Agenda
Whether you’re feeling uncertain about the future, seeking inspiration, or looking for a clear game plan, you’re not alone - and you won’t want to miss the conversations, connections, and strategies waiting for you at RISE West 2025. Hear from policy shapers, capital influencers, and bold voices - all in one place - and walk away with fresh strategies for long-term growth.
New this Year: We are kicking things off with General Session on day one and ending before lunch on the final day to give you more travel flexibility.
11:00 AM 7:00 PM
10:00 AM 6:00 PM
9:00 AM 5:00 PM
8:00 AM 4:00 PM
Stop by the Information Desk to check in for the event, pick up your conference badge, ask questions, and get all the details you need. The RISE team is here to help make your experience smooth and enjoyable!
12:00 PM 6:00 PM
11:00 AM 5:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
Additional Registration Required (additional fee). Two refreshment breaks and lunch is included with workshop registration.
Join RISE for an in-depth managerial level workshop laying out best practices for an end-to-end method of aligning chart documentation, HCC code capture and audit-readiness at both the provider and health plan levels. There is finally an industry standard through the RISE Institute that shows the “how to” of setting up your department’s workflows, aligning with your provider networks, preparing for RADV audits, and more.
Attendees will walk away with the tools and tactical know-how to:
Deb Curry, MBA, RHIA, CDIP, CCS-P, CRC
Risk Adjustment Programs Director
Medical Mutual
Donna Malone, CPC, CRC, AHCCA, RAP, AAPC Approved Instructor, Director, Risk Capture
Mass General Brigham
12:00 PM 6:00 PM
11:00 AM 5:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
Additional Registration Required (additional fee). Two refreshment breaks and lunch is included with workshop registration.
Now expanded to a 6-hour deep-dive workshop.
The margin for error in Medicare Advantage has never been smaller—and navigating today’s environment requires more than isolated excellence in departments like quality, risk adjustment, or operations. It requires strategic, cross-functional alignment grounded in shared understanding of how a health plan actually generates revenue, manages risk, and drives sustainable performance.
In this extended session, we’ll guide participants through the foundational building blocks of health plan finance—from the bid, risk adjustment mechanics, and the Star Ratings program to the core financial levers that shape plan revenue and margin.
Then, in the second half of the day, we’ll move from theory to execution—exploring how departments intersect, how to not just break down silos but shatter them for good, and how to build internal business cases that resonate across teams and levels. If you’ve ever struggled to get your initiative funded or wondered how decisions really get made at the enterprise level, this workshop is for you.
Key Takeaways:
This session is ideal for all entry levels across Stars, risk adjustment, operations, compliance, member experience, and finance. Come ready to connect, learn, and leave with a new lens on how to drive outcomes that matter—together.
Jenn Kerfoot
Chief Strategy and Growth Officer
DUOS
Dr. Shannon I. Decker
MBA, MBA, MEd., MEd, PhD
CEO
VBC One
Additional speakers to be announced
12:30 PM 3:30 PM
11:30 AM 2:30 PM
10:30 AM 1:30 PM
9:30 AM 12:30 PM
Additional Registration Required (additional fee). A refreshment break and lunch is included with Workshop C registration.
This interactive workshop introduces the Yale Model of Supervision — a nationally recognized framework designed to strengthen supervisory practice, enhance team performance, and improve service delivery across health and human service settings. Participants will explore practical tools and strategies to lead effectively from the middle, support staff development, and navigate change with confidence and clarity.
Scott Migdole, MSW, LCSW
Chief Operating Officer
Yale Behavioral Health &
Yale Program on Supervision
Assistant Clinical Professor
Department of Psychiatry
Yale University School of Medicine
3:30 PM 4:30 PM
2:30 PM 3:30 PM
1:30 PM 2:30 PM
12:30 PM 1:30 PM
3:30 PM 5:00 PM
2:30 PM 4:00 PM
1:30 PM 3:00 PM
12:30 PM 2:00 PM
Additional Registration Required – Free to attend. Lunch will be provided for registered attendees.
