Agenda

Risk Adjustment & Mitigation Summit

5-7 February, 2025

Nashville

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Wednesday, 5 Feb, 2025

08:00

Registration

09:00am

Executive Panel: Key strategies for risk adjustment leadership in 2025

Risk Adjustment & Mitigation

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09:45am

Navigating Compliance Across the Payer-Provider System

Best practices for ensuring compliance within risk adjustment processes
Provider education and accurate reporting to drive better outcomes
Addressing compliance challenges within different organizational structures

Risk Adjustment & Mitigation

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10:30am

Networking Break

11:30am

Technological Advancements in Risk Adjustment

Leveraging EMR, NLP, and AI to optimize risk adjustment and mitigation

Risk Adjustment & Mitigation

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12:00pm

Case studies of successful implementation of AI-driven solutions and saving potentials

Addressing integration challenges between payers and providers

Risk Adjustment & Mitigation

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12:30pm

Lunch Break

02:15pm

Preparing for RADV Extrapolation Changes and Audit Impacts

Understanding RADV extrapolation changes and implications for audits going into 2025

Risk Adjustment & Mitigation

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02:45pm

Strategies for mitigating audit risk in light of forecasted changes

Lessons learned from recent audit cases

Risk Adjustment & Mitigation

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03:15pm

Networking Break

03:45pm

Reviewing Recent Guideline Updates from OIG and CMS

Key changes and updates from OIG and CMS for 2025

Risk Adjustment & Mitigation

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04:30pm

Addressing guideline changes and impact on compliance strategies and reporting

Preparing your team and operations for upcoming regulatory shifts

Risk Adjustment & Mitigation

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05:00pm

Closing Remarks for Day 1

Thursday, 6 Feb, 2025

8:00am

Registration, Coffee & Networking

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09:30am

Team Structure and Governance for Optimal Risk Adjustment

Defining roles and responsibilities for risk adjustment success
Governance models that enhance collaboration between payers and providers
Scaling risk adjustment teams for growth

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10:15am

Break

11:15am

Optimizing Data Sourcing for Risk Adjustment

Identifying key data sources for accurate risk adjustment

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11:45am

Best practices for data integration between payers and providers

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12:15pm

Lunch Break

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1:30pm

Technological Innovations in Risk Adjustment – Deep Dive

Exploring the latest advancements in NLP and AI for data capture
Future trends in technological solutions for risk adjustment
Panel discussion: How to future-proof your technology stack

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3:00pm

Closing Remarks and Next Steps

Summary of key takeaways
Future opportunities for collaboration and knowledge sharing

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