academy of Communication in Healthcare
Editor-in-Chief
The Journal of Patient Experience
3:15 PM 3:55 PM
2:15 PM 2:55 PM
1:15 PM 1:55 PM
12:15 PM 12:55 PM
The track chairs from today’s session will come together one last time to discuss this year’s main themes, expectations for a post-COVID health care landscape, and send you back to your organizations armed with a plan to implement the key takeaways from this year’s conference.
Moderator:
Kevin M. Healy, CEO
Allymar Health Solutions
Ana Handshuh, Principal
CAT5 Strategies
Patrick Coulson, Chief Growth Officer
Advantasure
Anne Stowell, Vice President Product Consumer Experience
Signify Health
Lou Steinberg, Senior Vice President, Payer Market Sales
Apixio
Dawn Carter, Director, Product Strategy
Centauri Health Solutions
Kent M. Holdcroft, MA, Executive Vice President, Growth
HealthMine
RaeAnn Grossman, EVP, Operations - Risk Adjustment, Population Health Management, and Quality
Cotiviti, Inc.
Jeremy Stone,
Senior Vice President, Population Health Solutions
Everly Health Solutions
3:55 PM 4:00 PM
2:55 PM 3:00 PM
1:55 PM 2:00 PM
12:55 PM 1:00 PM
RaeAnn Grossman, EVP, Operations - Risk Adjustment, Population Health Management, and Quality
Cotiviti, Inc.
Kevin M. Healy, CEO
Allymar Health Solutions