Wednesday - September 02, 2026

10:30 AM

10:30 AM – 11:00 AM

Badge Pick-Up & Check-In for Women’s Leadership Brunch

11:00 AM

11:00 AM – 12:45 PM

Women’s Leadership Brunch - Breaking into the Boardroom: Insights on How to Chart Your Own Path to Influence and Governance

Behind every board seat is a story of persistence, leadership, and strategic growth. Through personal stories and lessons learned, panelists discuss the challenges they faced, the opportunities they seized, and the networks that helped them rise. Designed for emerging and established leaders alike, this session offers actionable advice for those looking to expand their impact at the highest levels of healthcare leadership.

-        11:00AM – 11:30AM Brunch and Networking

-        11:30AM – 12:20PM Panel Discussion

-        12:20PM – 12:45PM Audience Q&A and takeaways 

12:00 PM

12:00 PM – 12:30 PM

Badge Pick-Up & Check-In for Afternoon Workshops

1:00 PM

1:00 PM – 4:00 PM

Workshop A: Speaking with Authority – Focus on Executive Presence and Influence

Manager-level leaders in financial and operational roles are expected to influence decisions, particularly in interactions with senior executives. While business acumen and data-backed insights are essential, they are only part of the equation. 

Open to a limited number of participants, this highly interactive workshop on the critical “soft skills” that elevate your impact, both within the organization and as a rising healthcare leader.  

-        Build executive presence and strengthen influence through clear, confident communication

-        Practice real-world scenarios such as delivering recommendations, navigating pushback, and speaking in high-stakes meetings

-        Navigate speaking in high-stakes meetings with clarity and confidence 

-        Receive immediate and actional feedback from a renowned public speaking and confidence coach in a safe setting 

A mid-afternoon break with snacks and refreshments will be provided. Please plan to enjoy lunch prior to the workshops, as it will not be included during the sessions.

1:00 PM – 4:00 PM

Workshop B: RADV Readiness Lab: Build, Test, and Defend Your Audit Strategy (*Health Plans Only*)

RADV is hitting balance sheets. Are you ready?

This closed-door, health plan–only workshop is designed as a hands-on, pressure-tested experience where you’ll work through real audit scenarios, expose vulnerabilities in your current approach, and learn how leading plans are actually responding behind the scenes.

Part tactical, part didactic, the session blends expert guidance with interactive exercises and confidential peer exchange so you’re not just hearing what should happen, but what’s actually happening across the market.

From documentation gaps to appeals strategy, you’ll leave with a clearer view of your risk and what to do about it.

-        Hear unfiltered insights from peer health plans in a confidential, closed-door setting

-        Surface hidden risks in documentation, coding, and vendor oversight before auditors do

-        Gain alignment strategies to bring risk adjustment, compliance, and finance onto the same page

-        Walk away with practical tactics to tighten processes, reduce exposure, and defend revenue

 

A mid-afternoon break with snacks and refreshments will be provided. Please plan to enjoy lunch prior to the workshops, as it will not be included during the sessions.

1:00 PM – 4:00 PM

Workshop C: Herding Cats: Practical Project Management for Healthcare Leaders

Let's be real: project management isn’t just for PMOs. It’s a survival skill for healthcare leaders juggling complex, cross-functional chaos. And yet? Most leaders are thrown into the deep end with little to no formal training.

This fast-paced, interactive workshop breaks down Project Management 101 into practical, no-jargon steps. Using group exercises, real talk, hands-on activities, and maybe a few laughs along the way, you'll learn how to wrangle stakeholders, bring order to the chaos, and actually get projects across the finish line! All the way from intake to execution to operational hand off! 

Made for the real world (aka complex healthcare systems), this session gives you simple, actionable tools to adapt on the fly, stay on track, and deliver outcomes.  

Attendee Takeaways:

-        Understand the role of a project manager, the day-to-day duties and team structure within a large healthcare organization 

-        Learn about practical tools to manage timelines, stakeholders, and shifting priorities

-        The TLDR on project management tools and vendors 

-        Real tips for navigating messy situations with clarity and confidence

-        Templates and tools you can actually use, whether you're at a startup or a giant health system

A mid-afternoon break with snacks and refreshments will be provided. Please plan to enjoy lunch prior to the workshops, as it will not be included during the sessions.

2:30 PM

2:30 PM – 2:50 PM

Networking and Refreshment Break

4:10 PM

4:10 PM – 4:15 PM

Opening Remarks

4:15 PM

4:15 PM – 5:15 PM

Keynote Address

Opening General Session

To be announced. 

