With over 30 timely topics and 50+ handpicked speakers, RISE West 2021 featured plenty of content so attendees could walk away with insights and best practices. RISE West 2021 covered the tried-and-true risk adjustment and quality content, plus expanded themes covering member engagement, policy, regulatory updates, and insights into health care investments.
4:30 PM 6:00 PM
3:30 PM 5:00 PM
2:30 PM 4:00 PM
1:30 PM 3:00 PM
9:00 AM 4:00 PM
8:00 AM 3:00 PM
7:00 AM 2:00 PM
6:00 AM 1:00 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:
Colleen Gianatasio CPC, CPC-P, CPMA, CPC-I, CRC
Director, Clinical Documentation Integrity and Coding Compliance
Capital District Physician's Health Plan (CDPHP)
Donna Malone, CPC, CRC, CRC-I, AHCCA, RAP
AAPC Approved Instructor
Director of Ambulatory Clinical Documentation Quality Improvement
Mount Sinai Health System
12:00 PM 1:00 PM
11:00 AM 12:00 PM
10:00 AM 11:00 AM
9:00 AM 10:00 AM
1:00 PM 4:00 PM
12:00 PM 3:00 PM
11:00 AM 2:00 PM
10:00 AM 1:00 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:
Deb Curry, MBA, RHIA, CCS-P, CRC
Manager, Risk Adjustment
ProMedica
Susan Waterman RHIT CCS CPC CRC
Director of Risk Adjustment
Scott and White Health Plan
1:00 PM 4:00 PM
12:00 PM 3:00 PM
11:00 AM 2:00 PM
10:00 AM 1:00 PM
Design thinking is a human-centered approach to innovation and problem-solving methodology. Various industries are implementing design thinking principles into their product innovation approaches, including health care.
So, how do you take a big idea and actually execute it?
In this interactive workshop, attendees:
Dr. Shannon I. Decker, M.Ed., M.Ed., MBA, MBA, PhD.
Vice President, Clinical Performance
Brown & Toland Physicians
1:00 PM 4:00 PM
12:00 PM 3:00 PM
11:00 AM 2:00 PM
10:00 AM 1:00 PM
In light of COVID-19, many aspects of the healthcare sector shifted, including the payer / provider relationship. It’s important, now more than ever, to find better ways of working together as health care workers become more spread thin and provider burden continues to climb.
Part workshop, part idea exchange session, join this forum and create a call to action within your organization.
Laura Sheriff, RN, MSN, CPC, CRC
Contracting Risk Adjustment Specialist
George G Sauers
Chief Managed Care and Strategy Officer
Rockport Healthcare Services
Ana Handshuh
Principal
CAT5 Strategies
4:00 PM 6:00 PM
3:00 PM 5:00 PM
2:00 PM 4:00 PM
1:00 PM 3:00 PM
7:30 AM 8:30 AM
6:30 AM 7:30 AM
5:30 AM 6:30 AM
4:30 AM 5:30 AM
7:30 AM 7:30 PM
6:30 AM 6:30 PM
5:30 AM 5:30 PM
4:30 AM 4:30 PM
8:30 AM 8:45 AM
7:30 AM 7:45 AM
6:30 AM 6:45 AM
5:30 AM 5:45 AM
8:45 AM 9:05 AM
7:45 AM 8:05 AM
6:45 AM 7:05 AM
5:45 AM 6:05 AM
Ryan Brolliar, founder, and author of “The Music is Medicine Tour” inspires us to live life and treat one another in a completely different manner. Ryan’s latest book tells the incredible story of his tour across the entire United States playing music for people in need… 9 months, all 50 states, 78 hospitals, and over 1,500 patients visited!
RISE welcomes Ryan for a morning dose of inspiration to help us feel connected during a time which we have felt more disconnected than ever before.
Ryan Brolliar
Founder and Author
Music is Medicine Tour
9:05 AM 9:50 AM
8:05 AM 8:50 AM
7:05 AM 7:50 AM
6:05 AM 6:50 AM
At the outset of the pandemic, organizations did more to reengineer work in a few days than over the past 20 years. The changes in structures and behaviors were ruthless and radical—they had to be. Now, after a year of adapting, organizations have settled into new, often better, ways of doing things that will become more permanent and will define how organizations work in the future.
In this special presentation, gain research-led insights into using radical adaptability to win in a world of unprecedented change.
