Agenda
With over 30 timely topics and 50+ handpicked speakers, RISE West 2023 covers the tried-and-true risk adjustment and quality content, plus expanded themes covering member engagement, policy, regulatory updates, and payer/provider alignment.
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
Join RISE Institute 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, CCS-P, CRC
Director, Risk Adjustment & Recoveries
Actuarial Services
Paramount
Donna Malone, CPC, CRC, CRC-I, AHCCA, RAP\
Director Ambulatory Clinical Documentation Quality Improvement (CDQI)
Mount Sinai Health System
(pending confirmation)
11:00 AM 5:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
8:00 AM 2:00 PM
Join RISE Institute for this brand new, interactive workshop where participants will learn the building blocks of implementing a strong outpatient clinical documentation improvement program at their organization.
Outpatient CDI brings the information needed for better patient outcomes closer to the point of care. This improves both patient experience and provider engagement. This workshop is designed for administrators, coding/cdi professionals, and any healthcare leader who wants to take their value-based healthcare efforts to the next level.
Join RISE Institute for an introduction on why CDI is such a hot topic in the outpatient setting.
Participants will learn from our expert facilitators as well as their peers from across all sectors of our industry. Participants can expect to dialogue, interact, and work in small, facilitated groups with peers and colleagues.
Get insights into:
Colleen Gianatasio, MHS, CPC, CPCO, CPC-P, CPMA, CPC-I, CRC, CCS, CCDS-O
Director of Outpatient Clinical Documentation Improvement
Devoted Health
Dr. Shannon I. Decker, MBA, MBA, MEd., MEd, PhD
Principal
VBC One
2:00 PM 5:00 PM
1:00 PM 4:00 PM
12:00 PM 3:00 PM
11:00 AM 2:00 PM
As an update to RISE’s 101 workshop, this advanced version guides attendees in the managerial role of risk adjustment – from running the department to the day-to-day duties – with a primary focus on risk adjustment for the Medicare Advantage line of business.
Upon completion, participants will:
Laura Sheriff, RN, MSN, CPC, CRC
Vice President, Risk Adjustment
Southwestern Health Resources
Susan Waterman, RHIT, CCS, CPC, CRC
Director of Risk Adjustment
Scott and White Health Plan
2:00 PM 5:00 PM
1:00 PM 4:00 PM
12:00 PM 3:00 PM
11:00 AM 2:00 PM
Join an interactive workshop focused on experiences and takeaways of working hand-in-hand with providers in a post-pandemic world. Presenters discuss the impact of staffing shortages, hybrid workforce, combatting provider burnout, enhancing patient experience and closing gaps in care in innovative ways.
Carmela Costiniuk, B.Sc. OT, MHA, D. EdD (C)
Vice President, Population Health and Clinical Transformation
Catholic Medical Partners
Margaret Paroski, MD, MMM, President & CEO and Chief Medical Officer
Catholic Medical Partners
Barry Stelmach
Chief Financial Officer
Catholic Medical Partners
3:00 PM 5:00 PM
2:00 PM 4:00 PM
1:00 PM 3:00 PM
12:00 PM 2:00 PM
5:00 PM 6:00 PM
4:00 PM 5:00 PM
3:00 PM 4:00 PM
2:00 PM 3:00 PM
Free to attend, but separate registration is required
6:00 PM 7:00 PM
5:00 PM 6:00 PM
4:00 PM 5:00 PM
3:00 PM 4:00 PM
Join us for drinks, hors d’oeuvres, and networking with peers.
8:45 AM 10:00 AM
7:45 AM 9:00 AM
6:45 AM 8:00 AM
5:45 AM 7:00 AM
9:00 AM 9:45 AM
8:00 AM 8:45 AM
7:00 AM 7:45 AM
6:00 AM 6:45 AM
9:50 AM 10:00 AM
8:50 AM 9:00 AM
7:50 AM 8:00 AM
6:50 AM 7:00 AM
Co-chair:
Vandna Bhrany, MPH
Vice President, HEDIS Strategy & Analytics
AmeriHealth Caritas
Co-chair:
To be announced
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 RISE for a special fireside chat with LaDainian Tomlinson (LT), NFL Network Analyst, Hall of Fame Running Back, MVP and 5x Pro Bowl Selection. LaDainian Tomlinson currently serves as a studio analyst for the NFL Network as well as a special advisor to the owner of the Los Angeles Chargers.
He was inducted into the Pro Football Hall of Fame in 2017 and the College Football Hall of Fame in 2014. His football credentials consist of being the 2006 League MVP, a five-time Pro Bowler, a five-time All Pro team member, the Walter Payton NFL Man of the Year in 2006, Associated Press’ Offensive Player of the Year in 2006 and the recipient of the Doak Walker Award for best college running back in 2000.
