View Agenda
Explore the schedule of sessions from The RISE Value-Based Care Summit 2026.
Register to Attend
Sunday - June 28, 2026
11:00 AM
11:00 AM – 4:30 PM
Information Desk Open
12:00 PM
12:00 PM – 5:00 PM
Value-Based Care in Action: From Contract Design to Operational Execution
This immersive, interactive workshop bridges the gap between how value-based care contracts are structured and how they actually perform in the real world.
Participants will gain a 360-degree view of value-based care, connecting contract intent to operational reality across Medicare Advantage, ACOs, and risk-bearing provider organizations.
Contract Foundations - What You’re Really Signing Up For
- Core principles of VBC contracts vs. fee-for-service
- Key models: shared savings, downside risk, capitation, bundles
- Financial levers: risk adjustment, quality incentives, utilization controls
- Regulatory guardrails: CMS requirements, Stark, Anti-Kickback
Translating Contracts into Operations
- How contract terms drive:
Risk adjustment strategies (prospective, concurrent, retrospective)
Quality programs (Stars, HEDIS, member engagement)
Total cost of care initiatives (site of service, network strategy, utilization management)
Prioritization: what matters most this year vs. what can wait
Operational Excellence in Practice
- Building and managing programs:
Coding teams, home assessments, outreach campaigns
Provider engagement using adult learning principles
Oversight models for both plans and provider groups
Interdepartmental alignment: who owns what and how often to communicate
Data, Analytics & Performance Management
- Turning data into action:
Performance dashboards and executive reporting
MAO-004, encounter data, and reconciliation insights
Monitoring financial performance throughout the year
Identifying early warning signs and course-correcting
Collaboration & Ecosystem Strategy
- Payer-provider alignment strategies that actually work
Evaluating vendors and community partnerships
Change management in complex environments
Risk Mitigation & Real-World Challenges
- Common breakdowns in VBC execution and how to fix them
- Aligning contract expectations with operational capacity
- Preparing for audits, RADV, and increasing regulatory scrutiny
Speaker
Shannon Decker
CEO at VBC One
Speaker
Deb Curry
Manager, Risk Adjustment Coding Quality & Operations at Medical Mutual
Speaker
Ekaette Joseph Isang
Principal Consultant at Ritebridge
5:00 PM
5:00 PM – 6:00 PM
Networking Cocktail Reception
Join us for face-to-face networking with peers over drinks and hors d’oeuvres, included in your event registration.
Monday - June 29, 2026
8:00 AM
8:00 AM – 6:00 PM
Exhibit Hall Open
8:00 AM
8:00 AM – 9:00 AM
Information Desk Open and Networking Breakfast
9:00 AM
9:00 AM – 9:10 AM
Welcome Remarks
9:10 AM
9:10 AM – 10:10 AM
Keynote Address
10:10 AM
10:10 AM – 11:00 AM
Regulatory Shifts in Value-Based Care: Medicaid, Medicare, and What’s Next
- Summarize key Medicaid and Medicare regulatory changes impacting value-based care participation and performance
- Examine how more frequent Medicaid eligibility redeterminations affect member attribution, continuity of care, and contract stability
- Assess increased regulatory focus on fraud, waste, and abuse and how it influences compliance strategies within value-based models
Speaker
Juliette Price
Chief Solutions Officer at HSG Global
11:00 AM
11:00 AM – 11:20 AM
Networking Break
11:20 AM
11:20 AM – 12:10 PM
Who Owns the Patient? Fixing Attribution and Membership in Value-Based Care
- Define the role of attribution and membership accuracy in driving success within value-based and risk-based care models
- Examine proposed policy changes for 2027, including unlinked encounters, and their potential impact on attribution methodologies
- Evaluate approaches to correctly identify and manage high-priority populations, including SNP and dual-eligible (Medi-Medi) members
Speaker
Deb Curry
Manager, Risk Adjustment Coding Quality & Operations at Medical Mutual
Speaker
Ekaette Joseph Isang
Principal Consultant at Ritebridge
12:10 PM
12:10 PM – 1:15 PM
Networking Lunch
1:15 PM
1:15 PM – 1:30 PM
Track 1
Tools & Technology Spotlights Presented by Optum
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.