5:15 PM

5:15 PM – 6:30 PM

The Coastal Kickoff: Opening Cocktail Reception

Seas the night and kick off RISE West in true coastal style. Join us for a laid-back, high-vibe opening reception designed to spark conversation, connection, and a little bit of fun.

Resort casual attire encouraged.

5:30 PM

5:30 PM – 6:00 PM

RISE Rookie Roundup

New to RISE West? Start your experience with a warm welcome. Join fellow first-time attendees and RISE veterans for a casual meet-up designed to spark connections, answer questions, and help you make the most of your time onsite. 

Thursday - September 03, 2026

8:00 AM

8:00 AM – 9:00 AM

Food Packing Event with U.S. Hunger

8:00 AM

8:00 AM – 9:00 AM

Networking Breakfast

9:00 AM

9:00 AM – 9:10 AM

Opening Remarks

9:10 AM

9:10 AM – 10:00 AM

Panel: 2026-27 Policy Shifts and Their Bottom-Line Impact

Medicare Advantage is entering a more constrained and compliance-driven era. For 2026–2027, policy changes from CMS spanning prior authorization, risk adjustment, reimbursement, and Star Ratings will have direct, compounding effects on operations and health plan revenue.

Join a panel of policy experts as they distill what matters most and connects policy shifts to real-world impact, helping health plans understand where pressure will show up and how to respond.

10:00 AM

10:00 AM – 10:45 AM

Keynote Address

(Pending Final Confirmation) Keynote: Understanding OIG’s Current Oversight of Managed Care Priorities  

Join RISE for a special presentation with OIG leaders to understand current oversight priorities in risk adjustment, quality performance, and managed care operations. 

10:45 AM

10:45 AM – 11:15 AM

Networking Break

11:00 AM

11:00 AM – 11:45 AM

Track A: Performance & Revenue

Session Presented by Sponsor

11:00 AM – 11:45 AM

Track B: Operations, Compliance & Infrastructure

Reading Between the Lines – MA Policy Open Q&A

Continue the conversation with select panel experts from the main session in this informal breakout designed for deeper discussion and candid exchange. This open Q&A gives attendees the chance to dig further into the most impactful CMS policy changes shaping Medicare Advantage for 2026–2027.

12:05 PM

12:05 PM – 1:05 PM

Interactive Roundtables

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.   

1:05 PM

1:05 PM – 1:45 PM

Networking Lunch

1:45 PM

1:45 PM – 2:00 PM

Track A: Performance & Revenue

Session Presented by Sponsor – Tools & Tech Spotlight

1:45 PM – 2:00 PM

Track B: Operations, Compliance & Infrastructure

Session Presented by Sponsor – Tools & Tech Spotlight

2:05 PM

2:05 PM – 2:50 PM

Track A: Performance & Revenue

Panel - 6 Months into V28: What Broke, What Worked, and What’s Next

-        Assess the real-world impact of V28 on RAF, coding, and early Stars performance—and where results are diverging from expectations 

-        Identify what’s working vs. underperforming across conditions, specialties, and engagement strategies 

-        Adjust your strategy with peer-tested tactics to stabilize performance and improve outcomes in the second half of the year

2:05 PM – 2:50 PM

Track B: Operations, Compliance & Infrastructure

(Pending Final Confirmation) Medicare Advantage Prior Authorization – OIG Findings

Representatives from the Office of Inspector General (OIG) will present findings from their latest body of work examining prior authorization practices in Medicare Advantage. This session will provide an inside look at how plans are applying prior authorization, where inappropriate denials or delays persist, and how oversight is evolving.

Representatives from the Office of Inspector General (OIG) will present findings from their latest body of work examining prior authorization practices in Medicare Advantage. This session will provide an inside look at how plans are applying prior authorization, where inappropriate denials or delays persist, and how oversight is evolving.