Panel - Steady in the Storm: Resilient Leadership Amid Health Care Shifts
Join RISE for an interactive panel discussion and networking opportunity with women leaders.
Attendees will:
Moderator:
Rafat Fields
Founder & CEO
Powered To Rise ®
Panelists:
Shannon Wilson, DrPH
Vice President of Population Health and Health Equity
Priority Health
Katherine Kasabuske
VP Health Equity
MHS Health
Sarah Lechner
SVP, Chief of External Affairs
Hackensack Meridian Health
5:00 PM 6:00 PM
4:00 PM 5:00 PM
3:00 PM 4:00 PM
2:00 PM 3:00 PM
Additional Registration Required – Free to attend.
6:00 PM 6:15 PM
5:00 PM 5:15 PM
4:00 PM 4:15 PM
3:00 PM 3:15 PM
6:15 PM 6:30 PM
5:15 PM 5:30 PM
4:15 PM 4:30 PM
3:15 PM 3:30 PM
6:30 PM 7:20 PM
5:30 PM 6:20 PM
4:30 PM 5:20 PM
3:30 PM 4:20 PM
Healthcare is constantly evolving. Scientific breakthroughs, regulatory shifts, technological advancements and shifting business priorities create a climate of both excitement and uncertainty. In this unpredictable environment, the ability to navigate change isn't just a skill, it's a necessity. For those who do it well, change is a path to opportunity.
Dr. Archelle Georgiou – a nationally recognized physician, healthcare journalist, and consumer advocate – brings a unique lens to the art and science of navigating through uncertainty. From leading healthcare innovation in corporate boardrooms to co-founding a national COVID-19 data initiative, and transitioning across roles in media, medicine, and technology, Dr. Georgiou has pivoted with intention and impact.
In this opening keynote, Dr. Georgiou draws on her multifaceted career—spanning clinical practice, executive leadership, strategic consulting, and national media—to offer a practical framework for embracing change, defining purpose, and making values-driven decisions. Whether you’re leading organizational transformation or charting a new personal path, you’ll leave this session empowered to lead through change with clarity and conviction.
Dr. Archelle Georgiou, M.D.
C-Suite Leader, Advisor, Media Personality, Patient Advocate
7:20 PM 7:25 PM
6:20 PM 6:25 PM
5:20 PM 5:25 PM
4:20 PM 4:25 PM
7:25 PM 8:15 PM
6:25 PM 7:15 PM
5:25 PM 6:15 PM
4:25 PM 5:15 PM
Presented in Partnership with the Camden Coalition
This unique panel brings together patients and caregivers to share their personal journeys, what’s working, what’s not, and where there’s opportunity for improvement.
This candid conversation offers valuable insights for health plans, providers, and innovators committed to improving the member experience. Walk away with firsthand perspectives and actionable takeaways to better serve the Medicare population.
Panelists discuss:
Moderator:
Dr. Archelle Georgiou, M.D.
C-Suite Leader, Advisor, Media Personality, Patient Advocate
Panelists:
Dionne L. Stalling
Lived experience expert and Founder/Executive Director
Rare and Black
Alan Coker
Lived experience expert and Board member
Advocacy Unlimited and Amplify of CT
Laura Carroll
Lived experience expert, Rural storyteller, Social drivers of health champion
8:15 PM 8:20 PM
7:15 PM 7:20 PM
6:15 PM 6:20 PM
5:15 PM 5:20 PM
8:20 PM 9:30 PM
7:20 PM 8:30 PM
6:20 PM 7:30 PM
5:20 PM 6:30 PM
Join us for drinks, hors d'oeuvres, lively networking, and fun in the Exhibit Hall to kick off RISE West!
11:00 AM 7:00 PM
10:00 AM 6:00 PM
9:00 AM 5:00 PM
8:00 AM 4:00 PM
Stop by the Information Desk to check in for the event, pick up your conference badge, ask questions, and get all the details you need. The RISE team is here to help make your experience smooth and enjoyable!
