Agenda
Explore the full schedule of sessions, workshops, and networking opportunities at The RISE Star Ratings Master Class.
Tuesday - December 16, 2025
8:00 AM
8:00 AM – 5:30 PM
Information Desk Open
8:00 AM
8:00 AM – 9:00 AM
Networking Breakfast
9:00 AM
9:00 AM – 12:30 PM
Workshop A: 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
- Leverage your Stars data to define you most viable improvement paths
- Manage the explosion of clinical data during the digital quality measurement transformation
Speaker
Alan Koo
CITO at Ingenia
Speaker
Hiram Perez
CEO at Ingenia
Speaker
Liz Carr
VP of Product Delivery & Customer Experience at Ingenia
Speaker
Melissa Newton Smith
Founder, Senior Advisor at Newton Smith Group
Speaker
Rodolfo Velasco
Chief Revenue Officer at Ingenia
10:30 AM
10:30 AM – 10:45 AM
Networking Break
12:00 PM
12:00 PM – 4:00 PM
Half Day Workshop
Details TBA
Registration for this workshop includes a refreshment break.
12:30 PM
12:30 PM – 1:30 PM
Networking Lunch
1:30 PM
1:30 PM – 5:00 PM
Workshop B: Stars Math and Strategy: Work Smarter, Not Harder
- Build a strong foundation of Stars knowledge and recognize that true success lies far beyond the basics. This session dives into both foundational measures and broader performance levers unique to Stars that can dramatically impact your overall rating, potentially adding or subtracting dozens of points from your Stars score.
- Explore high-impact performance levers, including the 5-weighted Quality Improvement (QI) measures and the upcoming Excellent Health Outcomes for All (EHO4All), fka HEI. Learn how these components interact to shape plan performance and member outcomes.
- Gain insights into key CMS regulatory and legislative updates and their impacts on quality measurement and Star Ratings. Understand how evolving federal priorities and rulemaking may influence plan strategy and compliance moving forward, as well as how they fit in with current legal challenges to Star Ratings.
- Deepen your understanding of the CAHPS and HOS domains, including how and where to access data needed to inform key strategies.
- Take advantage of best-practice strategies that span multiple domains, and examine innovative, real-world examples you can apply immediately within your organization.
- Participants will receive a customized, contract-specific workbook that evaluates both basic and advanced Stars applications and helps translate workshop concepts into actionable next steps tailored to your plan.
Speaker
Jessica Assefa
Partner, Strategic Consulting at Press Ganey
Speaker
Mick Twomey
CEO at Hyperlift
3:00 PM
3:00 PM – 3:15 PM
Networking Break
5:00 PM
5:00 PM – 6:00 PM
Networking Cocktail Reception
(All Conference Attendees Invited)Join us for drinks, hors d’oeuvres, and face-to-face networking with peers
Wednesday - December 17, 2025
7:00 AM
7:00 AM – 6:00 PM
Exhibit Hall Open
7:00 AM
7:00 AM – 4:00 PM
Information Desk Open
7:00 AM
7:00 AM – 8:00 AM
Networking Breakfast
8:00 AM
8:00 AM – 8:10 AM
Welcome Remarks
8:10 AM
8:10 AM – 9:10 AM
THRIVE: Turn Uncertainty into Your Competitive Advantage
These are unprecedented times! A marketplace where disruption is happening on steroids. One where there is more change building outside of your organization than in it. And a relentless pace of uncertainty that can radically impact your ability to grow your organization and keep your team motivated.
- Gain insights into how today’s leaders are dealing with and solving today’s toughest challenges
- Hear about how others have overcome overwhelming obstacles and learn their ingenious strategies for success, as well as the proven methodology they used to thrive through every crisis
- Discover the code, the secret, the plan, so that you know the exact path you need to follow to put you in the driver’s seat—and in control in the face of uncertainty (so you can THRIVE!)
