View Agenda | The 16th Annual HEDIS® & Quality Improvement Summit | A RISE Health Conference

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The 16th Annual HEDIS® & Quality Improvement Summit
November 3-5, 2025
Phoenix

Agenda

Monday - November 3, 2025

11:00 AM 8:30 PM

10:00 AM 7:30 PM

9:00 AM 6:30 PM

8:00 AM 5:30 PM

Information Desk Open

Grand Ballroom Foyer

Pre-conference Workshop Registration Hours: 8:00am - 1:30pm

* Additional Registration Required 

 

Main Conference Registration Hours: 1:30pm - 5:30pm

11:00 AM 12:00 PM

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

Networking Breakfast

12:00 PM 3:30 PM

11:00 AM 2:30 PM

10:00 AM 1:30 PM

9:00 AM 12:30 PM

Workshop A: Driving HEDIS Excellence: Operational Strategies for the ECDS Era

  • Build Your ECDS Digital Reporting Roadmap: Create a strategic implementation plan that integrates emerging technologies and addresses evolving policy requirements 
  • Strengthen HEDIS Data Governance and Quality: Deploy robust HEDIS data governance and quality assurance protocols to optimize ECDS reporting, and to ensure data integrity from source to submission 
  • Optimize Annual HEDIS Project Governance: Enhance HEDIS project governance to improve your annual HEDIS initiatives 
  • Implement Effective Hybrid Method Loss Adjustment Strategies: Explore strategies including provider attestations, NLP, and chart key word searching to capture missing ECDS numerator and exclusion data 
  • Harness Supplemental Data Opportunities: Capitalize on the surge in digital data sources while implementing robust process management strategies to maximize measure performance outcomes 
  • Fortify HEDIS Audit Preparedness: Develop a proactive HEDIS audit management strategy to ensure compliance and mitigate risks 
  • Cultivate an Interdisciplinary HEDIS Approach: Foster collaboration across health plan departments and your network for improved ECDS outcomes

Joia Merriweather, HEDIS/Stars Program Manager
Texas Independence Health Plan

Mary Goble, Director Clinical Quality and Performance Improvement
Capital Health Plan

Katharine Iskrant, Practice Leader
Healthy People

Rhonda Farrar, Clinical HEDIS Supervisor
Healthy People, Inc. 

3:30 PM 4:30 PM

2:30 PM 3:30 PM

1:30 PM 2:30 PM

12:30 PM 1:30 PM

Networking Lunch

4:30 PM 8:00 PM

3:30 PM 7:00 PM

2:30 PM 6:00 PM

1:30 PM 5:00 PM

Workshop B: Quality Data Evolution: Best Practices in a Time of Change

  • Interpret MA Star Ratings HEDIS trends and cut point fluctuations to ensure MY2025 & 2026 performance success 
  • Manage the explosion of clinical data during the digital quality measurement transformation 
  • Explore opportunities for using HEDIS data creatively to optimize CAHPS in the changing regulatory environment 

Melissa Smith, Founder, Senior Advisor
Newton Smith Group

Liz Carr, VP of Product Delivery & Customer Experience
Ingenia

Rodolfo G. Velasco, MBA, Chief Revenue Officer
Ingenia

Alan Koo, CITO
Ingenia

8:00 PM 9:00 PM

7:00 PM 8:00 PM

6:00 PM 7:00 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 - November 4, 2025

11:00 AM 7:00 PM

10:00 AM 6:00 PM

9:00 AM 5:00 PM

8:00 AM 4:00 PM

Information Desk Open

11:00 AM 12:00 PM

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

Networking Breakfast

11:00 AM 9:00 PM

10:00 AM 8:00 PM

9:00 AM 7:00 PM

8:00 AM 6:00 PM

Exhibit Hall Open

12:00 PM 12:10 PM

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

Welcome Remarks

12:10 PM 1:00 PM

11:10 AM 12:00 PM

10:10 AM 11:00 AM

9:10 AM 10:00 AM

Fireside Chat: Where Do We Go from Here? The Transition to Digital Quality Measurement

Details coming soon. 

