5th Annual Risk Adjustment Innovations Forum is organized by Strategic Solutions Network (SSN) and will be held from Jan 21 - 22, 2027 at Hilton Orlando Lake Buena Vista - Disney Springs Area, Lake Buena Vista, Florida, United States of America.
Description:
The 5th Annual Risk Adjustment Innovations Forum will highlight proven solutions to navigate the unprecedented changes impacting Risk Adjustment across all business lines, including Medicare Advantage, Medicaid, ACA, and exchanges. Unlike other events, this is not a tradeshow, our topics and speakers have been vetted and selected with the upmost consideration for high value education. With the industry facing mounting regulatory shifts, complex coding updates, increasing litigation, and heightened RADV audit scrutiny, it is more important than ever for health plans and providers to be fully prepared and adapt to this evolving landscape. Hear your peers share real-world strategies and practical approaches to optimize comprehensive risk adjustment programs, including actionable guidance for RADV audit preparedness. Focused, results-driven solutions! Featuring a top-tier faculty of leading health plans, providers, and innovative solution experts, this forum delivers the insights and tactics you need to strengthen compliance, safeguard revenue, and advance your Risk Adjustment initiatives. They will again co-locate the summit with our Medicare Advantage Leadership event, bringing together top minds across both areas. Plus, we have added a one-day preconference workshop on RADV & Compliance.
What You Will Learn:
- Understand where CMS is taking risk adjustment next and what emerging policy and model changes could mean for your organization
- Connect risk adjustment to revenue, finance, and actuarial strategy to better understand its impact on enterprise-wide financial performance
- Learn from RADV lessons and prepare for 2027 and beyond with strategies designed to strengthen audit readiness and reduce compliance risk
- Align risk adjustment with value-based care to drive clinical, financial, and operational results—not just coding outcomes
- See how AI is delivering measurable value in risk adjustment while maintaining compliance, accuracy, and coding integrity
- Explore how to reduce vendor dependence by building smarter, AI-enabled in-house coding, CDI, and risk adjustment capabilities
- Discover where Stars, quality, and risk adjustment are converging and how leading organizations are integrating these programs for greater impact
- Learn operational best practices from high-performing health plans
- Reimagine in-home assessments as a strategy to improve member engagement, quality outcomes, and RAF accuracy
- Strengthen member and provider engagement through practical approaches that improve participation and risk adjustment performance
- Explore innovative provider education strategies that translate into better documentation and measurable risk adjustment results
- Prepare for the future of point-of-care data by advancing bi-directional data exchange and interoperability
- Build documentation and coding practices that withstand increased CMS scrutiny and support stronger audit defensibility
- Modernize linked chart review and record retrieval to improve efficiency, completeness, and accuracy
- Achieve encounter data excellence by strengthening every step from documentation through submission
- Evaluate whether inferred risk models represent the next evolution of risk adjustment and understand the potential implications for your organization
- Network with peers and industry leaders in a highly educational setting to exchange insights, share proven approaches, discuss common challenges, and build valuable connections with professionals navigating the same evolving risk adjustment landscap