11:00 AM 12:00 PM
10:00 AM 11:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
11:00 AM 8:30 PM
10:00 AM 7:30 PM
9:00 AM 6:30 PM
8:00 AM 5:30 PM
12:00 PM 12:10 PM
11:00 AM 11:10 AM
10:00 AM 10:10 AM
9:00 AM 9:10 AM
12:10 PM 1:00 PM
11:10 AM 12:00 PM
10:10 AM 11:00 AM
9:10 AM 10:00 AM
Carrie Graham, Ph.D.
Research Professor and Director, Medicare Policy Initiative
Georgetown University
Neil Patil, MPP
Health Policy Director, The Medicare Policy Initiative
Georgetown University
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
10:00 AM 10:45 AM
Join RISE for a special presentation with OIG leaders to understand current oversight priorities in risk adjustment, quality performance, and managed care operations.
Ann Maxwell
Deputy Inspector General for Evaluation and Inspections
HHS Office of Inspector General
Carolyn Kapustij
Senior Advisor for Managed Care
HHS Office of Inspector General
1:45 PM 2:15 PM
12:45 PM 1:15 PM
11:45 AM 12:15 PM
10:45 AM 11:15 AM
Track A Risk Adjustment & Quality Strategies - Chair: Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant
Track B Operations & Organizational Change - Chair: Susan L Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS Trainer, Director, Risk Adjustment - Baylor, Scott and White Health Plan
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Join policy experts from Georgetown’s Medicare Policy Initiative for an engaging deep dive into the shifting political terrain for MA plans and risk-bearing provider groups. Building on the morning’s session, bring your questions about new and emerging federal policies—and walk away with strategic insights to help plans and providers thrive in this evolving environment.
Moderator:
to be announced
Carrie Graham, Ph.D.
Research Professor and Director, Medicare Policy Initiative
Georgetown University
Neil Patil, MPP
Health Policy Director, The Medicare Policy Initiative
Georgetown University
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
As the Medicare Advantage (MA) landscape undergoes profound shifts, operational leaders are no longer just reacting—they’re redefining how to grow and scale with purpose.
Moderator:
Cathy McClain Gordon, MHA
Managing Partner & CEO
4E Health Care Ventures, LLC
Panelists:
Christina Latterell-Loganimoce
Sr. Director, Leader of Medicare STARs
Blue Shield of California
Jennifer Del Villar, CHC, PAHM
VP of Operations
Elite Health Plan
Kwame Appiah-Yeboah, Ph.D., CPC., CRC
Director, Risk Adjustment and Revenue Management
SENTARA HEALTH PLAN
Jacop Jung
VP Risk Adjustment
Intermountain Health, PCSS
Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.
3:00 PM 3:15 PM
2:00 PM 2:15 PM
1:00 PM 1:15 PM
12:00 PM 12:15 PM
Josh Brezovar
Senior Actuarial Analyst
Milliman IntelliScript
3:00 PM 3:15 PM
2:00 PM 2:15 PM
1:00 PM 1:15 PM
12:00 PM 12:15 PM
3:15 PM 4:15 PM
2:15 PM 3:15 PM
1:15 PM 2:15 PM
12:15 PM 1:15 PM
Track A Risk Adjustment & Quality Strategies - Chair: Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant
Track B Operations & Organizational Change - Chair: Susan L Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS Trainer, Director, Risk Adjustment - Baylor, Scott and White Health Plan
4:15 PM 5:00 PM
3:15 PM 4:00 PM
2:15 PM 3:00 PM
1:15 PM 2:00 PM
Moderator:
Chad Wege
VP & Head of Product, Risk Adjustment
Datavant
Panelists:
Kelley Scott, DNP, FNP-C
Manager, Risk Adjustment Clinical Programs
Providence
Chris Towner
Manager, Risk Adjustment Analytics
Providence
4:15 PM 5:00 PM
3:15 PM 4:00 PM
2:15 PM 3:00 PM
1:15 PM 2:00 PM
Moderator:
Speaker from Reveleer
Panelists:
Melissa Newton Smith
Founder, Senior Advisor
Newton Smith Group
Katharine Iskrant
President
Healthy People, Inc.
