RISE West 2024 | RISE | 11 September 2024 | The Broadmoor, 1 Lake Ave, Colorado Springs, CO 80906, USA

This event is the premier senior leadership conference bringing together forward-thinkers in the managed care space. From risk adjustment and quality performance to documentation and HCC coding practices, experience firsthand the opportunity to meet industry peers, hear from experts, and exchange ideas in an open and collaborative environment.

With heightened oversight and audit activity from the Office of Inspector General (OIG) coupled with significant changes in risk adjustment and Star ratings by the Centers for Medicare & Medicaid Services (CMS), and the continuous influx of digital transformation in the market, optimizing health plan operations is key to maximizing returns and providing best-in-class patient care amidst constant change. Designed with senior leadership in mind, this event offers a comprehensive 10,000-foot view of the industry, coupled with in-depth explorations of strategies that drive real impact. 

Key Themes:
• Balancing Financial Considerations with Best-in-Class Care
• Medicare Advantage Compliance
• Staying on Top of AI Trends
• Keeping Up with Digital Transformation

Who Should Attend
This event brings together seasoned executives from a wide variety of organizations and job functions. Expect to network with senior-level and C-suite professionals from the following:
• 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
• Administration
• Operations
• Data & Analytics
• HCC Coding
• Quality Improvement & Star Ratings
• Provider Engagement & Education
• Member / Patient Engagement
• Finance / Revenue / Actuarial
• Government Programs

Top reasons to attend:
• Walk away with tactical insights into operational excellence and network with 750+ forward-thinking peers in the managed care space
• Hear from government regulators and industry experts on areas of risk to be mindful of and what to anticipate coming down the pike
• Benchmark best practices on breaking down internal silos to find interdepartmental efficiencies, make the most of your data, reduce provider outreach, and enhance member experience
• Find new ways to strengthen payer-provider relationships to reduce provider burden  
• Learn how to master the art of balancing budget constraints with the need for high-quality care and unwavering compliance 
• Receive expert guidance on leveraging data to combat fraud, waste, and abuse, with real-life examples of rapid detection
• Hear directly from Medicare Advantage members on what health plans and providers can really do to impact their member experience
• Examine current trends, legislation, risks and opportunities in the field of artificial intelligence  
• Decode the implications of the 2025 Medicare Part D redesign covering the financial, operational, and strategic considerations              
• Immerse yourself in learning and networking at the five-star Broadmoor resort, offering unmatched luxury and scenic surroundings amidst majestic mountains and exceptional hospitality

2024 Speakers

KEYNOTE SPEAKERS:

Heather "Lucky" Penney
Heroic 9/11 F-16 Fighter Pilot

Jonathan Heider Laedtke
Paralympic Swimmer, Inclusivity Expert, Speaker, Split Star Productions

Hadley Vlahos, RN
Registered Nurse Specialized in Hospice and Palliative Care, NYT Best-Selling Author of The In-Between - Unforgettable Encounters During Life's Final Moments, Founder of the Hadley House

SPEAKERS:

Nebeyou Abebe
Senior Vice President of Social Determinants of Health, Highmark Health

Kwame Appiah-Yeboah
Director, Risk Adjustment and Revenue Management, Sentara Health Plan

Charles Baker, MHA, MSW, CHC
Vice President Compliance Solutions, ATTAC Consulting Group

Mital Brahmbhatt, MHA, LMSW
Director, Health Management, Memorial Hermann

Jeremy Cale Browning, MBA, CPC, CRC
Director – CDE Performance Management, Ochsner Health Network (OHN)

Jeanine Bumford, CPC, CRC
Director of Risk Adjustment Operations, Christus Health

Renee Cline, RN, MSN, CNML
Manager of Practice Coordination, Inspira

Jessica Columbus
Risk Adjustment Industry Consultant, Memorial Hermann

Mark Dabney
Director, Risk Adjustment, Community Health Plan of Washington

Greg Dadlez
VP, Value-Based Performance, Ochsner Health Network

Omar Daoud
Senior Director of Pharmacy, Community Health Plan of Washington

Dr. Shannon I. Decker
Principal, VBC One

Jennifer Dietz
Director, Health Care Fraud Division, Defense Health Agency (OIG)

