About The Event

Join us at the 14th Medicare Stars, HEDIS®, Quality & Risk Conference—your go-to event for breakthrough strategies from 20+ Medicare Advantage plan speakers. In today’s landscape of fierce competition, constantly evolving regulations, rising costs, and changing member needs, staying ahead is everything. Learn from real-world case studies how leading plans are tackling the latest CMS and NCQA changes, driving quality outcomes, and boosting Star Ratings. Discover exactly what to focus on, when to act, and how to balance quality with cost-effectiveness. Walk away with proven tactics to engage members and providers, streamline data collection, and elevate performance in preventive care, chronic condition management, and member satisfaction. This is the can’t-miss event of the year—featuring the largest lineup of health plan leaders and an agenda packed with powerful insights, practical education, and real-world solutions you can take home and use immediately!

Here is a high-level look at what you can expect at this conference:

• Adapting Your Stars Strategy in Real- time & Measuring & Improving Member Trust (2 pre-conference, interactive workshops)

• Anticipate & Adapt: Navigating Regulatory Changes for Star Ratings and HEDIS®

• Plan-Wide Collaborations to Boost Performance Scores, Increase Operational Efficiency, Lower Costs and Improve Quality of Care

• Impacting the Changing Face of Member Experience & Expanding Access to Care

• Tools & Strategies to Improve HEDIS® & Quality Measures

• Re-Vitalizing Provider-Payor Partnerships to Boost Star Ratings

• Addressing the Health Equity: Why it’s Still Important

• Rebuilding and Restructuring Business Processes for Flexibility, Agility and to Maximize the Value of AI

Strategies, Protocols, and Procedures to Optimize Your Compliance Systems

In a world of ever-changing regulations and high-stakes compliance, your appeals & grievances (A&G) program can't afford to fall behind. The 10th Annual Optimizing Appeals and Grievances Summit brings together industry experts to share game-changing insights, proven best practices, and powerful strategies to streamline your processes, ace audits, and enhance member loyalty. Walk away with real-world case studies, actionable tips, and expert training techniques to strengthen your A&G approach. 

Join mid- to senior-level professionals from Medicare, Medicaid, and commercial health plans at the number one conference for compliance specialists looking to enhance appeals and grievance management while ensuring compliance with CMS regulations. Gain insights on a diverse range of topics, including process improvement and proactive grievance management through the introduction of innovative tools, preparing for audits, and adopting a member-centric approach.

You don't want to miss the opportunity to hear from the nation’s foremost experts, learn how to leverage new technologies, enhance member experience, and tackle changes to CMS regulation.

Create the Ultimate Engagement Strategy

The Member Engagement and Experience Symposium is a one-of-a-kind master class for health plans seeking to optimize their member outreach and achieve the highest possible levels of member satisfaction. This conference connects quality, risk adjustment, customer service, sales, marketing, population health, and other health plan professionals with touchpoints in the member journey cycle.

With a wave of CMS regulatory changes impacting member experience and engagement, it's critical to stay compliant and up-to-date. The increased focus on health equity also makes it essential to build member trust and make every outreach count, especially with hard-to-reach populations. For these reasons and more, you can’t afford to miss this event for cutting-edge strategies, the latest technologies, regulatory updates, and more. Stay ahead and ensure your organization’s success—and your member’s satisfaction—in this rapidly changing environment.

RISE West is the premier senior leadership conference bringing together forward-thinkers in the managed care space. From risk adjustment and quality performance to documentation and HCC coding practices, experience firsthand the opportunity to meet industry peers, hear from experts, and exchange ideas in an open and collaborative environment. 

Navigating Impactful Changes for Stars and Quality Professionals

The RISE Star Ratings Master Class offers a deep dive into how to improve your plan's Star ratings with content specifically curated for all professionals from Medicare Advantage health plans that touch quality measures.
Hear industry experts share their insights on how to effectively implement upcoming Stars and quality changes to maintain or raise your current Star Rating and take away a better understanding of why communication within your internal team and providers is the key to success.

Transform Regulatory Changes into Opportunities

The health care industry is navigating significant challenges as legal actions, regulatory shifts, and financial pressures reshape the Star Ratings program. With an intensified focus on the Health Equity Index, member experience, and new quality measures, plans are under immense pressure to adapt quickly or face financial consequences. The RISE Star Ratings Master Class will provide clarity and actionable insights, ensuring you’re equipped to navigate these changes and drive your plan’s success.

Expect an unmatched conference experience, a focus on key trends, ample networking opportunities, and knowledge sharing from top-rated plans and leading innovators. Leave with actionable strategies to boost your Star Ratings in 2025 and beyond.