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.
Episodes
23 episodes
Episode 23: Staying ahead of interoperability to drive lasting impact
Join us for 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 ex...
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23:51
Episode 22: Wolters Kluwer’s Melissa James offers strategies to survive a RADV audit in 2024 and beyond
During this 20-minute podcast, Melissa James, senior consultant at Wolters Kluwer, Health Language, provides insight into RADV audits for coders, auditors, coding managers, senior leaders, chief financial officers, and chief executive officers....
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20:42
Episode 21: Centauri Health Solutions’ Dawn Carter offers insights into the transition of risk adjustment model V24 to V28
Dawn Carter, director of product strategy at Centauri Health Solutions, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact policies, regulations, and challenges faced by health care profes...
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Episode 21
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23:09
Episode 20: Navigating the 2025 Medicare Advantage Final Rule: Expert Analysis and Strategic Insights
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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Episode 20
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1:10:48
Episode 19: Healthfirst’s Errol Pierre on the end of continuous enrollment, restart of Medicaid redeterminations, and lessons learned
Errol Pierre, senior vice president of state programs at Healthfirst, the largest nonprofit health plan in New York, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact policies, regulations, and...
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22:10
Episode 18: IQVIA’s Dr. Calum Yacoubian on empowering payers in risk, quality, and health equity with clinical NLP
Calum Yacoubian, M.D., director of NLP health care strategy at IQVIA, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact policies, regulations, and challenges faced by health care professionals ...
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21:16
Episode 17: Cotiviti’s Katie Devlin on navigating the health care interoperability landscape
Katie Devlin, DHSc, MS, CPHIMS, vice president, interoperability, Cotiviti, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact policies, regulations, and challenges faced by health care professi...
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21:14
Episode 16: Ciox Health’s Lyle Mioduszewski on SDoH, Z codes, and use of member data to close gaps, reduce costs, and optimize utilization
Lyle Mioduszewski, vice president of population health and payer growth for Ciox Health, is our guest for the latest episode of RISE Radio.In this 26-minute podcast, Mioduszewski discusses social determinants of health (SDoH), data colle...
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26:58
Episode 15: Veradigm’s Lesley Weir and Kate Wormington on risk adjustment and quality changes in the 2024 MA and Part D Rate Announcement and 2024 MA Final Rule
Lesley Weir, senior director, customer and product success at Veradigm, and Kate Wormington director, product management, analytics at Veradigm Payer Analytics, join us for the latest episode of RISE Radio, our podcast series that focuses on is...
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31:12
Episode 14: Apixio’s Breanna Krebs on how to prepare for the 2023 Medicare Advantage sweep season
Breanna Krebs, the director of customer success at Apixio, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact our three communities: Quality & Revenue; Medicare Member Acquisition & Expe...
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11:21
Episode 13: Dr. Jasmine Zapata on the importance of self-care, empowerment, and pursuing your passion
Dr. Jasmine Zapata joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact our three communities: Quality & Revenue; Medicare Member Acquisition & Experience; and Social Determinants of Healt...
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20:42
EPISODE 12: RISE West 2022 panelists on the most pressing policy issues facing health plans this year
Five panelists who will speak about health policy at the upcoming RISE West 2022 conference join us for the lat...
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36:34
Episode 11: RISE National 2022 Keynote Ryan Avery on how to take your leadership to the next level
Ryan Avery, a world record holder, two-time best-selling author, Emmy award winning journalist, and world champion, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact our three communities: Qual...
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Season 1
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Episode 11
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18:14
Episode 10: Liz Haynes & Melissa Smith on 2022 Medicare Star ratings and what plans must do to maintain those scores
Liz Haynes, director of risk adjustment and stars for government programs at Blue Cross and Blue Shield of Kansas City, and Melissa Smith, executive vice president of consulting and professional services at HealthMine, join us for the la...
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27:43
Episode 9: Dr. Angela Huskey on emerging drug threats, the rise in substance use among the elderly
Angela G. Huskey, PharmD, CPE, senior vice president and chief clinical officer at Millennium Health, joins us for the latest episode of RISE Radio, our podcast series that focuses on issues that impact our three communities: Quality & Reve...
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Season 1
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Episode 9
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21:54
Episode 8: Dr. Abdullah Albeyatti on the acceleration of telemedicine during COVID
During this 15-minute podcast, Dr. Abdullah Albeyatti, a family physician in the UK and an advocate for digitalization in health care, talks about practicing medicine during the pandemic, audio-only visits, the challenges and opportunities of t...
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Season 1
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Episode 8
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15:39
Episode 7: Colleen Gianatasio & Dean Ratzlaff on managing a remote workforce
Our latest episode of our new podcast series, RISE Radio, explores the positive aspects of working from home as well as the challenges of managing a remote workforce.During this 18-minute podcast, Colleen Gianatasio, director, ambulatory...
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18:57
Episode 6: Kristy Smith and Joshua Edwards on how to maintain a 5-Star plan rating
During this 30-minute podcast, Kristy Smith, HEDIS program manager, and Joshua Edwards, Stars program manager, explain how they’ve been continuing to build a culture of quality and service excellence at Martin’s Point that has helped them achie...
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Season 1
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Episode 6
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30:36
Episode 5: Dr. Heather O’Toole on population health, quality efforts, and so much more
During this 36-minute podcast, we talk to Heather O’Toole, M.D., chief medical officer at Innovation Care Partners, a clinically integrated network and an accountable care organization in Arizona.Dr. O'Toole, this year’s recipient of RI...
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Season 1
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Episode 5
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36:34
Episode 4: Ana Handshuh on takeaways from RISE National 2021
Our guest is Ana Handshuh, principal of CAT5 Strategies and the chair of the RISE Association's Quality and Revenue Community. Handshuh, who served as the chair of this year's RISE National, shares her key takeaways from the virtual...
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Season 1
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Episode 4
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30:07
Episode 3: RISE Managing Director Ellen Wofford on how RISE evolved during COVID
In this podcast, we talk to RISE Managing Director Ellen Wofford about the evolution of RISE during COVID, converting live events to virtual ones, and upcoming plans to host hybrid events that offer both a live-stream option and in-person learn...
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Season 1
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Episode 3
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22:16
Episode 2: Regulatory issues that commercial ACA plans need to watch in 2021
In this podcast, we explore some of the regulatory issues that commercial ACA plans needs to watch in 2021. Our guests are Gabriel McGlamery of Florida Blue's marketplace business and Josh Weisbrod of Network Health in Wisconsin, both members o...
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Season 1
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Episode 2
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16:08
Episode 1: RISE Risk Adjustment Policy Committee on issues to watch in 2021
RISE Editorial Director Ilene MacDonald talks to members of the RISE Risk Adjustment Policy Committee about the Biden administration's health care priorities, mechanisms the administration can use to achieve these priorities given a split Senat...
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Season 1
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Episode 1
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38:08