Known for not ever looking behind him but looking for what’s next, LaDainian’s goal is not to be known as a football player and is the Founder and Chairman of Tomlinson Ventures uniquely focused on providing funding, mentoring, coaching in low socio economic communities and schools through cross sector partnerships with the Tomlinson Center for Leadership, T Hill Media, 3SIXT Software, LT 21 Sports, and partners like Albertsons, Disabled American Veterans, US Marine Corps, and Tomlinson’s Touching Lives Foundation
His most valued platforms are Veterans, Education, and Community Engagement and is the reason he is an ambassador for the Disabled American Veterans, TCU Trustee.
Moderator:
to be announced
Interviewee:
LaDainian Tomlinson (LT)
NFL Network Analyst, Hall of Fame Running Back, MVP and 5x Pro Bowl Selection
10:45 AM 11:30 AM
9:45 AM 10:30 AM
8:45 AM 9:30 AM
7:45 AM 8:30 AM
Join an intimate sit down with Megan Tinker, Chief of Staff at the OIG, examining the OIG’s approach to understanding risks and opportunities associated with managed care and how that informs OIG’s oversight and enforcement associated with Medicare Advantage. Discuss the coordination between OIG and MA plans on key issues in combatting health care fraud, waste, and abuse.
Moderator:
to be announced
Interviewee:
Megan Tinker
Chief of Staff
Department of Health and Human Services (HHS), Office of Inspector General (OIG)
11:30 AM 11:55 AM
10:30 AM 10:55 AM
9:30 AM 9:55 AM
8:30 AM 8:55 AM
11:55 AM 12:40 PM
10:55 AM 11:40 AM
9:55 AM 10:40 AM
8:55 AM 9:40 AM
Health Plan leaders discuss the current Managed Care Landscape, look at the road ahead and give their perspectives on how to provide compliant, best-in-class care. Panelists dive into the operational implications of the CMS Final Rule and give their tactical, actionable recommendations for success moving forward.
Moderator:
Speaker from Ciox
Panelists:
to be announced
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Panelists discuss strategies in addressing changes from the newly released 2024 MA and Part D Advance Notice and look ahead for what’s on the horizon for 2025 and 2026 Star Ratings changes. Walk away with guidance on the necessary enhancements to your Stars program to ensure success.
Moderator:
Jenn Kerfoot
Chief Experience Officer
FarmboxRx
Panelists:
to be announced
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Mary Inman
Partner in Whistleblower Practice Group
Constantine Cannon
Stephen Bittinger
Health Care Audit & Integrity Partner
K&L Gates
Gregory Demske
Partner
Goodwin Proctor
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
2:30 PM 3:15 PM
1:30 PM 2:15 PM
12:30 PM 1:15 PM
11:30 AM 12:15 PM
Moderator:
To be announced
Panelists:
Kaitlyn Bertrand, PA-C
ACD Physician Assistant
SCMG Internal Medicine APC Lead
Scripps 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
Financial incentives tied to HCCs are muddying the waters, damaging the integrity of value-based care. Learn about the best practices from a panel including a physician, risk adjustment certified coder and auditor, and coding educator, auditor, and documentation integrity specialist.
Khush Singh, MD, MHA, CRC, CPMA, CPCO, CDIP
Director, Risk Adjustment & Value-based Care
Program operations & Compliance
Granite GRC Consulting
Additional Speakers to be announced
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Speaker from Episource to be announced
Co-presenter to be announced
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Speaker to be announced
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Gregg Kimmer
President and CEO
Atrio Health Plans
4:05 PM 4:20 PM
3:05 PM 3:20 PM
2:05 PM 2:20 PM
1:05 PM 1:20 PM
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.
4:20 PM 4:45 PM
3:20 PM 3:45 PM
2:20 PM 2:45 PM
1:20 PM 1:45 PM
4:45 PM 5:30 PM
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
Mia Bell
Sr. Manager, Medicare & Commercial Risk Adjustment
Blue Cross Blue Shield of Massachusetts
Breanna Krebs
Vice President, Operations
Apixio
4:45 PM 5:30 PM
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
Moderator:
John Criswell
Founder, CEO, Chairman
Porter
Panelists:
Susan Waterman, RHIT, CCS, CPC, CRC
Director of Risk Adjustment
Scott and White Health Plan
Additional speakers be announced
4:45 PM 5:30 PM
3:45 PM 4:30 PM
2:45 PM 3:30 PM
1:45 PM 2:30 PM
Moderator:
Beth Zuehlke
Chief Customer Officer
Moxe Health
Panelists:
Deb Curry, MBA, RHIA, CCS-P, CRC
Director, Risk Adjustment & Recoveries
Actuarial Services
Paramount
Additional Speakers to be announced
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
Join us for 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.
6:35 PM 7:35 PM
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
Join us for drinks, hors d’oeuvres, and networking with peers.
