Past Agenda
With over 30 timely topics and 80+ handpicked speakers, RISE West 2023 covered the tried-and-true risk adjustment and quality content, plus expanded themes covering member engagement, policy, regulatory updates, and payer/provider alignment. We proudly made an impact through several ESG initiatives including a volunteer opportunity at a food packing event, plus RISE made a significant donation to the Wounded Warriors Project in honor of our panel session featuring U.S. military veterans.
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
*Additional Registration is required.
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
11:00 AM 5:00 PM
10:00 AM 4:00 PM
9:00 AM 3:00 PM
8:00 AM 2:00 PM
*Additional Registration is required
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 Clinical Documentation Integrity and Coding Compliance
Capital District Physician’s Health Plan (CDPHP)
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
*Additional Registration is required
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
*Additional Registration is required
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
Adapting to the Evolving Healthcare Landscape
A Discussion on Innovative Solutions to Deliver High-Value Care
In partnership with Signify Health, RISE is proud to host a closed-door idea exchange session with select executives from health plan and healthcare provider organizations.
Participants will discuss the evolving healthcare landscape and brainstorm innovative ideas for delivering high-value care to members where they are, starting in the home. The format of this session is a “boardroom” style discussion, closed to the rest of the public and open only to invited participants.
Topics will be centered around:
Chatham House Rules apply.
Moderators:
Heidi Schwarzwald, MD, MPH, Chief Medical Officer, Home & Community Services, Signify Health
Rachel Hiatt, Vice President, Product Management, Signify 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
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:
John Romans
CEO
Biomedix
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:
Ian Strand
Vice President of Business Development
Patient Pattern
PointClickCare
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:
Mikal Sutton
Managing Director
Medicaid Blue Cross Blue Shield Association
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:
Matt Peterson
COO, Payer Services
Ciox Health – A Datavant Company
Panelists:
Kiran Rangarajan, PhD
Chief Government Programs Revenue Officer
Blue Cross & Blue Shield of Rhode Island
Rika Kari
Vice President, Medical Economics and Risk
Horizon Blue Cross Blue Shield of New Jersey
Jaye Johnston
Vice President, Stars Operations
Clover Health
12:45 PM 1:30 PM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
Moderator:
Jill Strassler
VP, Solutions Management
Veradigm
Panelists:
Aaron Winkel
Senior Solutions Manager
Veradigm
Jonathon Graham
Director, Opargo Business Operations
Veradigm
Kwame Appiah-Yeboah, PhD, CRC
Director, Risk Adjustment and Revenue Management
Sentara Health Plan
Eric Pfleger
Senior Vice President, Population Health
Southeast Primary Care Partners
Allison Kirsch
Vice President Operations
Southeast Primary Care Partners
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:
Phil Collins
Senior Director of Quality
FarmboxRx
Panelists:
Savannah Gonsalves, RN, MHA
Director of Quality
Hometown Health
Katharine Iskrant
President
Healthy People, Inc.
Vandna Bhrany, MPH
Vice President, HEDIS Strategy & Analytics
AmeriHealth Caritas
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 Procter
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
• Combining data on chronic conditions, behavioral health and SDoH
• Real-world applications and case studies for risk and quality in a changing landscape
• Leveraging a centralized analytics platform for RADV audit support
Moderator:
John Romans
CEO
Biomedix
Panelists:
Dr. Shannon I. Decker, MBA, MBA, MEd., MEd, PhD
Principal
VBC One
Ryan Dodson
Chief Operating Officer/Co-Founder
New Vision Healthcare Solutions
Dr. Archita Sood
Chief Medical Officer
Homebase Medical
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:
Savannah Gonsalves, RN, MHA
Director of Quality
Hometown Health
Panelists:
Kaitlyn Bertrand, PA-C
ACD Physician Assistant
SCMG Internal Medicine APC Lead
Scripps Health
Helen L. Veet DNP, RN
Director of Quality Management
AmeriHealth Caritas Pennsylvania and Keystone First
Jessica Vaughn, DNP, RN, CCDS, CCDS-O, CRC
Director of Operations, Condition Management and Documentation
Enterprise Population Health
Advocate Aurora 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
Ezekiel Brooks
Chief Technology Officer
U.S. Hunger
Ana Handshuh
Principal
CAT5 Strategies
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Jon Wasson, Sr. Director of Product
Episource
Syed Rizvi, Director of Risk Adjustment & Vendor Operations
Southwestern Health Resources
Laura Sheriff, RN, MSN, CPC, CRC
Vice President, Risk Adjustment
Southwestern Health Resources
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Moderator:
Debbie Conboy
SVP, Risk Adjustment and Quality
Signify Health
Panelists:
Becky Simmons
Stars Program Manager
Security Health Plan
Meghan Sinclair
VP, Product Management
Signify Health
3:20 PM 4:05 PM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
Brett J. Goff
Director of Risk Adjustment
Peach State Health Plan
Dean Ratzlaff
Director – Actuary/Revenue Management
Sentara 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
John M. Barkley
Vice President, Enterprise Risk Adjustment & Data Integrity
EmblemHealth/ConnectiCare
Subbu Ramalingam
Vice President Quality, Stars and Risk Adjustment
CareFirst BlueCross BlueShield
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
Jenni Monfils, CPC, CDEO, CRC
AVP, Risk Adjustment Coding and Compliance
Bright HealthCare
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.