2:55 PM

2:55 PM – 3:40 PM

Track A: Performance & Revenue

Session Presented by Sponsor

2:55 PM – 3:40 PM

Track B: Operations, Compliance & Infrastructure

Session Presented by Sponsor

3:40 PM

3:40 PM – 4:15 PM

Extended Networking Break & Expert Office Hours

4:15 PM

4:15 PM – 5:15 PM

Track A: Performance & Revenue

(Extended Insight Session) RA Litigation Today: What Lawyers Say About Risk, Enforcement, and Exposure 

-        Hear from leading attorneys on where MA fraud litigation is headed, including evolving risks in risk adjustment and potential expansion into Star Ratings enforcement 

-        Get up to speed on recent FCA cases, DOJ priorities, and OIG audit trends—highlighting which fact patterns courts and regulators view as credible violations 

-        Understand emerging themes in FCA litigation and audits, including what is (and isn’t) gaining traction at the pleading stage 

Engage in Q&A with legal experts on real-world compliance challenges and risk mitigation strategies

4:15 PM – 5:15 PM

Track B: Operations, Compliance & Infrastructure

(Extended Insights Session) Making AI Real: Governance, Ownership, and Operational Scale

-        Explore how leading organizations are implementing AI governance in practice, including ownership models, decision rights, and embedded oversight across business units

-        Examine how health plans are integrating AI into day-to-day operations while managing risk, compliance, and performance measurement at scale

-        Define what “operational AI” looks like beyond pilots, including how use cases are prioritized, funded, and transitioned into production workflows

-        Discuss governance structures in practice (centralized vs. federated models, AI steering committees, and model risk management functions) and what works in real-world health plan environments

5:15 PM

5:15 PM – 6:15 PM

Networking Cocktail Reception

Join us for drinks, hors d’oeuvres, and face-to-face networking with peers in the Exhibit Hall. 

Friday - September 04, 2026

8:00 AM

8:00 AM – 9:00 AM

Networking Breakfast

9:00 AM

9:00 AM – 9:05 AM

Opening Remarks

9:05 AM

9:05 AM – 9:55 AM

Leadership Panel: Winning in a Flat Revenue Environment

As Medicare Advantage enters a period of margin compression and heightened regulatory scrutiny, plan leaders are being forced to make sharper, faster decisions about where to invest and where to pull back. 

Health plan leaders share how they are navigating a flat (or declining) revenue environment while maintaining performance, compliance, and member trust, with insights into:

-        How plan leaders are responding to margin pressure and evolving CMS expectations in real time 

-        Strategies for benefit redesign that balance cost containment, member experience, and regulatory constraints 

-        Making critical investment tradeoffs across risk adjustment, Stars, care management, and technology 

-        Approaches to supporting and retaining members amid benefit changes and increased disruption  

9:55 AM

9:55 AM – 10:40 AM

RISE EXCLUSIVE! Winning with AI in Medicare Advantage - Benchmarking Results & Leader Insights

Artificial intelligence is rapidly gaining traction across Medicare Advantage, but adoption, maturity, and measurable impact vary widely across organizations. Where are plans and providers seeing results and where is the gap between ambition and execution?

This general session brings together benchmarking insights and real-world perspectives to answer those questions. The session will begin with a data-driven overview of AI adoption across the industry, based on a pre-conference benchmarking survey of health plans and provider organizations.

A panel of industry leaders will then react to the findings, sharing candid perspectives on how AI is being applied in practice and discuss where organizations see real value, where challenges persist, and what it takes to move from experimentation to meaningful impact.

10:40 AM

10:40 AM – 11:00 AM

Networking Break

11:00 AM

11:00 AM – 12:00 PM

Track A: Performance & Revenue

(Extended Insights Session) Member Engagement That Actually Moves Measures

-        Measure how member engagement strategies are actually impacting CAHPS and HEDIS performance, separating signal from correlation in real-world outcomes

-        Evaluate which engagement channels are driving meaningful behavior change versus those creating noise, redundancy, or member fatigue

-        Balance personalization efforts against diminishing returns to understand where tailored outreach improves results

11:00 AM – 12:00 PM

Track B: Operations, Compliance & Infrastructure

(Extended Insights Session) Turning Data into Trust: A Deep Dive Case Study on Provider Engagement from BC Idaho

-        Learn how BC Idaho structures, staffs, and scales its Provider Engagement team to support data-driven performance 

-        Translate coding, audit, and performance data into actionable insights that resonate with providers across experience levels

-        Gain insights into how this team applied proven provider engagement strategies that built trust, drove measurable improvement, and sustained results through targeted interventions and feedback loops

12:05 PM

12:05 PM – 12:55 PM

Closing Session: Open Mic Forum - Executing Under Pressure When There’s No Playbook

Bring your experiences and questions! This closing session will be a moderated, candid exchange with peers sharing real-time strategies what it actually takes to execute when priorities compete and resources are constrained. 

12:55 PM

12:55 PM – 1:00 PM

Closing Remarks and End of Conference

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