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 enabling healthcare professionals to meet the challenges of managed 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

CMS' rewards programs can impact Medicare Advantage organization's bottom lines

Tom Wicka, CEO of Novu, writes an interesting article on Medicare Advantage plan design strategy that is worth an attentive read. His suggestions are well-taken. However, to fully appreciate why this is such a shift in CMS policy, it is worth stepping back for a moment to consider what this is all about. Let's face it: ...
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Final Rule on 2015 CMS Broker Compensation

This whitepaper is for Medicare Advantage health plans (MA) and those who are responsible for incentive compensation to external agent/brokers and internals sales reps. MA plans are required to follow marketing guidelines that outline how plans can market to Medicare beneficiaries. In this paper we review common challenges we see MA plans having with MIPPA rules ...
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Upcoming Conference


The 9th Annual RISE Nashville Summit

In our 9th year, the RISE Nashville Summit has clearly become the premier event for MA plans, commercial plans and providers to share lessons learned and best practices for effectively navigating the evolving landscape of risk adjustment and quality management.


Upcoming Webinar

Innovative Strategies to Manage the Impact of CMS Advance Notice

In February 2015, CMS will release its 2016 Call Letter, which will outline any proposed changes to in its risk adjustment methodology for the 2016 payment year and Star rating policies for 2016 Star ratings and beyond.  This notice precedes the Final Call Letter released in April.


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