Conference Overview

Why RISE Nashville is HEALTHCARE'S Premier Risk Adjustment and Quality Improvement Event

  • Featuring a customize learning experience with three pre-conference workshops and four tracks covering eight topics areas over two days
  • Over 30 sessions of panel discussions, case studies, expert-led presentations, panel discussions, and roundtables
  • Several opportunities to network with old friends and make new industry contacts in risk adjustment, quality, care management, analytics, and revenue optimization
  • Updates from the Health Exchanges on enrollment trends, risk adjustment and quality measures
  • Featuring a distinguished speaking faculty from the industry’s leading health plans and provider groups
  • Healthcare’s most innovative solution providers in risk management, quality initiatives and data management – all in one location
  • Roundtable sessions presenting the latest technologies and strategies for optimizing risk adjustment, quality performance and data management

Featured Discussions:

  • Renewed Approaches to Improving Medicare and Commercial Risk Adjustment
  • Strategies for Improving Stars and HEDIS Performance
  • Using Predictive Modeling to Improve Outcomes and Quality Performance
  • Strategies for Achieving CMS Program Audit Readiness
  • Achieving Provider & Health Plan Collaboration
  • Establishing a Member Advisory Board for Your Health Plan
  • Making the Member Engagement and Care Management Connection
  • Using Analytics to Strengthen your Commercial Risk Performance

Providing Answers to these Challenging Questions:

  • In which direction is CMS Payment Policy heading and how can you effectively prepare for its potential effects?
  • How do accurately identify and overcome barriers successful collaboration across Medicare, Commercial, and Medicaid lines of business?
  • How much money can health plans potentially save by being more efficient in their documentation efforts?
  • How can predictive modeling be utilized to improve overall quality performance for Stars and risk/revenue initiatives?
  • What steps can be taken to identify specific document gaps to improve HCC capture?
  • How do you build a strategic plan to use mobile technologies and social networking to engage members?
  • What does risk adjustment mean to your compliance initiatives? 
  • In which ways can we partner with community resources to act as a bridge between the formal health care system and the members we serve?

Featuring a Dynamic Learning Environment and Ample Networking Opportunities:

  • Pre-conference welcome reception and networking event for all attendees and speakers
  • Extended breakfast, afternoon and luncheon networking breaks across both days
  • Cocktail reception – catch-up with your peers and make new connections
  • An energetic exhibit hall full of solutions and tools for conquering your greatest challenges
  • Several sponsored special prizes and giveaways!

Who Should Attend

Leaders and Senior Management from Medicaid Plans, Commercial Plans, Provider Groups, Pharmacy Benefit Managers, and Prescription Drug Plans with responsibilities in the following areas:

  • Risk Adjustment and HCC Management
  • Star Ratings and Quality Improvement
  • Member Engagement and Education
  • Provider Engagement and Education
  • Medicare and Government Programs
  • Part D/PBM Management
  • Care Coordination/Case Management
  • Compliance/Audit/Regulatory Affairs
  • Product Development and Plan Strategy
  • Data Management/Performance Analytics
  • Revenue Management/Financial Performance
  • ROI and Value Assessment
  • Performance Improvement
  • Accountable Care
  • Operations
  • Coding