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 • 31 episodes
RISE Radio
Latest Episodes
Episode 31: The 5 skills every health leader needs to succeed in value-based care
Dawn Carter, senior director of health policy and regulatory affairs at Centauri Health Solutions, joins RISE Radio for a lively discussion on the five skills health care leaders need to succeed in value-based care, starting with how to t...
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1:00:02
Episode 30: Navigating the shift to prospective risk adjustment with hybrid AI
In this 20-minute episode of RISE Radio, Editorial Director Ilene MacDonald sits down with Dr. Matt Lambert, the former chief medical officer at Reveleer, to unpack the rapidly evolving landscape of Medicare Advantage risk adjustment. Together,...
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20:11
Episode 29: Agile Engagement: A Cost-Effective Path to Better Member Behavior
Join RISE Radio Editorial Director Ilene MacDonald for this 15-minute episode that explores how agile engagement replaces slow, campaign-centric outreach with rapid testing, hyper-personalization, and real-time learning that lower cost of care ...
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15:51
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