5:00 PM 5:05 PM
4:00 PM 4:05 PM
3:00 PM 3:05 PM
2:00 PM 2:05 PM
Track A Risk Adjustment & Quality Strategies - Chair: Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant
Track B Operations & Organizational Change - Chair: Susan L Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS Trainer, Director, Risk Adjustment - Baylor, Scott and White Health Plan
5:05 PM 5:50 PM
4:05 PM 4:50 PM
3:05 PM 3:50 PM
2:05 PM 2:50 PM
Dr. John Farley
Chief Medical Officer
Complete Health
Gregory LeGrow
Executive Director, Payer Market Strategy
athenahealth
5:05 PM 5:50 PM
4:05 PM 4:50 PM
3:05 PM 3:50 PM
2:05 PM 2:50 PM
Katherine Kasabuske
VP Health Equity
MHS Health
5:50 PM 6:20 PM
4:50 PM 5:20 PM
3:50 PM 4:20 PM
2:50 PM 3:20 PM
Track A Risk Adjustment & Quality Strategies - Chair: Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant
Track B Operations & Organizational Change - Chair: Susan L Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS Trainer, Director, Risk Adjustment - Baylor, Scott and White Health Plan
6:20 PM 7:05 PM
5:20 PM 6:05 PM
4:20 PM 5:05 PM
3:20 PM 4:05 PM
Speakers to be announced
6:20 PM 7:05 PM
5:20 PM 6:05 PM
4:20 PM 5:05 PM
3:20 PM 4:05 PM
Moderator:
To be announced
Panelists:
Dr. Shannon I. Decker
MBA, MBA, MEd., MEd, PhD
CEO
VBC One
Tina Dueringer, BSN, RN, CCM, PCC
CEO, Principal Advisor
Dueringer Advisors, Inc.
Additional speakers to be announced
7:05 PM 7:10 PM
6:05 PM 6:10 PM
5:05 PM 5:10 PM
4:05 PM 4:10 PM
7:10 PM 7:55 PM
6:10 PM 6:55 PM
5:10 PM 5:55 PM
4:10 PM 4:55 PM
Christi A. Grimm, former Inspector General of the U.S. Department of Health and Human Services (HHS), is a nationally recognized authority in health care oversight, program integrity, and organizational leadership. Over the course of her 25-year career, she has advanced accountability, innovation, and performance across the nation's largest health and human service programs. As the sixth Inspector General of HHS, she provided independent oversight of up to $2 trillion in annual expenditures across Medicare, Medicaid (including managed care), public health, biomedical research, and social services.
Join RISE for a thought-provoking discussion with Ms. Grimm as she reflects on her tenure and shares insights into the future of independent oversight, enforcement strategy, and the growing role of technology in the healthcare sector.
The Honorable Christi A. Grimm
Former Inspector General
U.S. Department of Health and Human Services
7:55 PM 8:00 PM
6:55 PM 7:00 PM
5:55 PM 6:00 PM
4:55 PM 5:00 PM
8:00 PM 9:15 PM
7:00 PM 8:15 PM
6:00 PM 7:15 PM
5:00 PM 6:15 PM
Join us for drinks, hors d’oeuvres, and face-to-face networking with peers in the Exhibit Hall.
Also, join interactive roundtables featuring the latest technologies and solutions for boosting your organization's endeavors. These speed-networking type presentations are 20 minutes long, allowing you to make your way to several roundtables per session.
11:00 AM 2:00 PM
10:00 AM 1:00 PM
9:00 AM 12:00 PM
8:00 AM 11:00 AM
Stop by the Information Desk to check in for the event, pick up your conference badge, ask questions, and get all the details you need. The RISE team is here to help make your experience smooth and enjoyable!
