Rise National 2025 – Day 2 recap: Key takeaways and industry insights

Day 2 of RISE National 2025 delivered another action-packed agenda, featuring deep dives into healthcare policy shifts, innovative tech solutions, and critical compliance updates. Attendees engaged in insightful panel discussions, hands-on workshops, and networking sessions designed to address the most pressing challenges in Medicare Advantage, risk adjustment, and value-based care.

Here’s a recap of the standout moments and key insights from the second day of the event.

Morning sessions: Regulatory updates and policy shifts

The morning kicked off with expert-led discussions on upcoming regulatory changes and CMS guidelines. Some of the biggest takeaways included:

• CMS Final Rule 2025: Speakers outlined the key implications for Medicare Advantage plans, emphasizing the need for enhanced member engagement and compliance strategies.

• AI in risk adjustment: A panel of healthcare leaders discussed how AI-driven analytics are transforming risk adjustment and predictive modeling, highlighting both opportunities and regulatory concerns.

• Interoperability and data sharing: With the push for greater interoperability, speakers examined how health plans can improve data exchange, streamline operations, and enhance patient outcomes.

Afternoon highlights: Technology, fraud prevention, and value-based care

The afternoon sessions focused on technology’s role in fraud prevention, predictive analytics, and improving value-based care outcomes. Key moments included:

• Fraud, Waste, and Abuse (FWA) Prevention: Industry experts shared strategies for identifying and mitigating fraud risks, emphasizing real-time claim monitoring and AI-powered detection tools.

• Health equity initiatives: A powerful discussion explored how health plans are addressing social determinants of health (SDOH) through data-driven strategies and community partnerships.

• The future of value-based care: Thought leaders debated the evolution of value-based care models, highlighting best practices for increasing provider participation and improving patient engagement.

Closing thoughts: Key takeaways from Day 2

Day 2 at RISE National reinforced the importance of regulatory preparedness, technology-driven transformation, and patient-centered strategies in the healthcare space. Industry leaders are eager to translate these insights into actionable solutions for health plans, providers, and policymakers.

Enjoy the pics!

Courtney Perkins holding down the Paubox booth.

Love to see the thumbs up from Paubox customer James Foster of RazorMetrics!

Nothing beats some Paubox swag!

Visiting Paubox customers mPulse and Vim. 

Courtney with Paubox customer Melissa Welch from Sprinter.