Kian Gohar
Futurist
Co-author
WSJ Bestselling Book “Competing in the New World of Work”
Former Executive Director
XPRIZE Foundation
Founder
GeoLab
9:50 AM 10:35 AM
8:50 AM 9:35 AM
7:50 AM 8:35 AM
6:50 AM 7:35 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:
Shannon O'Connell
Engagys
10:35 AM 10:55 AM
9:35 AM 9:55 AM
8:35 AM 8:55 AM
7:35 AM 7:55 AM
10:55 AM 11:40 AM
9:55 AM 10:40 AM
8:55 AM 9:40 AM
7:55 AM 8:40 AM
Jonas Foit
Senior Vice President, Analytics and Reporting
Cotiviti, Inc.
Andres Aguirre, MPH
QI Director
Sharp Health Plan
10:55 AM 11:40 AM
9:55 AM 10:40 AM
8:55 AM 9:40 AM
7:55 AM 8:40 AM
Moderator:
Daniel Weaver
EVP Product Operations and Stars Strategy
NationsBenefits
Panelists:
Eden Encarnacion, MHA
Director, Quality and Stars Program
Clever Care Health Plan
Ally Thomas, Ph.D.
AVP, Quality Improvement
UPMC Health Plan
Carmela Costiniuk, MHA
Vice President of Population Health and Clinical Transformation
Catholic Medical Partners
10:55 AM 11:40 AM
9:55 AM 10:40 AM
8:55 AM 9:40 AM
7:55 AM 8:40 AM
Back by popular demand, the RISE Policy Committee takes on the most pressing policy issues impacting health plans and risk-bearing providers in the Managed Care, ACA and Commercial Sectors.
Conference attendees will be able to vote on topics to be featured ahead of time.
Potential talking points include:
Moderator:
Sean Creighton
Managing Director
Avalere
Panelists:
Michael Adelberg
Practice Leader, Healthcare
Faegre Drinker Consulting
Dave Meyer
RISE Policy Committee Member
Mikal Sutton
Managing Director
Medicaid Policy
Blue Cross Blue Shield Association
11:40 AM 11:45 AM
10:40 AM 10:45 AM
9:40 AM 9:45 AM
8:40 AM 8:45 AM
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
8:45 AM 9:30 AM
Moderator:
Elaine Taverna
Senior Vice President, Risk Adjustment and Quality
Advantasure
Panelists:
Ana Handshuh
Principal
CAT5 Strategies
Gregory Pastor
Managing Director of Risk Adjustment Operations
Advantasure
Additional speakers to be announced
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
8:45 AM 9:30 AM
Marc Rothman, MD
Chief Medical Officer
Signify Health
Dona Doran
Program Director Risk Adjustment Operations
Cambia Health Solutions
11:45 AM 12:30 PM
10:45 AM 11:30 AM
9:45 AM 10:30 AM
8:45 AM 9:30 AM
Moderator:
Deb Curry, MBA, RHIA, CCS-P, CRC
Director, Risk Adjustment & Recoveries
Actuarial Services
Paramount
Panelists:
Mary Inman
Partner
Constantine Cannon
Ed Baker
Of Counsel
Constantine Cannon
Stephen D. Bittinger
Partner
K&L Gates, LLP
12:30 PM 1:30 PM
11:30 AM 12:30 PM
10:30 AM 11:30 AM
9:30 AM 10:30 AM
1:30 AM 2:15 PM
12:30 AM 1:15 PM
11:30 PM 12:15 PM
10:30 PM 11:15 AM
Susan Waterman RHIT CCS CPC CRC
Director of Risk Adjustment
Scott and White Health Plan
Laura Sheriff, RN, MSN, CPC, CRC
Contracting Risk Adjustment Specialist
1:30 AM 2:15 PM
12:30 AM 1:15 PM
11:30 PM 12:15 PM
10:30 PM 11:15 AM
1:30 AM 2:15 PM
12:30 AM 1:15 PM
11:30 PM 12:15 PM
10:30 PM 11:15 AM
Osato F. Chitou
Principal Consultant
NMOC Healthcare Compliance Consulting, LLC, d/b/a Compli by Osato
2:15 PM 2:20 PM
1:15 PM 1:20 PM
12:15 PM 12:20 PM
11:15 AM 11:20 AM
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
11:20 AM 12:05 PM
• Discuss key KPIs and how to measure them
• Understand changes in KPI and their impact on overall program
• Learn how to measure the impact of EMR Integration & NLP
Akash Patel
CEO
Advantmed
Meredith Diep
LA Care
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
