Welcome to RISE

Resource Initiative and Society for Education

Welcome to the home of the Resource Initiative and Society for Education (RISE). RISE is the first national association totally dedicated to healthcare professionals meeting the challenges of accountable healthcare. We strive to serve our members on four fronts: Networking, Education, Jobs and Industry Intelligence. Please explore our website and the resources it provides. Those wanting to join the association are invited to complete and submit an application. Take a look at the benefits and services of membership. 

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Latest Posts

Hewitt Moten Memorium

We lost a great friend when Hewitt Moten passed away suddenly. A frequent speaker at many Healthcare Education Associates conferences and an active member of RISE, Hewitt brought enthusiasm and intelligence to any room. Through his presence and charisma, he contributed greatly to a sense of community among the risk adjustment professionals. Along with so many of our sponsor partners, RISE and Healthcare Education Associates want to express our wishes of consolation and comfort to Hewitt's family and friends. Together we are sponsoring a memorium drive to support the future education of his two surviving daughters. If you feel called to contribute, please click through to the following website to make a donation to that fund. ...
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How to Choose an Initial Validation Auditor

The Health Insurance Exchange Marketplace has already pre-sented a number of challenges to the Qualified Health Plans (QHPs) or issuers on and off the exchange. The latest obstacle to overcome is the Initial Validation Audit (IVA) and the required selection of a qualified IVA vendor. The intent of the IVA, quite simply, is to ensure that the membership and risk adjustment information being sent to HHS for payment is accurate and com-plete. The purpose of this white paper, therefore, is to help QHPs know what to look for (and what to avoid) when selecting their IVA vendor....
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Upcoming Conference

 

RISE Nashville

Entering its 10th year, the RISE Nashville Summit has become the most comprehensive learning event for Medicare Advantage plan, Commercial plan, and provider group senior leaders dedicated to Quality Improvement, Risk Adjustment, Analytics and Care Management initiatives.

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Upcoming Webinar

The RAPS/EDS Collaboration: The RISE User Group and Inovalon

The time has come where now financial performance is on the line with the conversion from a RAPS-based data submission to an Encounter Data-based process for Medicare Advantage risk adjustment. CMS recently released a notice announcing that in 2016 EDPS data will be used to account for 10% of the value. With that change many health plans are uncertain of the implication this will have on future year revenue when EDPS will be given even greater weight.

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