 

1:00 PM 1:50 PM

12:00 PM 12:50 PM

11:00 AM 11:50 AM

10:00 AM 10:50 AM

HEDIS's Next Frontier: The Latest Changes and the Evolution of Digital Quality Metrics

  • Review the latest confirmed HEDIS measure changes and their implications for providers, payers, and patients as well as how to prepare—and where to invest—to meet the changes on the horizon 
  • Gain insights into the future of HEDIS and how the metrics and discuss how measures may need to adapt to meet the demands health care 
  • Explore how advancements in health IT, data analytics, AI, and telehealth are shaping the future of HEDIS quality measurement and reporting 

Moderator:
Vandna Bhrany, Principal
8BAdvisors

Panelists:
Amy L. Reilly MS,OTR/L, CCM, CPC, Director, Health Plan Quality – HEDIS, Health Plan Clinical Quality
Highmark Western and Northeastern New York

1:50 PM 2:10 PM

12:50 PM 1:10 PM

11:50 AM 12:10 PM

10:50 AM 11:10 AM

Networking Break

2:10 PM 3:00 PM

1:10 PM 2:00 PM

12:10 PM 1:00 PM

11:10 AM 12:00 PM

Duct Tape, a Toothpick, and a Half-Million Members: MacGyvering Gap Closure on a Shoestring Budget

  • Think outside the box and learn practical strategies to achieve quality improvement goals creatively and cost-effectively 
  • Hear from organizations that have effectively closed quality measure gaps using minimal resources 
  • Identify strategies for leveraging existing resources creatively to address quality measure gaps without significant financial investment 

Moderator:
Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed., Founder and CEO
VBC One

3:00 PM 3:15 PM

2:00 PM 2:15 PM

1:00 PM 1:15 PM

12:00 PM 12:15 PM

Tools & Tech Spotlight

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.  

3:15 PM 4:15 PM

2:15 PM 3:15 PM

1:15 PM 2:15 PM

12:15 PM 1:15 PM

Networking Lunch

Concurrent Sessions 4:15 PM - 5:05 PM 3:15 PM - 4:05 PM 2:15 PM - 3:05 PM 1:15 PM - 2:05 PM

Track A:

Track B: 

Track Chairs:

4:15 PM 5:05 PM

3:15 PM 4:05 PM

2:15 PM 3:05 PM

1:15 PM 2:05 PM

Track A

Advocacy Unlocked: Shaping the Future of Healthcare Quality Improvement

  • Gain insights into the quality advocacy landscape, including current trends, challenges, and opportunities that affect quality improvement initiatives at both state and national levels 
  • Explore how to collaborate with stakeholders to amplify advocacy efforts 
  • Become empowered with actionable insights to take an effective, active role in advocating for quality improvement in your own organization 

Andrew Schwab, Founder & CEO
Platform Government Strategies

Ryann Hill, MPH, Founder & CEO
Indigo Hill Strategies

4:15 PM 5:05 PM

3:15 PM 4:05 PM

2:15 PM 3:05 PM

1:15 PM 2:05 PM

Track B

Case Study: HEDIS/IS in Partnership

  • Learn how CareOregon brought IS into the HEDIS/Stars process 
  • Explore lessons learned and best practices from CareOregon’s Clinical Data Integration strategy and practices 
  • Review areas of improvement and future opportunities 

Alice Johnson, Senior Vice President, Medicare
CareOregon

Dave Smith, Director, IS Analytic Capabilities
CareOregon

5:05 PM 5:10 PM

4:05 PM 4:10 PM

3:05 PM 3:10 PM

2:05 PM 2:10 PM

Transition Break

Concurrent Sessions 5:10 PM - 6:00 PM 4:10 PM - 5:00 PM 3:10 PM - 4:00 PM 2:10 PM - 3:00 PM
Track Chairs:

5:10 PM 6:00 PM

4:10 PM 5:00 PM

3:10 PM 4:00 PM

2:10 PM 3:00 PM

Track A

The Digital Imperative: Embracing ECDS and the Future Digital Quality Measures

  • Discover the key components of a strategic roadmap that integrates interoperable technology while addressing evolving policy developments 
  • Explore the full spectrum of key ECDS reporting solutions, including digital data feeds, value-based care contracting arrangements, NLP, provider portals, and targeted case management solutions 
  • Prepare for the New ECDS Measures and discuss measure success strategies 
  • Learn how MY 2026's removal of ECDS numerator and exclusion data source categories (SSoRs) will impact your plan's ECDS reporting strategy and operations 

Katharine Iskrant, Practice Leader
Healthy People

Rhonda Farrar, Clinical HEDIS Supervisor
Healthy People, Inc.