11:20 AM 12:05 PM
Ashley Tyrner
Founder and CEO
FarmboxRx
Lauren Barca, MHA, BSN, RN
Executive Officer, Population Health & Quality
UnitedHealthcare Community Plan of Tennessee
2:20 PM 3:05 PM
1:20 PM 2:05 PM
12:20 PM 1:05 PM
11:20 AM 12:05 PM
Moderator:
Deb Curry, MBA, RHIA, CCS-P, CRC
Director, Risk Adjustment & Recoveries
Actuarial Services
Paramount
Panelists:
Tom Nasadoski, MBA
Vice President, Risk Adjustment
CDPHP
Wynda Clayton, MS, RHIT Director Risk Adjustment
Providence Health Plan
Susan Waterman RHIT CCS CPC CRC
Director of Risk Adjustment
Scott and White Health Plan
3:05 AM 3:25 PM
2:05 AM 2:25 PM
1:05 AM 1:25 PM
12:05 AM 12:25 PM
3:25 PM 4:20 PM
2:25 PM 3:20 PM
1:25 PM 2:20 PM
12:25 PM 1:20 PM
Moderator:
John Romans
CEO
Biomedix
Panelists:
Archita Sood
Chief Medical Officer Homebase Medical
Ryan Dodson
Risk Adjustment Coordinator
Choice Medical Group
Mark Ishimatsu
Director, Enterprise Risk Adjustment Strategies/Initiatives
L.A. Care Health Plan
3:25 PM 4:20 PM
2:25 PM 3:20 PM
1:25 PM 2:20 PM
12:25 PM 1:20 PM
Archana Mahimkar, MS, MBA, CPHQ
Senior Director, Clinical Quality Improvement and Safety
Walgreens Health
Julianne Eckert
Director of Quality Improvement
Clover Health
Katharine Iskrant,
Founder and Practice Lead Healthy People
3:25 PM 4:20 PM
2:25 PM 3:20 PM
1:25 PM 2:20 PM
12:25 PM 1:20 PM
William Schweitzer
Associate, Platform Strategy and Solutions
Episource
Matthew Davis
Assistant Director, Quality Improvement
The Health Plan
4:20 PM 4:25 PM
3:20 PM 3:25 PM
2:20 PM 2:25 PM
1:20 PM 1:25 PM
4:25 PM 5:10 PM
3:25 PM 4:10 PM
2:25 PM 3:10 PM
1:25 PM 2:10 PM
Moderator:
Tim Macken
Vice President of Payer Growth
CIOX
Panelists:
Gretchen Shanofsky
Vice President, Plan Operations
Clover Health
Tom Nasadoski, MBA
Vice President, Risk Adjustment
CDPHP
Margaret Paroski, MD
President & Chief Executive Officer
Catholic Medical Partners
5:10 PM 5:20 PM
4:10 PM 4:20 PM
3:10 PM 3:20 PM
2:10 PM 2:20 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.
5:20 PM 5:25 PM
4:20 PM 4:25 PM
3:20 PM 3:25 PM
2:20 PM 2:25 PM
5:25 PM 6:25 PM
4:25 PM 5:25 PM
3:25 PM 4:25 PM
2:25 PM 3:25 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.
6:25 PM 7:30 PM
5:25 PM 6:30 PM
4:25 PM 5:30 PM
3:25 PM 4:30 PM
7:45 AM 9:00 AM
6:45 AM 8:00 AM
5:45 AM 7:00 AM
4:45 AM 6:00 AM
7:45 AM 9:00 AM
6:45 AM 8:00 AM
5:45 AM 7:00 AM
4:45 AM 6:00 AM
Agenda:
Moderator:
Osato F. Chitou
Principal Consultant
NMOC Healthcare Compliance Consulting, LLC, d/b/a Compli by Osato
Panelists:
DeAnna L. Minus-Vincent, MPA
Chief Social Justice & Accountability Officer
RWJBarnabas Health
Tracey Veal, DrPHA, MBA
Senior Advisory Consultant
LA County Public Health Department
Melanie A. Prince, MSN, BSN, RN, NE-BC, CCM, FAAN
Former President
Case Management Society of America
Retired Military Colonel
U.S. Airforce
7:45 AM 1:00 PM
6:45 AM 12:00 PM
5:45 AM 11:00 AM
4:45 AM 10:00 AM
9:00 AM 9:05 AM
8:00 AM 8:05 AM
7:00 AM 7:05 AM
6:00 AM 6:05 AM
9:05 AM 9:45 AM
8:05 AM 8:45 AM
7:05 AM 7:45 AM
6:05 AM 6:45 AM
Moderator:
To be announced
Interviewee:
Melanie A. Prince, is the President of Case Management Society of America (CMSA). She served 30 years in the armed services, retiring in the rank of Colonel assigned to Headquarters Air Force where she was responsible for developing strategies to eliminate interpersonal violence in the military and advanced the Air Force Surgeon General’s global health care strategy.