- Explore the secrets to staying highly flexible and focused to strike the delicate balance of maintaining progress and seizing opportunity
- Build your personal plan of action for thriving in uncertainty
Speaker
Meridith Elliott Powell
Acclaimed Motivational Speaker
9:10 AM
9:10 AM – 10:00 AM
More Change Ahead: The Latest Quality-Focused Regulatory Developments
- Get to know the latest proposed and finalized quality program changes, as well as other regulatory guidance that could impact your organization
- Harness the potential of positive changes on the horizon to enhance member care and drive better health outcomes for your population
- Navigate the financial implications of upcoming changes to Star Ratings, understanding how they could affect your organization’s bottom line
- Discover operational strategies designed to mitigate the impact of upcoming changes and effectively reach your Star Ratings goals, empowering your team to shine in a competitive landscape
Speaker
Ana Handshuh
Principal at CAT5 Strategies
Speaker
Melissa Newton Smith
Founder, Senior Advisor at Newton Smith Group
10:00 AM
10:00 AM – 10:20 AM
Networking Break
10:20 AM
10:20 AM – 11:10 AM
Going Beyond Nutrition Access: Reduce Barriers, Improve Data, and Connect Members to Care
- Discover activation that sparks screening adherence, turning a food delivery into a diabetic care touchpoint
- Learn how United Healthcare of Massachusetts used food-based member activation to improve Glycemic Status Assessment for Patients with Diabetes (GSD) & Controlling Blood Pressure (CBP) for HEDIS® Star measures
- Reimagine medically appropriate incentives that improve chronic clinical outcomes in a meaningful and delightful way
Speaker
Christie DeJong
Clinical Quality Consultant at UnitedHealthcare Community Plan of Massachusetts
Speaker
Lucille Taylor
Sr Director of Clinical Quality at UnitedHealthcare Community Plan of Massachusetts
Speaker
Sally Leahy
Director, Quality at Pyx Health & Farmbox
11:10 AM
11:10 AM – 12:00 PM
Catch a Falling Star: Health Plans Tell You How
- Discover tactics that helped health plans improve Star Ratings by at least half a star in a single year, directly from the Stars leaders who implemented them
- Learn from the experiences of two health plan leaders and the expert Stars consultants who implemented performance improvement strategies that paid dividends in their first year
- Explore how multiple health plans tackled optimizing governance, deepened data insights, handled new vendor implementations, operationalized member experience innovations, and more
Speaker
Angelo Rexach Guzman
Stars Policy and Analytics Consultant at RWC
Speaker
Heidi Salerno
Member Experience Consultant at RWC
Speaker
Misty Roberts
MSN, RN, NEA-BC, CPHQ, Vice President, Quality & Clinical Program Oversight at WellSense
Speaker
Nate Lucena
President & Managing Director at RWC
Speaker
Nicole Colon Cartagena
Star Ratings Manager at Triple-S
12:00 PM
12:00 PM – 1:00 PM
Networking Lunch
1:00 PM
1:00 PM – 1:15 PM
Track B
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.
1:00 PM – 1:15 PM
Track A
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.