11:00 AM 12:00 PM
10:00 AM 11:00 AM
9:00 AM 10:00 AM
8:00 AM 9:00 AM
11:00 AM 2:15 PM
10:00 AM 1:15 PM
9:00 AM 12:15 PM
8:00 AM 11:15 AM
12:00 PM 12:10 PM
11:00 AM 11:10 AM
10:00 AM 10:10 AM
9:00 AM 9:10 AM
12:10 PM 1:00 PM
11:10 AM 12:00 PM
10:10 AM 11:00 AM
9:10 AM 10:00 AM
As the U.S. population continues to age and the Medicare Advantage market experiences sustained growth, investors are closely monitoring emerging models in care delivery, technology integration, and value-based service strategies.
In this timely and insightful discussion, a panel of leading healthcare investors examine the current landscape of healthcare and the key factors driving investment decisions.
From market trends and policy shifts to opportunities in scalable innovation, get insights into where capital is being deployed—and the rationale behind those choices.
Moderator:
Jenn Kerfoot
Chief Strategy and Growth Officer
DUOS
Panelists:
Rachel Kern
Senior Vice President
First Trust Capital Partners
Charlotte Black
Principal
Oak HC/FT
Abby Miller Levy
Managing Partner
Prime Time Partners
1:00 PM 1:50 PM
12:00 PM 12:50 PM
11:00 AM 11:50 AM
10:00 AM 10:50 AM
As Medicare Advantage enrollment continues to rise, especially among older, more clinically complex, and socially diverse populations, aging in place has emerged as a critical component of long-term strategy for health plans, providers, and community partners alike.
This panel brings together forward-thinking leaders who are taking a holistic approach to aging in place, not just through clinical interventions, but through scalable, person-centered models that address housing, transportation, nutrition, technology access, and social connection.
Together, we’ll explore:
Speakers to be announced
1:50 PM 2:15 PM
12:50 PM 1:15 PM
11:50 AM 12:15 PM
10:50 AM 11:15 AM
Track A Risk Adjustment & Quality Strategies - Chair: Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant
Track B Operations & Organizational Change - Chair: Susan L Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS Trainer, Director, Risk Adjustment - Baylor, Scott and White Health Plan
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Join RISE for a special sit-down with Bennett B. Borden, data scientist, attorney and globally recognized authority on AI's legal, technological, and policy implications.
Come prepared for your burning questions and walk away with a better handle on:
Moderator:
Tina Dueringer, BSN, RN, CCM, PCC
CEO, Principal Advisor
Dueringer Advisors, Inc.
Speaker:
Bennett B. Borden
Founding Partner and CEO
Clarion AI Partners
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Ari Yampolsky
Founding Partner
Whistleblower Partners
Jason N. Silberberg, Esq.
Partner
Frier Levitt
3:00 PM 3:05 PM
2:00 PM 2:05 PM
1:00 PM 1:05 PM
12:00 PM 12:05 PM
Track A Risk Adjustment & Quality Strategies - Chair: Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Consultant
Track B Operations & Organizational Change - Chair: Susan L Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS Trainer, Director, Risk Adjustment - Baylor, Scott and White Health Plan
3:05 PM 3:50 PM
2:05 PM 2:50 PM
1:05 PM 1:50 PM
12:05 PM 12:50 PM
Kaitlin Bates, Pharm D.
Manager, ARHOME Quality
Arkansas Blue Cross and Blue Shield
Jessica Graves
ARHOME Quality Program Coordinator
Arkansas Blue Cross and Blue Shield
3:05 PM 3:50 PM
2:05 PM 2:50 PM
1:05 PM 1:50 PM
12:05 PM 12:50 PM
Hear from plans that have undergone RADV audits and walkaway with tips for RADV audit readiness, with:
Rafi Cices
Head of BOI, Coding & Billing
CityBlock
Amanda Watkins
Director, Coding / CDI Operations
CityBlock
Gail Blacklock, CHC
Chief Compliance Officer
Elite Health Plan
3:50 PM 4:00 PM
2:50 PM 3:00 PM
1:50 PM 2:00 PM
12:50 PM 1:00 PM