Speaker
Adam Bryan
Vice President - Product & Innovation at Optum
1:15 PM – 1:30 PM
Track 2
Tools & Technology Spotlights Presented by Stellar 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.
1:30 PM
1:30 PM – 2:15 PM
Track 1
What Moves the Needle on Stars, HEDIS, and Cost in Risk Contracts—and What Doesn’t
- Revisit the role of attribution in value-based arrangements and its impact on quality measurement and performance
- Analyze persistent challenges related to misalignment, non-utilizers, and attribution volatility across Medicare and Medicaid models
- Identify strategies to close quality gaps across attributed populations, including outreach, engagement, and care coordination approaches
Speaker
Juliette Price
Chief Solutions Officer at HSG Global
Speaker
Mrugank Dhone
Director, Value Based Care Analytics at Texas Health Resources
1:30 PM – 2:15 PM
Track 2
Operationalizing Value-Based Care: Aligning People, Process, and Technology for Sustainable Performance
- Identify key roles, team structures, and leadership alignment needed to support VBC execution across organizations
- Examine operational workflows that enable effective care coordination, performance tracking, and contract management
- Evaluate the technology and data infrastructure necessary to support real-time decision-making and performance improvement
Moderator
Carey Ketelsen
President at Virtix Health
Speaker
Ashley Rae Medina
VP of Integrations & Value Based Care Partnerships at United Vein & Vascular Centers
Speaker
Ava Johnson
Associate Director, Ambulatory CDQI at Mount Sinai Hospital, NYC
Speaker
Sameer Kalarn
Consultant at HSG Global
2:15 PM
2:15 PM – 2:20 PM
Session Transition
2:20 PM
2:20 PM – 3:05 PM
Track 1
From Static Risk to Real-Time Strategy: How Actuarial AI Is Powering Value-Based Care
- Define Actuarial AI and differentiate it from traditional predictive analytics and population health tools
- Examine how real-time performance tracking and forecasting improve financial and clinical decision-making in value-based contracts
- Identify key data, infrastructure, and governance requirements needed to operationalize risk at scale
2:20 PM – 3:05 PM
Track 2
Closing the Rural Care Gap: How FQHCs Are Leading the Next Wave of Health Care Transformation
- Summarize recent federal and state-level investments driving rural health transformation and their implications for value-based care
- Examine how Medicaid policy changes are expanding the role of FQHCs in risk-based and value-based arrangements
- Identify funding strategies, including population-based payments and state innovation models, that support care transformation in rural settings
Speaker
Sameer Kalarn
Consultant at HSG Global
Speaker
Reyann Davis
Director, Value-Based Care at A&M Rural and Community Health Institute | Texas A&M Health
3:05 PM
3:05 PM – 3:25 PM
Networking Break
3:25 PM
3:25 PM – 4:10 PM
Track 1
The New Reality of Value-Based & Risk-Based Contracting
-
Define the key shifts shaping the current value-based and risk-based contracting environment, including increased downside risk and margin pressure
-
Compare how payer and provider priorities differ when structuring and managing risk-based agreements
-
Identify operational, financial, and data capabilities required to manage risk effectively and avoid performance shortfalls
Speaker
Bhavna Dillon
VP, ACO Growth and ACO VBC Contracting at Optum
3:25 PM – 4:10 PM
Track 2
Moving Health Care from Reactive to Proactive to Achieve Better Outcomes at Lower Costs
- Differentiate reactive, proactive, and preventive care models and assess how each approach impacts clinical outcomes, and total cost of care
- Identify key drivers of reactive care patterns within value-based arrangements and evaluate opportunities to shift toward earlier intervention and risk stratification
- Implement data-driven strategies, including predictive analytics and care management workflows, to proactively identify and manage high-risk populations
Moderator
Jeannie Hennum
General Manager of Value Based Care at Verisma
Speaker
Donna Malone
Director Risk Capture – Population Health at Mass General Brigham
4:10 PM
4:10 PM – 4:15 PM
Session Transition
4:15 PM
4:15 PM – 4:55 PM
Decoding CMMI’s New Models: Strategic Implications for Value-Based Care Leaders
- Summarize the key components of CMMI’s newly released models and their intended policy goals
- Analyze how outcome-based payment structures, particularly in digital health and therapeutic interventions, shift financial risk and incentives
- Examine the Access Model and its implications for integrating digital health solutions into the Medicare population
Speaker
Reyann Davis
Director, Value-Based Care at A&M Rural and Community Health Institute | Texas A&M Health
Speaker
Susan Waterman
Director, Risk Adjustment at Baylor Scott & White
4:55 PM
4:55 PM – 5:00 PM
Closing Remarks
5:00 PM
5:00 PM – 6:00 PM
Networking Cocktail Reception
Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.