1:15 PM
1:15 PM – 2:05 PM
Track B
Small Plans, Big Impact: Harnessing Local Connections for Quality Care
- Understand the unique advantages that small health plans have within their communities
- Take away actionable strategies for building partnerships with local providers, organizations, and stakeholders
- Explore case studies showcasing successful quality improvement initiatives driven by local engagement
1:15 PM – 2:05 PM
Track A
Success in Turbulent Times: Delivering High Quality Care Despite Significant Headwinds
- Sit down and buckle up—Recognize the value of data-informed strategies when things get rough
- From the cockpit—Leverage real-time data to make meaningful corrections; review patient segmentation strategies to improve performance and reduce abrasion
- Prepare for landing—Explore data strategies for a complete and accurate HEDIS submission
Speaker
Gerardo Hernandez Diaz
Senior Director, Quality Improvement at Permanente Medicine
Speaker
Rebecca Fitch
Permanente Medicine
Speaker
Stephen Winn
Managing Director, Government Programs at Permanente Medicine
2:05 PM
2:05 PM – 2:10 PM
Transition Break
2:10 PM
2:10 PM – 3:00 PM
Track A
Mastering Medicare HEDIS Stars in the Digital Era: A 10-Step Roadmap to Future-Proof Success
- Unlock the strategies to secure and sustain top Medicare HEDIS Star ratings in a rapidly evolving digital landscape, including a 10-step digital reporting roadmap built to align with today’s requirements and tomorrow’s innovations
- Learn how to successfully transition to ECDS reporting, navigate the phase-out of the hybrid method, and implement gold-standard quality management and case management practices
- Discover how an interdisciplinary approach can transform your plan’s performance and position you for long-term success
Speaker
Katharine Iskrant
Practice Leader at Healthy People
Speaker
Mary Goble
Director, Clinical Quality and Performance Improvement at Capital Health Plan
Speaker
Rhonda Farrar
Clinical HEDIS Supervisor at Healthy People
2:10 PM – 3:00 PM
Track B
The Science of Adherence: Proven Strategies to Elevate Part D Measures and Star Ratings
- Discover how to flip the script with behavioral science, breaking through patient barriers and delivering measurable, lasting change
- Examine the pitfalls of common adherence interventions through a behavioral science lens.
- Learn from health plans that have effectively improved medication adherence and Part D performance through behavioral science-backed programs
- Explore how pairing behavioral science with data-driven insights and AI can deliver cost-effective, scalable, and lasting adherence gains
Speaker
Matthew Loper
CEO at Wellth
3:00 PM
3:00 PM – 3:20 PM
Networking Break
3:20 PM
3:20 PM – 4:10 PM
Track A
All Hands on Deck: Navigating VBC's Influence on Risk and Quality
- Explore how VBC frameworks influence risk assessment and quality strategies, charting a course toward improved outcomes and reduced costs of care
- Discuss the importance of collaboration and communication among stakeholders to ensure smooth sailing through Value-Based Care complexities
- Prepare a customized toolkit of actionable strategies and resources to help you set sail and seize the opportunities of VBC, ensuring your organization is on course for success
3:20 PM – 4:10 PM
Track B
Plan Preview Made Simple: A Step-by-Step Guide to Navigating the Stars Plan Preview Period
- Create a step-by-step checklist for crucial tasks to complete during Stars Plan Preview 1 and 2
- Discuss how to effectively engage CMS to navigate and address any concerns or data discrepancies
- Optimize your plan preview activities and resources to ensure efficient, comprehensive, and effective use of plan preview opportunities
Speaker
Ana Handshuh
Principal at CAT5 Strategies
Speaker
Dwight Pattison
Founder & Principal Consultant at QPAdvantage
4:10 PM
4:10 PM – 4:15 PM
Transition Break
4:15 PM
4:15 PM – 5:00 PM
Track A
How to Get to 5 Stars for Medication Adherence (Yes, Really)
- Experience a pharmacy team’s journey from worst to first
- Consider consolidation of outreach to improve the member experience
- Discuss novel approaches to reach Star goals
Speaker
Kalee Raymond
Consultant at BCBSAZ Health Choice
Speaker
Leslie Rodriguez
Consultant at BCBSAZ Health Choice
4:15 PM – 5:00 PM
Track B
Partners in Quality: Strengthening Provider/Plan Collaboration for Excellence in Care
- Explore tactics to mitigate common challenges that can hinder successful partnerships between health plans and providers, including communication gaps, misaligned incentives, and data sharing issues
- Hear from health plans and provider groups have effectively collaborated to implement quality improvement initiatives, leading to measurable improvements in care
- Take away with practical strategies and tools for initiating and strengthening collaborative efforts, including methods for aligning goals, establishing communication channels, and sharing data
Speaker
Sabrina Zerzouri
Lead Program Manager, Medicare Star Rating Program at BlueCross BlueShield of Rhode Island
Speaker
Shannon Decker
PhD., MBA, MBA, M.Ed., M.Ed., Founder and CEO at VBC One
Speaker
Shawna Papach
LPN, Director of HEDIS and Payer Strategies at MCR Health
5:00 PM
5:00 PM – 6:00 PM
Holiday Cocktail Reception: Ugly Sweater Edition
Get into the holiday spirit and break out your most outrageous holiday sweater! Join us for festive cocktails, tasty hors d’oeuvres, and plenty of networking cheer - plus, don’t miss the Ugly Sweater Contest for a chance to win bragging rights (and a prize!).