Ryan Dodson
Chief Operating Officer/Co-Founder, New Vision Healthcare Solutions

Tina Dueringer
CEO, Principal Advisor, Dueringer Advisors, Inc

Julianne Eckert
Senior Director, Clinical Quality Programs, Clover Health

Kathleen Ellmore
Cofounder & Managing Partner, Engagys

Mary Feliz
Manager, Risk Adjustment Consulting, Pareto Intelligence

Suzzane Fredrick Gruszka
National Director of Value-Based Optimization, Sanitas USA

Pam Galley
SVP/Area Manager Diablo Service Area, Kaiser Permanente

Kim Geidel
VP of Risk Adjustment, Priority Health

Colleen Gianatasio
Director Clinical Documentation Integrity and Coding Compliance, Capital District Physician’s Health Plan (CDPHP)

RaeAnn Grossman
Medicare Advantage Industry Expert

Ana Handshuh
Principal, CAT5 Strategies

Liz Haynes, MSN, RN, CCM
DVP, Risk Adjustment & Stars Government Programs, Blue Cross and Blue Shield of Kansas City

Jennifer Holman
Director of Risk Adjustment, Centene Corporation

Carrie Horn, MSHA, BBA, RN, CCDS, CCDS-O, CRC
System Director Outpatient Clinical Documentation Integrity, Baylor Scott & White Health

Mary Inman
Partner in Whistleblower Practice Group, Constantine Cannon

Katharine Iskrant
President, Healthy People, Inc.

Amy Jack
Risk Adjustment Coding Manager, SelectHealth

Ekaette Joseph-Isang
Principal Consultant, Ritebridge

Karen Marie Joswick
President/CEO, Benevolence Health

Carolyn Kapustij
Senior Advisor for Managed Care, HHS Office of Inspector General

Jenn Kerfoot
Chief Strategy and Growth Officer, DUOS

Mansoor Khan, SC.D.
CEO, Persivia Inc.

David Knight
Executive Director, California Community Action Partnership Association (CalCAPA)

Marci Lesko
CEO, United Way of the Lehigh Valley

Andrew Lockhart
CEO, Fathom

Nate Lucena
CSO, Rex Wallace Consulting, LLC

Donna Malone
Director Ambulatory Clinical Documentation Quality Improvement (CDQI), Mount Sinai Health System

DeAnna Minus-Vincent
President & CEO, The D-velopment Group, Inc.

Jenni Monfils
AVP, Risk and Quality Provider Engagement Education, Molina Healthcare Inc.

Erin Montgomery
COO, Porter

Kenneth Persaud
CEO, White-Wilson Medical Center, P.A.

Kristen Phillips
Associate Vice President, Lifepoint Health

Dr. Seun Ross
Executive Director, Health Equity, Independence Blue Cross

Laura Sheriff
Contracting Risk Adjustment Specialist

Jason Silberberg
Partner, Frier Levitt

Melissa Silva
Payer Solutions, Datavant

Melissa Smith
Founder, Newton Smith Group

Liz Soltan
Associate, Whistleblower Partners

Sunita E. Varghees, MD
VP, Physician Documentation, Baylor Scott & White Health

Helen Veet, DNP, RN
Director of Quality Management, AmeriHealth Caritas Pennsylvania and Keystone First

Doug Wackowski
Vice President, Prospective Service Solutions, Advantmed

Rex Wallace
Principal, Rex Wallace Consulting, LLC

Lesley Weir
Senior Director, Solutions Strategy, Veradigm

Rebecca Welling
Vice President Risk Adjustment, Intermountain Health

Rick Whitted
CEO, U.S. Hunger

Nicole Wright, MSN, RN, CBN
Director of Clinical Coordination, Inspira

Rebecca Yanniello
Vice President, Population Health, Regal Medical Group

Michelle Zillisch
Director of Product Management, Episource

2024 Sponsors

PLATINUM SPONSORS:
• Persivia
• Duos
• Fathom
• Apixio
• Episource