5:10 PM 6:00 PM

4:10 PM 5:00 PM

3:10 PM 4:00 PM

2:10 PM 3:00 PM

Track B

From Insight to Impact: Leveraging Data to Drive Continual Quality Improvement

  •  Explore how data can be transformed into meaningful action through a structured approach to performance improvement 
  • Uncover insights and learn how teams analyzed data to identify opportunities and inform strategic decisions 
  • Recognize how to drive change and see how insights are translated into targeted interventions and initiatives 
  • Measure impact and discover practical methods for tracking outcomes and refining approaches to maximize effectiveness 

Andrea Brambilla, MBA, MA, LPC, Director, Quality & Process Improvement
Meridian Health Plan

Jordan Fry, Business Analyst IV, Quality & Process Improvement
Meridian Health Plan

6:00 PM 6:20 PM

5:00 PM 5:20 PM

4:00 PM 4:20 PM

3:00 PM 3:20 PM

Networking Break

Concurrent Sessions 6:20 PM - 7:10 PM 5:20 PM - 6:10 PM 4:20 PM - 5:10 PM 3:20 PM - 4:10 PM
Track Chairs:

6:20 PM 7:10 PM

5:20 PM 6:10 PM

4:20 PM 5:10 PM

3:20 PM 4:10 PM

Track A

Operationalizing Digital Quality: Building an Agile Framework for Iteration and Audit Readiness

  • Move from compliance to continuous improvement through an iterative DQF process aligns with NCQA Digital Quality and reduces friction between IT, Quality, and Audit teams 
  • Use documentation as a force multiplier, leveraging standardized documentation to streamline audits, improve transparency, and create reusable artifacts for each measurement year 
  • Align stakeholders and governance, building cross-functional buy-in from Quality, IT, Compliance, and Clinical Ops for seamless rollout 
  • Implement continuous data quality monitoring, embedding AI-driven rules that track data drift and integrity over time, ensuring Digital Quality measures remain accurate and audit-ready 

Bert Rico, CEO
Domlytics

Jason W. Foster, Founder and CEO
Seven Hundred Consulting

6:20 PM 7:10 PM

5:20 PM 6:10 PM

4:20 PM 5:10 PM

3:20 PM 4:10 PM

Track B

Leveraging Case Management Registries for HEDIS Data

  • Discuss innovative ways to leverage Case Management Registries 
  • Recognize how registries differ from, and are complimentary to, EMRs 
  • Identify strategies to optimize your case management data to improve HEDIS scores 

Kristy Houston, Sr. Healthcare Engagement and Outcomes Consultant
Capital Blue Cross

7:10 PM 7:15 PM

6:10 PM 6:15 PM

5:10 PM 5:15 PM

4:10 PM 4:15 PM

Transition Break

7:15 PM 8:00 PM

6:15 PM 7:00 PM

5:15 PM 6:00 PM

4:15 PM 5:00 PM

Roundtable Discussions

Grab a glass of bubbly and participate in a facilitated roundtable discussion and deep dive with peers on timely topics. 

AI Governance: Who, what, when, where, and Now
Tina Dueringer, BSN, RN, CCM, PCC, CEO, Principal Advisor, Dueringer Advisors

Double Duty or Divide & Conquer? The HEDIS + Risk Chart Review Debate
Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed., Founder and CEO, VBC One

Working your Small Plan Magic
Dwight Pattison, Founder & Principal Consultant, QPAdvantage

Must-have Roles and Skills in a New Age of HEDIS®
Melissa Smith, Founder, Senior Advisor, Newton Smith Group

Oversample strategy, planning, and predictions
Rhonda Farrar, Clinical HEDIS Supervisor, Healthy People, Inc.

Additional discussion topics coming soon.

8:00 PM 9:00 PM

7:00 PM 8:00 PM

6:00 PM 7:00 PM

5:00 PM 6:00 PM

Networking Cocktail Reception

Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.