Thursday - December 18, 2025
7:00 AM
7:00 AM – 1:30 PM
Exhibit Hall Open
7:00 AM
7:00 AM – 11:00 AM
Information Desk Open
7:00 AM
7:00 AM – 8:00 AM
Networking Breakfast
8:00 AM
8:00 AM – 8:10 AM
Opening Remarks
8:10 AM
8:10 AM – 9:00 AM
Cultivating a Culture of Quality: Building Excellence from Within
- Explore the critical impact of culture on quality initiatives and gain insights into how to build a robust quality framework from the ground up
- Discover how Stars teams can be instrumental in promoting a culture of quality, serving as champions for best practices and continuous improvement across the organization
- Learn practical strategies for embedding quality principles into everyday processes, ensuring that quality remains a priority at all levels of the organization
Speaker
Migdalia de Jesús
MBA, Medicare Stars Program Manager at MCS
Speaker
Moraima Rios Gonzalez
DrPH, Medicare STARS Program Director at MCS
9:00 AM
9:00 AM – 9:50 AM
AI for Stars Ratings Success: Practical Use Cases to Drive Measure Performance
- Explore AI use cases that can help support CMS Stars Measures
- Discover a quick framework for AI readiness in Stars teams
- Recognize how to amplify your Stars team’s capacity to close gaps faster, predict risk earlier, and improve member experience in ways manual processes can’t match
Speaker
Asaf Kleinbort
CEO & Co-Founder at MedOrion
Speaker
Bert Rico
CEO at Domlytics
9:50 AM
9:50 AM – 10:20 AM
Networking Break
10:20 AM
10:20 AM – 11:10 AM
Setting Your Ethical Stars Trajectory
- Explore the clinical and fiscal ROI for an ethical approach to Stars improvement
- Identify the crucial components and considerations for building an ethical quality strategy
- Recognize the impact of an ethical approach to health equity, HEDIS, HOS, and CAHPS can have
Speaker
Ellen Fink-Samnick
Wholistic Health Equity Strategist, Content Developer, Educator at EFS Supervision Strategies
Speaker
Melissa Newton Smith
Founder, Senior Advisor at Newton Smith Group
Speaker
Tina Dueringer
Principal Advisor at Dueringer Advisors
11:10 AM
11:10 AM – 12:00 PM
The Truth About Cutpoints
- Gain insights into the behaviors of cutpoints, including how they are set and the factors that influence their adjustments over time
- Consider various cutpoint scenarios and learn how to monitor these scenarios to adapt and revise goals as necessary
- Communicate cutpoint information effectively to investors and board members, emphasizing high-level insights and implications for the organization
- Discuss appropriate uses for cutpoint projections
12:00 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.
12:15 PM
12:15 PM – 1:15 PM
Networking Lunch
1:15 PM
1:15 PM – 2:45 PM
Stars Cutpoint Hackathon
Join us for an interactive and dynamic Star Ratings Cutpoint Hackathon, where healthcare professionals, quality improvement experts, and data enthusiasts come together to tackle the challenges of cutpoint setting and optimization in Star Ratings. Attendees will work in teams to explore various scenarios related to Star Ratings cutpoints, and then share insights, experiences, and strategies to develop actionable solutions that address common challenges faced in cutpoint setting and adjustments. Dive deep into real-world case studies and hypothetical scenarios that challenge and enhance your understanding of cutpoints.
2:45 PM
2:45 PM – 3:00 PM
Closing Remarks
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