3rd Annual Risk Adjustment Innovations Forum

V28 Changes, OIG Enforcement, Submission Accuracy, Leveraging Data, and So Much More

About The Event

The 3rd Annual Risk Adjustment Innovations Forum will showcase optimal solutions to meet the unprecedented changes affecting Risk Adjustment across all business lines, including Medicare Advantage, Medicaid, ACA, and the exchanges. While the industry is experiencing a plethora of regulatory changes, mounting litigation, new and complex coding changes, it is vital that health plans and providers alike are prepared and adjusting to their new reality. Hear your peers discuss real world solutions and practical options to optimize your comprehensive risk adjustment strategies. No fluff, no distractions, just comprehensive risk adjustment strategies. With a top-notch faculty of industry-leading Health Plans, providers, and innovative solutions providers, this event delivers specific solutions and strategies to transform your Risk Adjustment initiatives and survive in our new reality. Join us February 12-13, 2025, in Dallas/Fort Worth, Texas. You won’t want to miss this event.

Speakers

Speaker 6

Brett J. Goff

Director of Risk Adjustment

Speaker 3

Jennifer Hawkes CPC, CRC

Risk Adjustment, Manager, Member Engagement

Speaker 3

Kacey Serrano

Director, Medicare Stars and Risk Adjustment

Speaker 3

Michael Bagel

Government Affairs Executive, Health Care Policy and Politics

Speaker 3

Sarah J. Hartley, MHA, RHIA, CDEO, CRC

System Director, Ambulatory Risk Adjustment and Clinical Documentation Integrity

Speaker 3

Susan L. Waterman

Director of Risk Adjustment



The 3rd Annual Risk Adjustment Innovations Forum is designed for CSuite, Vice Presidents, Directors, and Managers from Medicare Advantage, Medicaid, ACA, Dual Eligible Health Plans, DSNPs, and Commercial Plans with responsibility for:

  • Risk Adjustment
  • Risk Management
  • Revenue Management
  • Financial Management
  • Actuarial Management
  • Coding/HCC Coding
  • Encounter Data
  • Quality Improvement/Assurance
  • Star Ratings
  • Data Management and Data Analytics
  • Physician/Member Engagement
  • Provider/Member Engagement
  • Compliance/Regulation

Also, consultants and service providers



  • Get the latest OIG enforcement activities straight from the OIG
  • V28 impact and pending strategies to implement
  • Learn how to build a high functioning risk adjustment department
  • Navigate the Part D RxHCCs initiatives
  • Improve bi-directional data and interoperability between payer and provider
  • Implement the latest in AI, NLP, and technology to improve your risk adjustment strategies
  • Seamlessly combine quality/Stars and coding into one workflow
  • Use Home Health Risk Assessments for a comprehensive diagnosis
  • Ensure provider engagement and education with seamless and minimal requirements
  • Create a robust CDI improvement program
  • Network with the top risk adjustment experts at the only conference in the industry that delivers solid take-aways and no distractions in an environment primed for actual peer networking


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