Protect Revenue and Master Audit Risks
The Risk Adjustment Forum is your best resource to proactively address shifting regulations and avoid financial risks before they impact your organization.
Top health plans, risk adjustment leaders, and compliance experts attended our last event to:
- Prepare for the CMS RADV Audit Ramp-Up: Learn essential tactics to protect revenue and minimize disruption.
- Navigate Extrapolation Risk: Understand its financial impact and develop a solid strategy to reduce exposure.
- Address the RxHCC Shift: Adapt quickly to revenue model changes impacting specialty drug spend and risk scores.
Position your team to confidently tackle what's coming next.
Hot Topics on The Agenda
Modernize Operations
Use analytics to target reviews and streamline workflows
Align to Policy
Translate CMS updates and the “Big Beautiful Bill” into daily operations
Protect Revenue
Improve coding accuracy and documentation integrity & recalibrate models for V28 and RxHCC changes
Thinking About Attending? Here's Why You Should
- Prepare for CMS’s RADV audit ramp-up and extrapolation risk with hands-on strategies, real-world case studies, and expert insights
- Decode the Big, Beautiful Bill, RxHCC changes, and shifting policy landscapes to align your team with emerging regulatory demands
- Build stronger internal audit teams and compliance programs—even with limited resources—using proven frameworks and peer-tested tactics
- Integrate clinical documentation, provider education, and pharmacy data to improve coding accuracy, risk score capture, and financial performance
- Lead risk adjustment as a strategic function that supports care coordination, payment accuracy, and enterprise-wide accountability
You'll Be in Good Company
Take a look at who you'll be sitting next to. If you touch any part of Medicare Advantage, you belong here!
Organizations That Attend
- Health Plans: Medicare Advantage, Multi-Line, Commercial, & Medicaid
- Accountable Care Organizations
- Community-Based Organizations, Government Agencies, & Advocacy Groups
- Physician Practices, Medical Groups, & Hospitals
- IPA Management or MSO Companies
- Integrated Delivery Networks
- Not-For-Profit Organizations & Health Care Foundations
- Pharmacy Benefit Managers
- Pharmaceutical Manufacturers
- Prescription Drug Plans
- Consultants & Vendors That Provide Platforms and Solutions
- Auditors
- Academia & Employer Groups
Job Functions You'll Network With
• Risk Adjustment & HCC Coding
• Actuarial
• Revenue & Finance
• Plan Design
• Provider Engagement & Education
• Legal
• Compliance & Auditing
• Client Services
• Member Engagement
• Managed Care
Your Orlando Getaway Awaits
The 27th Risk Adjustment Forum will be held at the Orlando Hyatt Regency, a premier downtown hotel with modern accommodations and vibrant dining. Explore Orlando’s world-class theme parks, scenic lakes, and cultural attractions while enjoying everything the city has to offer.
Book before September 28, 2026, to guarantee our best pricing
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