8:45 AM 10:00 AM
7:45 AM 9:00 AM
6:45 AM 8:00 AM
5:45 AM 7:00 AM
9:00 AM 9:50 AM
8:00 AM 8:50 AM
7:00 AM 7:50 AM
6:00 AM 6:50 AM
Free to attend, but separate registration is required.
RISE is proud to partner with the Wounded Warrior Project to share wisdom and important perspectives from our U.S. military veterans. Join this special panel presentation to hear stories of personal triumph, leadership advice and thoughts on achieving better access to care.
Panelists:
Sal Gonzalez
Mental Health Advocate
U.S. Marine Corps Veteran
Nick Morrison
Perspective on Access to Care in Rural Areas
U.S. Marine Corps Reserve Veteran
Danielle Green
Experienced Health Care Perspective
U.S. Army Veteran
10:00 AM 10:10 AM
9:00 AM 9:10 AM
8:00 AM 8:10 AM
7:00 AM 7:10 AM
Co-chair:
Vandna Bhrany, MPH
Vice President, HEDIS Strategy & Analytics
AmeriHealth Caritas
Co-chair:
To be announced
10:10 AM 11:00 AM
9:10 AM 10:00 AM
8:10 AM 9:00 AM
7:10 AM 8:00 AM
11:00 AM 11:50 AM
10:00 AM 10:50 AM
9:00 AM 9:50 AM
8:00 AM 8:50 AM
Back by popular demand, hear direct feedback from a panel of Medicare & MA customers around their experience, access to care and ways to improve health plan services.
Moderator:
Kathleen Ellmore
Engagys
11:50 AM 12:15 PM
10:50 AM 11:15 AM
9:50 AM 10:15 AM
8:50 AM 9:15 AM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Experienced leaders know that the “secret sauce” for success in meeting, and exceeding, risk adjustment and quality goals is the deployment of your strategy. And, there is not one strategy that fits all.
In this panel discussion, seasoned RA and Quality leaders share what’s worked, and what hasn’t, with advice on navigating the nuances of one strategy vs. the other.
Moderator:
Speaker from Pareto Intelligence
Panelists:
Wynda Clayton, MS, RHIT
Senior Director, Risk Adjustment
Providence Health Plan
Mandvi Tandon
Director of Medicaid Quality & Risk Adjustment
HealthCare Partners
Katie McLaughlin, DNP
Sr. Clinical Advisor, Risk Assessment
Lead Risk Adjustment Nurse Practitioner
SCMG | SHPS
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Moderator:
Chad Baugh
Chief Revenue Officer
ReferWell
Panelists:
Gerri Cash
Vice President Medicare & FEP Quality Improvement Performance
BCBS Arizona
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Moderator:
Colleen Gianatasio, MHS, CPC, CPCO, CPC-P, CPMA, CPC-I, CRC, CCS, CCDS-O
Director of Outpatient Clinical Documentation Improvement
Devoted Health
(pending confirmation)
Panelists:
Mark Dabney, PMP
Director, Risk Adjustment
Community Health Plan of Washington
Melissa Cornejo
Director of Quality
Wellcare
1:00 PM 1:15 PM
12:00 PM 12:15 PM
11:00 AM 11:15 AM
10:00 AM 10:15 AM
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.
1:15 PM 2:15 PM
12:15 PM 1:15 PM
11:15 AM 12:15 PM
10:15 AM 11:15 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
Speaker to be announced
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Speaker to be announced
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Moderator:
To be announced
Laura Sheriff, RN, MSN, CPC, CRC
Vice President, Risk Adjustment
Southwestern Health Resources
Dr. Shannon I. Decker, MBA, MBA, MEd., MEd, PhD
Principal
VBC One
Carmela Costiniuk, B.Sc. OT, MHA, D. EdD (C)
Vice President, Population Health and Clinical Transformation
Catholic Medical Partners
(pending confirmation)
3:05 PM 3:50 PM
2:05 PM 2:50 PM
1:05 PM 1:50 PM
12:05 PM 12:50 PM
Michael Zeli
Director Risk Adjustment and Quality
AdventHealth
(pending confirmation)
3:05 PM 3:50 PM
2:05 PM 2:50 PM
1:05 PM 1:50 PM
12:05 PM 12:50 PM
3:05 PM 3:50 PM
2:05 PM 2:50 PM
1:05 PM 1:50 PM
12:05 PM 12:50 PM
Jenni Monfils
Director of Risk Adjustment Coding and Compliance
Bright HealthCare
(pending confirmation)
3:55 PM 4:05 PM
2:55 PM 3:05 PM
1:55 PM 2:05 PM
12:55 PM 1:05 PM
Co-chair:
Vandna Bhrany, MPH
Vice President, HEDIS Strategy & Analytics
AmeriHealth Caritas
Co-chair:
To be announced