Rise

Track A - Contracts and Coding

Mastering Value-Based Care Contract Frameworks & Negotiations

Salon D

• 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 

Syed M. Rizvi, MHA, Director, Risk Adjustment Operations 
Southwestern Health Resources 

Eric Tanner, Chief Executive Officer 
Arkos Health 

Track B - Next-Gen VBC

AI’s Expanding Role in Value-Based Care

Salon E

• 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 
  

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

Samrat Kulkarni, Data Scientist and AI Consultant 
Former Al @CVS Health 

Eric Simoni, AVP, Clinical Strategy 
EmblemHealth 

Zack Caplan, Vice President of Growth 
Stellar Health 

Track A - Contracts and Coding

Tools & Technology Spotlights Presented by On Belay Health Solutions

Salon D

MaryEllen King, Director of Care Management 
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 Presented by Caption Care

Salon E

Suneil Aggarwal, General Manager 
Caption Care 

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

Salon D

• 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 

Mrugank Dhone, Director, Value Based Care Analytics 
Texas Health Resources 

Track B: Next-Gen VBC

TEAMing Up: Using the Value-Based Enterprise with the new CMMI TEAM Program

Salon E

• Implement strategies to leverage a value-based enterprise to enhance compliance and succeed 
• Identify key regulatory risks that must be managed 
• Explore how to benefit from this program and mitigate downside risk 
• Understand the Model and what should you be doing now to get ready 

Ed White, Partner 
Nelson Mullins  

Luis A. Argueso, Partner 
InHealth Advisors 

Robert Ball, General Counsel and Chief Privacy Officer 
Enlace Health 

Syed M. Rizvi, MHA, Director, Risk Adjustment Operations 
Southwestern Health Resources 

Track A: Contracts and Coding

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

Salon: D

• 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. 

Aprilan Woolworth 
Innovation Care Partners 

Ryan McEntee, MBA, Senior Consultant 
Wakely  

Track B: Next-Gen VBC

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

Salon E

• 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 

Moderator  
Juliette Price, Chief Solutions Officer  
Helgerson Solutions Group 

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 

Thomas ‘Jomy’ Mathew MD, FACP, CHCQM, VP Provider Strategy for Government Programs 
UnitedHealthcare

Track A

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

Salon D 

• Examine the impact of 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. 

Tina Dueringer, CEO, Principal Advisor 
Dueringer Advisors, Inc 

Mike Tilton, Chief Growth Officer 
DecisionRx, Inc. 

Darren Wethers, MD, Chief Executive Officer 
Wethers Consulting, LLC 

Track B-

Behavioral Health Access: Innovative Partnerships to Meet Growing Demand

Salon E

• Learn how to integrate behavioral health access strategies into existing population health and VBC infrastructure 

• Discuss the policy, staffing, and reimbursement barriers that impact timely access to mental health services 

• Gain practical insights on metrics and outcomes tied to behavioral health access expansion 
  
  

Claudio Stefan, VP of Enterprise Growth and Operations 
Sondermind 

Steven Boos, MBA, MHA, Director, Program Operations- Value Based Care 
Piedmont 

Tools & Technology Spotlights Presented by iRhythm Technologies

Salon D 

Ken Boyle, DC, MBA, HEOR-C, Sr. Director, HEOR, US Markets 
iRhythm Technologies 

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.

Tools & Technology Spotlights Presented by Confido Health

Salon E

Ankur Bansal, Case Management Lead 
Confido Health  

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.