There is still so much to digest from our three days of learning at RISE National 2023 in Colorado Springs. But here are five quotes that we’ll remember throughout the year.
On OIG investigations:
“With growth in Medicare Advantage, comes more scrutiny of plans . . . I can tell you with great certainty that you will see us expanding our oversight of Medicare Advantage in the coming months and years.”
- Inspector General Christi A. Grimm
On the biggest takeaway from Day 1:
“The OIG scared the bejesus out of me. It made me think about what can my health plan do to be better prepared for things coming down the road and better prepared to prevent fraud, waste, and risk.”
- Nikki Hungate, director Medicare & government programs, product strategy, MVP Health Care, RISE National conference cochair
On finding your finish:
“Life is hard. In fact, life sucks sometimes. But you have to embrace the suck because the suck makes you strong.”
- Keynote Kyle Pease, born with spastic quadriplegia cerebral palsy that affects his movement and posture, who with his brother, Brent, became Ironman World Champions
On health care trends:
“The Advance Notice has implications for us. I believe CMS and regulatory bodies are trying to do the right thing…One of my takeaways is don’t let fear be the driver for inaction. Let fear be the driver for action.”
- Vandna Pandita, vice president, HEDIS strategy & analytics, AmeriHealth Caritas
On value-based care:
“The recipe for making value-based care work in 2023 requires shifting the paradigm on artificial intelligence (AI) to make it the main ingredient. AI’s role today should be to assist risk and quality teams with improved accuracy and productivity–not replace human intelligence. Health plans and providers must quickly and accurately optimize risk adjustment program performance, making it possible to close care gaps proactively rather than after the fact. Using AI to put the correct information in the hands of providers at the point of care is a game changer for better patient outcomes and more accurate and timely reimbursement. Both of which provide the foundation for value-based care.”
- Jay Ackerman, president and CEO, Reveleer