RISE Radio
Join the RISE team as we chat with industry leaders and explore ever-changing policies, regulations, and challenges faced by health care professionals responsible for quality and revenue, Medicare member acquisition and experience, and/or social determinants of health. Produced by RISE, the number one source for information on all things Medicare Advantage.
Podcasting since 2021 • 28 episodes
RISE Radio
Latest Episodes
Episode 28: Inside the 2027 MA and Part D Proposed Rule: Star ratings, equity, and what plans must do next
In this hour-long episode of RISE Radio, Editorial Director Ilene MacDonald sits down with industry experts to break down the changes in CMS’ 2027 Medicare Advantage and Part D proposed rule, why removing 12 measures and bringing back the rewar...
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57:36
Episode 27: Innovation roadmap: Cotiviti on a proactive approach to risk adjustment
As regulatory pressures intensify and the demand for measurable ROI grows, health care organizations are rethinking how they approach risk adjustment. The landscape is shifting—from retrospective reviews to real-time, proactive strategies power...
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38:20
Episode 26: What to know about the new era of RADV audits
Medicare Advantage plans are about to face unprecedented scrutiny as the Centers for Medicare & Medicaid Services (CMS) implements a dramatically expanded approach to RADV audits. Starting in 2025, every Medicare Advantage plan will be subj...
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17:10
Episode 25: The political shift: How Medicare Advantage plans can navigate coming changes
The Medicare Advantage (MA) landscape is shifting dramatically. With over half of all Medicare beneficiaries now enrolled in MA plans, the program faces unprecedented scrutiny from lawmakers, regulators, and beneficiaries themselves. During thi...
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39:40
Episode 24: Post-Election Insights for Medicare Advantage
Welcome to the latest episode of RISE Radio, our podcast series that focuses on issues that impact policies, regulations, and challenges faced by health care professionals responsible for quality and revenue, Medicare member acquisition and exp...
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55:05