Wednesday - November 5, 2025

10:00 AM 2:00 PM

9:00 AM 1:00 PM

8:00 AM 12:00 PM

7:00 AM 11:00 AM

Information Desk Open

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

7:00 AM 8:00 AM

Networking Breakfast

10:00 AM 2:30 PM

9:00 AM 1:30 PM

8:00 AM 12:30 PM

7:00 AM 11:30 AM

Exhibit Hall Open

11:00 AM 11:10 AM

10:00 AM 10:10 AM

9:00 AM 9:10 AM

8:00 AM 8:10 AM

Welcome Remarks

11:10 AM 12:00 PM

10:10 AM 11:00 AM

9:10 AM 10:00 AM

8:10 AM 9:00 AM

New Session Coming Soon

12:00 PM 12:50 PM

11:00 AM 11:50 AM

10:00 AM 10:50 AM

9:00 AM 9:50 AM

The Business Case for Quality Improvement

  • Explore strategies for measuring and demonstrating the ROI of quality initiatives 
  • Discuss best practices for engaging stakeholders and securing buy-in for quality improvement efforts and consider innovative approaches to overcoming common barriers 
  • Take back actionable insights and practical tools to advocate for quality improvement programs that can enhance patient care, improve operational efficiency, or boost your organization’s bottom line 

Moderator:
Melissa Smith, Founder, Senior Advisor
Newton Smith Group

Panelists:
Nick D’Ambra, Vice President of Quality
InnovaCare

John Criswell, Founder, CEO & Chair
Porter

12:50 PM 1:20 PM

11:50 AM 12:20 PM

10:50 AM 11:20 AM

9:50 AM 10:20 AM

Networking Break

1:20 PM 2:10 PM

12:20 PM 1:10 PM

11:20 AM 12:10 PM

10:20 AM 11:10 AM

ECD$: Transforming Costly Implementation into a Financial Win

  • Discover how to transform the implementation of ECDS from a money drain into a powerful revenue-generating asset, maximizing the ROI of ECDS transition efforts   
  • Explore how to unlock the financial potential of ECDS while enhancing patient care and operational efficiency 
  • Learn practical approaches to optimize ECDS functionality that can lead to cost savings and revenue generation 

Dwight Pattison, Founder & Principal Consultant
QPAdvantage

2:10 PM 2:15 PM

1:10 PM 1:15 PM

12:10 PM 12:15 PM

11:10 AM 11:15 AM

Transition Break

2:15 PM 3:45 PM

1:15 PM 2:45 PM

12:15 PM 1:45 PM

11:15 AM 12:45 PM

Work Groups: HEDIS, Measure-by-Measure (General Session Room)

This interactive session is designed to facilitate constructive dialogue regarding specific HEDIS measures. Participants will engage in deep, collaborative discussions to identify barriers, share strategies, lessons learned, and best practices, and explore innovative solutions to improve performance on these measures. 

Round 1 Measures:

  • Readmissions - Facilitator: Dwight Pattison, Founder & Principal Consultant, QPAdvantage
  • Colorectal Cancer - Facilitator: Amy L. Reilly MS,OTR/L, CCM, CPC, Director, Health Plan Quality – HEDIS, Health Plan Clinical Quality, Highmark Western and Northeastern New York
  • CBP - Facilitator: Adam Simmen, SVP - Growth & Sales - Health Plans, Everly Health
  • Transitions of care - Facilitator: Tina Dueringer, BSN, RN, CCM, PCC, CEO, Principal Advisor, Dueringer Advisors
  • Depression screening and follow up - Facilitator: Katharine Iskrant, Practice Leader, Healthy People
  • Med Adherence
  • Osteoporosis
  • KED

 

Round 2 Measures:

  • Retinal screening - Facilitator: Rhonda Farrar, Clinical HEDIS Supervisor, Healthy People, Inc.
  • Diabetes – Facilitator: Katie Gries, Manager, Quality Management, Blue Cross of Idaho
  • Colorectal Cancer – Facilitator: Dwight Pattison, Founder & Principal Consultant, QPAdvantage
  • KED
  • Pharmacy measures
  • Transitions of Care
  • Readmissions
  • CBP  

3:50 PM 4:00 PM

2:50 PM 3:00 PM

1:50 PM 2:00 PM

12:50 PM 1:00 PM

Closing Remarks

Grand Ballroom Platinum