Join RISE for a special sit-down discussing lessons from her service, from rising to the rank of Colonels to working with Congress, insights from her experience in health care and leadership lessons learned coming out of the other side of COVID-19.
9:45 AM 9:55 AM
8:45 AM 8:55 AM
7:45 AM 7:55 AM
6:45 AM 6:55 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
9:55 AM 10:45 AM
8:55 AM 9:45 AM
7:55 AM 8:45 AM
6:55 AM 7:45 AM
Join a robust discussion from payers, health care providers and community-based organizations on tactical steps they’ve taken to address health inequities with tactical takeaways for managed care organizations.
Moderator:
Stick Crosby
Sr Director Provider Network and Health Equity
AllCare Health
Panelists:
DeAnna L. Minus-Vincent, MPA
Chief Social Justice & Accountability Officer
RWJBarnabas Health
Ruth Ann Norton
President and CEO
Green & Healthy Homes Initiative
Rick Whitted
Chief Executive Officer
U.S. Hunger
Priya Radhakrishnan
Chief Academic Officer, VP Health Equity
HonorHealth
10:45 AM 10:55 AM
9:45 AM 9:55 AM
8:45 AM 8:55 AM
7:45 AM 7:55 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.
10:55 AM 11:15 AM
9:55 AM 10:15 AM
8:55 AM 9:15 AM
7:55 AM 8:15 AM
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
8:15 AM 9:00 AM
Jill Strassler
VP Solutions Management
Pulse8
Zoe Benfield
Director of Risk Adjustment & Medical Economics
Health Alliance Medical Plan (HAMP)
Lynn Kryfke
Executive Director Health Plan Clinical Services
Children’s Community Health Plan (CCHP)
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
8:15 AM 9:00 AM
Anand Shah, MD, MS
Vice President of Social Health
Kaiser Permanente
11:15 AM 12:00 PM
10:15 AM 11:00 AM
9:15 AM 10:00 AM
8:15 AM 9:00 AM
Moderator:
Beth Zuehlke
SVP, Customer Success
Moxe Health
Panelists:
Barry Stelmach
CFO
Catholic Medical Partners
George G Sauers
Chief Managed Care and Strategy Officer
Rockport Healthcare Services
Stick Crosby
Sr Director Provider Network and Health Equity
AllCare Health
12:00 PM 1:00 PM
11:00 AM 12:00 PM
10:00 AM 11:00 AM
9:00 AM 10:00 AM
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
10:00 AM 10:45 AM
Moderator:
Dawn Carter
Director, Product Strategy
Centauri Health Solutions
Panelists:
Amy Smith
Director, Provider Enablement
Sentara Health Plans
Additional speakers to be announced
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
10:00 AM 10:45 AM
Tracey Veal, DrPHA, MBA
Senior Advisory Consultant
LA County Public Health Department
1:00 PM 1:45 PM
12:00 PM 12:45 PM
11:00 AM 11:45 AM
10:00 AM 10:45 AM
Pritesh Patel
Director of Strategy
Apixio
Brian Murtha
Centene
1:45 PM 1:50 PM
12:45 PM 12:50 PM
11:45 AM 11:50 AM
10:45 AM 10:50 AM
1:50 PM 2:35 PM
12:50 PM 1:35 PM
11:50 AM 12:35 PM
10:50 AM 11:35 AM
1:50 PM 2:35 PM
12:50 PM 1:35 PM
11:50 AM 12:35 PM
10:50 AM 11:35 AM
Ellen Fink-Samnick
Chair
RISE SDoH Community
1:50 PM 2:35 PM
12:50 PM 1:35 PM
11:50 AM 12:35 PM
10:50 AM 11:35 AM
Cynthia Deculus
Chief Population Health Officer
Cedars-Sinai
Lisa Maqueira
Vice President, Revenue Cycle and Managed Care Operations
Cedars-Sinai
2:35 PM 2:40 PM
1:35 PM 1:40 PM
12:35 PM 12:40 PM
11:35 AM 11:40 AM
2:40 PM 3:10 PM
1:40 PM 2:10 PM
12:40 PM 1:10 PM
11:40 AM 12:10 PM
Join an interactive discussion with the conference chairs on key themes, takeaways, and tactical knowledge to take back to your organization with a focus on ways to coordinate with various departments to:
3:10 PM 3:15 PM
2:10 PM 2:15 PM
1:10 PM 1:15 PM
12:10 PM 12:15 PM