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Use technology to empower clinicians through better coding support
• Reduce provider abrasion and burnout by streamlining administrative workflows and reducing documentation time
• Leverage a population-health approach to improving STARS ratings
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Rapid office-based screening
• Early diagnosis while patient still asymptomatic
• Actionable insights at the point of care
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Analysis of the current model versus the new one
• Overview of how the new model will impact your plan
• Strategies to prepare for the impact now
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• A is for Audit: Implementing compliance program improvements related to proactive auditing that are aligned with OIG’s expectations
• B is for Basics: The key to the success of compliance program improvement is in the basics of coding and auditing
• C is for Complete and Accurate Data: Management of encounter data in alignment with industry best practices also affects the success of your compliance program
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• In-Home Assessments are usually a better/more complete source of clinical data than from standard provider/PCP medical records
• The In-Home Assessment captures data that goes beyond the provider’s office
• Using the In-Home assessment in a RADV
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Building actionable, longitudinal patient views that engage providers
• Driving member insights to the point of care to close gaps
• Transforming Risk and Quality operations with prospective workflows
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Align reporting between health plans and providers
• Impact population health
• Accelerate the shift from volume to value
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Enhance the precision of diagnoses communicated to healthcare providers
• Propel improved documentation outcomes, optimizing code capture
• Seamlessly integrate analytic reviews to bridge clinical reviewers and providers
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Have you played Cards Against Humanity? Join us and play the CMS Stars Version.
• A fun interaction with industry colleagues discussing some of CMS’s interesting decisions
• Learn about Member Experience and how you can move the needle with data
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Improve your Risk Adjustment coding speed, accuracy, and productivity
• Get a look at HCC Coder from an actual user perspective
• Schedule a 2 week free trial for your team
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• All stakeholders are inundated with data from unreliable sources with no clear value drivers.
• Leverage Arcadia’s single source of truth architecture and workflow tools to present actionable insights.
• Optimize provider information sharing to meet them where they are and provide only the information they need to be successful.
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Implementing the health equity framework and the road to NCQA® Health Equity Accreditation Plus
• Best data management practices to address Social Determinants of Health
• Learning the health system framework to accelerate the knowledge discovery process
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Explore the importance of complete and accurate data submissions in enhancing member care, an end-to-end approach to effectively identify and address data leakage
• Delve into expert strategies for ensuring risk adjustment compliance and effective oversight; quantify and mitigate high-risk diagnosis codes
• Three keys to success for objectively assessing the impact of prospective and retrospective risk adjustment programs on improving risk score accuracy
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• How SDOH data can improve member experience
• How SDOH data can improve provider relations and how healthcare is used
• How visibility into member insurances saves money and improves benefits coordination
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Community based interventions improve outcomes, lower cost and have a significant impact on Social Isolation and Loneliness
• Leveraging Community based interventions delivers a 50% improvement in member loyalty and retention
• Investing in a Community based intervention such as Wider Circle as a significant and measurable ROI for payers
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Embed clinical resources to create trusted connections
• Reduce PCP abrasion by only presenting high confidence conditions and minimizing time spent for coding to 3-4 minutes per patient per year
• Incent PCPs appropriately for their work and time
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Identify tools with quick implementation that delivers meaningful engagement and fast gap closure
• Learn how the right type of outreach can bring in-year risk adjustment revenue
• Discover strategies to identify and close the Q4 care gaps that will influence Star Ratings
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Leverage AI to surface social risk
• Engage historically unengaged members in preventive care
• Improve AWV scheduling through member-first engagement
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Strategies to gain a complete view of social risk exposure for your full market and member population
• How to proactively identify Stars-eligible members facing elevated social risk
• Strategies to deploy gap closure resources
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Uncover opportunities for insurance plans to elevate member experiences
• Understand the popularity of technology use with a balanced combination of human and digital interactions
• Remove barriers to care - learn what's missing from the health plan consumer experience
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Identify the top 3 healthcare data challenges faced by providers and payors in 2023.
