Rise

Track A - Contracts and Coding

Mastering Value-Based Care Contract Frameworks & Negotiations

• Compare different contract structures such as shared savings, shared risk, bundled payments, and capitation 
• Develop negotiation strategies that balance payer-provider interests while ensuring sustainable, high-quality care delivery 
• Examine how cybersecurity and data privacy requirements are increasingly being pushed downstream in VBC contracts and how to protect against excessive liability 

Tim Smith, Chief Actuary 
Arbital Health 

Track B - Next-Gen VBC

AI’s Expanding Role in Value-Based Care

• Analyze how AI enhances population health strategies by identifying high-risk patients and personalizing interventions 
• Explore platform-driven interventions that use AI to improve care coordination, reduce hospitalizations, and manage chronic conditions 
• Evaluate the role of AI vendors in VBC, including best practices for payer-provider-vendor collaborations 
  

Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Industry Expert 

Track A - Contracts and Coding

Tools & Technology Spotlights Presented by On Belay Health Solutions

Scott Early, MD, Co-Founder & President 
On Belay Health Solutions 

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization

Track B - Next-Gen VBC

Tools & Technology Spotlights

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

Track A: Contracts and Coding

End to End Review of Monitoring Attribution for Value Based Arrangements

• Examine patient/member assignment across Medicaid Managed Care and Medicare FFS VBC arrangements 
• Develop operational processes to address alignment issues with engaged populations and non-utilizers 
• Leverage tools to better manage ongoing attribution management 

Sameer Kalarn, Associate Consultant  
Helgerson Solutions Group 

Juliette Price, Chief Solutions Officer  
Helgerson Solutions Group 

Track B: Next-Gen VBC

The Future of Specialty Value-Based Care: Growth, Challenges, and Market Realities

• Examine the impact of Medicare Advantage rule changes, Medicaid rate pressures, and M&A activity on specialty care models 
• Discuss how specialty-focused VBC arrangements (oncology, nephrology, cardiology, etc.) are evolving under shifting reimbursement landscapes 
• Identify risks and opportunities for PE- and VC-backed provider groups navigating financial challenges in risk-based contracts. 

Track A: Contracts and Coding

The Art and Science of Risk Adjustment Coding – Balancing Accuracy and Productivity

• Analyze how recent CMS and HHS updates, including V28, impact coding practices and Risk Adjustment Factor (RAF) score calculations 
• Learn proven methodologies to enhance documentation integrity and avoid common pitfalls in coding 
• Walk through real life coding scenarios and RAF score impacts to reinforce best practices 

Corella Lumpkins, Manager of Coding, Compliance and Provider Education 
Loudoun Medical Group P.C. 

Track B: Next-Gen VBC

Expanding Value-Based Care in Federally Qualified Health Centers (FQHCs) and Rural Communities

• Identify opportunities and barriers for FQHC participation in Value-Based Care (VBC) arrangements 
• Utilize population-based funds to enable different models of care within Rural Communities & FQHCs 
• Develop structures that facilitate VBC goals across FQHCs, rural communities, and service partners 

Reyann Davis, MPH, Director, Value-Based Care 
A&M Rural and Community Health Institute | Texas A&M Health 

Sameer Kalarn, Associate Consultant  
Helgerson Solutions Group 

Juliette Price, Chief Solutions Officer  
Helgerson Solutions Group 

Track A

Strengthening Provider Partnerships for Real Impact

• Leverage payer-provider collaboration strategies to improve clinical outcomes by identifying care gaps and optimizing performance 
• Utilize data sharing, best practice implementation, and clinical engagement programs to drive higher Star Ratings and quality improvements 
• Apply real-world best practices to strengthen value-based partnerships and ensure the delivery of high-quality, coordinated care 

Moderator 
Elizabeth Chidothe, FNP, Value Based Program Manager 
Medica 

Hailee Buehler, RN, MBA, Value Based Program Manager 
Medica 

Track B

Enhancing Cross-Team Collaboration and Effectiveness through a Value-Based Care Capabilities Assessment

• Enhance cross-team collaboration by using assessment insights to align priorities and foster interdisciplinary teamwork 
• Optimize resource allocation by leveraging capability assessments to ensure initiatives are well-supported and data-driven 
• Utilize structured capability assessments to support value-based care transformation efforts and drive operational efficiency 

Alex Koster, AVP of Value Transformation
Nemours Children’s Health 

Sharan Singhota, Clinical Transformation and Strategy Development 
Nemours Children’s Health 

Track A

Tools & Technology Spotlights

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.

Track B

Tools & Technology Spotlight

Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.