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:
- Gain a working knowledge of MA plan bids, Star Ratings, and risk adjustment—and how they drive revenue for Medicare Advantage health plans.
- See where operational departments intersect and how their priorities connect to overall plan performance
- Learn how to co-fund and co-own cross-functional initiatives that drive ROI
- Build internal business cases using shared metrics and strategic framing
- Improve collaboration by understanding the goals, language, and constraints of other departments
- Leave with practical tools and frameworks to foster alignment across your organization
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
