The 25th Risk Adjustment Forum | A RISE Health Conference

The 25th Risk Adjustment Forum

We Are Your #1 Risk Adjustment Resource

As the #1 risk adjustment resource, The 25th Risk Adjustment Forum is the premier event for risk adjustment and quality specialists of all levels to gain strategies for coding accuracy and education success.

Set in the serene and picturesque Westlake Village, just minutes from Malibu, this destination offers a perfect blend of sophistication and tranquility. Attendees can enjoy the area's scenic hiking trails, world-class dining, and relaxing ambiance, making it an ideal backdrop for professional development and networking.

This top-tier regional risk adjustment conference showcases the brightest minds in the industry sharing actionable and tactical insights in an intimate setting, as well as vendor solutions to help improve efficiency in a challenging environment. We’re not merely discussing changes – we’re delving into execution strategies and uncovering financial implications. Join us for an enriching experience where you’ll engage with critical risk adjustment information and discover practical strategies for success.

What’s New for 2025: Stay Ahead in a Rapidly Changing Landscape

With regulatory shifts, rising audits, and evolving risk models, the 2025 Spring Risk Adjustment Forum delivers strategies to stay compliant, optimize revenue, and maintain stability.

New for 2025:

Mastering ACA Risk Adjustment Workshop – Exclusive content for ACA plans
Regulatory & Audit Readiness – Tactics to mitigate compliance risks
AI & Data Analytics – Leverage technology for accuracy and efficiency
Medicare Advantage Stability – Protect revenue amid market volatility

Prepare, adapt, and thrive—don’t fall behind!

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Who Should Attend

Connect with Medicare Advantage, Medicaid managed care, and ACA plan executives, with responsibilities in the following areas:

Health Plans: Medicare, Commercial/Exchange, and Medicaid

Health Plans: Medicare, Commercial/Exchange, and Medicaid
Government Agencies
Community-Based Organizations
Health Care Providers: Integrated Delivery Networks, Medical Groups, ACOs, IPAs

Expect to meet executives in the following functions:

Risk Adjustment
HCC Coding
Quality Improvement & Star Ratings
Provider Engagement & Education
Member / Patient Engagement
Finance / Revenue / Actuarial
Government Programs

Top Reasons to Attend

There's a reason that attendees come back year after year. Your peers are attending this Spring to:

Optimize revenue integrity by enhancing documentation accuracy, improving coding workflows, and implementing proactive auditing programs
Master RADV audit preparation, mitigate compliance risks, and stay ahead of evolving Medicare Advantage regulations
Leverage cutting-edge AI and predictive analytics to drive real-time risk adjustment and operational excellence
Stay Informed with the latest CMS regulations, OIG compliance expectations, and policy shifts to keep your team ahead of the curve
Streamline workflows, maximize resource allocation, and tackle common operational challenges in risk adjustment programs
Navigate the complexities of Medicare Advantage, ACA, Commercial, and Medicaid risk adjustment to enhance payment model management
Align risk adjustment with value-based care to improve financial sustainability and quality performance metrics
Utilize SDOH data to enhance risk scores, support health equity, and drive better patient outcomes through whole-person care
Adapt to the transition to V28, mitigate financial impacts, and refine coding practices to ensure compliance
Strengthen provider collaboration with best practices for training, education, and improving coding accuracy

“I am new to RISE and really got a lot out of the Risk Adjustment Forum in Phoenix. In our CPA firm, I support clients that need help with documentation and coding and teach risk adjustment to coders and providers. It was great to get the payer perspective and surely learned a bunch from the population health angle. I'm enjoying RISE, made some wonderful connections and plan to stay connected.”

Michelle Wieczorek, Senior Manager, National Reimbursement Practice, DHG Healthcare

“Great introduction to new concepts and great information for deep dive concepts that I'm already familiar with which helped heighten my skill set. Keynotes had applicable data and were most helpful.”

Maggie Zhang, Performance Quality Adviser, Cigna Medical Group

“ Excellent CMS presentation and the second morning OIG presentation.”

Health Care Executive Feedback

“ I learned a ton of information that I can bring back to my company.”

Health Care Executive

Rise

May 13-15, 2025
Westlake Village, CA

“Great introduction to new concepts and great information for deep dive concepts that I'm already familiar with which helped heighten my skill set. Keynotes had applicable data and were most helpful.”

“ Excellent CMS presentation and the second morning OIG presentation.”

“ I learned a ton of information that I can bring back to my company.”