• Explore Cozeva's innovative strategies and tactics to remedy these data problems, revolutionizing data management in the industry.
• Discover high-level features that differentiate Cozeva's platform, providing seamless integration and comprehensive solutions for healthcare organizations.
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• Raise the standard for personalized engagement
• Help members change behaviors, close care gaps, and access the resources they need
• Leverage data to identify and provide needed resources
5:35 PM 6:35 PM
4:35 PM 5:35 PM
3:35 PM 4:35 PM
2:35 PM 3:35 PM
• 100% human driven reviews
• Compliance
• Provider support via our field staff and tailored education
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
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:
John Romans
CEO
Biomedix
10:10 AM 11:00 AM
9:10 AM 10:00 AM
8:10 AM 9:00 AM
7:10 AM 8:00 AM
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.
Moderator:
John Boerstler
Chief Veterans Experience Officer
Veterans Experience Office (VEO)
Department of Veterans Affairs
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
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, Cofounder & Managing Partner
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:
Eric Shapiro
Principal
Pareto Intelligence
Panelists:
Wynda Clayton, MS, RHIT
Senior Director, Risk Adjustment
Providence Health Plan
Mandvi Tandon
Director of Risk Adjustment
HealthCare Partners
Katie McLaughlin, DNP
Sr. Clinical Advisor, Risk Assessment
Lead Risk Adjustment Nurse Practitioner
Scripps Health
12:15 PM 1:00 PM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
Q&A Faciliator / Session 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 Clinical Documentation Integrity and Coding Compliance
Capital District Physician’s Health Plan (CDPHP)
(pending confirmation)
Panelists:
Mark Dabney, PMP
Director, Risk Adjustment
Community Health Plan of Washington
Melissa Cornejo
Director of Quality
Wellcare
Heather Bullock
Director, Risk Adjustment Process and Operations
Horizon Blue Cross Blue Shield of New Jersey
Jennifer Cobb
Lead Director, Risk Adjustment
Aetna
1:00 PM 2:15 PM
12:00 PM 1:15 PM
11:00 AM 12:15 PM
10:00 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
Moderator:
Grant Gaillard
Head of Business Development
Vim
Panelists:
Sujata Bajaj
Chief Technology Officer
Yuvo Health
Essence Williams MHA, BSN, CRC, CPC
Head of Risk Adjustment
Yuvo Health
Dr. Scott Kim
Chief Medical Officer
Long Island Select Healthcare, LISH
Dr. Ari Benjamin
Chief Medical Officer
Joseph P. Addabbo Family Health Center (New York)
2:15 PM 3:00 PM
1:15 PM 2:00 PM
12:15 PM 1:00 PM
11:15 AM 12:00 PM
Doug Wackowski
VP, Prospective Service Solutions
Advantmed
Rhonda Farrar
Sr. Manager, Data Analytics
Advantmed
Susan Waterman, RHIT, CCS, CPC, CRC
Director of Risk Adjustment
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
Moderator:
Jennifer Cobb
Director, Risk Adjustment for Georgia, the Gulf States and Arkansas
Aetna
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
Margaret Paroski, MD, MMM, President & CEO and Chief Medical Officer
Catholic Medical Partners
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
3:05 PM 3:50 PM
2:05 PM 2:50 PM
1:05 PM 1:50 PM
12:05 PM 12:50 PM
Ana Handshuh
Principal
CAT5 Strategies
Rick Whitted
CEO
U.S. Hunger
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
Gabriel Ruiz
Manager, Risk Adjustment Coding Success
Bright Healthcare
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:
John Romans
CEO
Biomedix