Tuesday - June 30, 2026
8:00 AM
8:00 AM – 11:00 AM
Information Desk & Exhibit Hall Open
8:00 AM
8:00 AM – 9:00 AM
Networking Breakfast
9:00 AM
9:00 AM – 9:10 AM
Welcome Remarks and Day One Takeaways
9:10 AM
9:10 AM – 9:55 AM
Protecting the Bottom Line: Payment Integrity and FWA in Value-Based Care
- Examine how compliance expectations are evolving in value-based and risk-based arrangements
- Identify strategies to align payment integrity and FWA programs to protect revenue while maintaining regulatory compliance
- Evaluate common risk areas, including documentation, coding practices, and vendor oversight
Speaker
Colleen Gianatasio
Value Based Care expert
9:55 AM
9:55 AM – 10:40 AM
Engaging Specialty Providers in Value-Based Care: Bundled Payments and Beyond
- Examine the role of specialty providers in advancing value-based care and managing total cost of care
- Identify opportunities to implement bundled payment models across key specialties, including orthopedics, cardiology, oncology, and post-acute care
- Evaluate strategies to engage specialty providers and align incentives across episodic and longitudinal care models
Speaker
Donna Malone
Director Risk Capture – Population Health at Mass General Brigham
10:40 AM
10:40 AM – 11:00 AM
Networking Break
11:00 AM
11:00 AM – 11:45 AM
From Activity to Impact: A Scientific Approach to Tracing Causal Pathways and Attributing Financial Outcomes in Value-Based Care
- Analyze how CMS reimbursement models such as ACO REACH, ACCESS, and LEAD shift incentives toward demonstrated clinical outcomes and evaluate what this evolution means for performance measurement and reporting
- Design organizational KPIs that align frontline activities with enterprise goals and help every level of the organization connect operational work to clinical and financial outcomes
- Demonstrate the business case for value-based care initiatives by establishing clear causal links between care activities, measurable outcome improvements, and cost savings under risk-based arrangements
Speaker
Andrew Tinsley
Founder & Principal at Tinsley & Partners
11:45 AM
11:45 AM – 12:35 PM
Industry Leader Conclusion Panel: Aligning Strategy, Execution, and Innovation
- Synthesize key regulatory, operational, and strategic themes shaping value-based care across Medicaid and Medicare
- Evaluate how organizations are adapting to increased risk, evolving contracting models, and shifting payer-provider dynamics
- Assess strategies to improve quality performance, integrate SDOH, and manage attribution in a dynamic environment
Speaker
Ava Johnson
Associate Director, Ambulatory CDQI at Mount Sinai Hospital, NYC
12:35 PM
12:35 PM – 12:45 PM
Closing Remarks
12:45 PM
12:45 PM – 1:15 PM
Networking Grab and Go Lunch
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