Our team was in Las Vegas last week for Rise West, the senior leadership meeting for Medicare Advantage. The event brought together 500+ leaders from plans, provider groups, and risk-bearing entities to compare approaches on risk adjustment, Stars, compliance, and operations.
What’s happening:
This year’s theme: Pivoting from short-term adjustments to long-term strategy.
With rising medical expense, tighter reimbursement, and tougher oversight, Medicare Advantage is moving from growth-at-all-costs to disciplined performance.
That shift means higher stakes for pricing, Stars, risk adjustment, and compliance.
Our lessons learned from Rise West:
Discipline is the new growth. Capital is rewarding restraint. Leaders shared how plans are trimming benefits, exiting select markets, and prioritizing margin health to stay viable long-term.
Compliance front and center. Sessions drilled into risk adjustment, documentation, and audit exposure. The takeaway: protecting margin means nothing without airtight compliance.
AI is here—but trust matters. Conversations around AI trends focused on balancing innovation with accuracy, transparency, and member trust.
Alignment is survival. The most value came from candid peer exchanges—what’s working, what isn’t, and how to align operations to strategy in a tougher environment.
Why it matters for Paubox:
Every conversation reinforced the same point: operational risk is rising. Whether it’s compliance, Stars, or member engagement, communication must be secure, seamless, and fast. Paubox keeps PHI protected behind the scenes so healthcare leaders can focus on strategy, not system gaps.
Enjoy the pics from Las Vegas
Katie representing at the Paubox booth
Paubox sunglasses are always a hit!
Katie and Kenzie are OOO at Rise West
Talk about an attention grabbing conference booth!