Where health insurance professionals converge to enhance risk management, share analytical insights, foster collaboration, and explore cutting-edge solutions. This event brings together insurers, healthcare providers, and data experts, creating a community to tackle challenges in risk adjustment and leverage analytics for better decision-making and cost control.
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3 Reasons to Join us at RCM
Our Community
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26% of health plans identify access to quality data as their biggest challenge
Understand the several critical points for payers in the healthcare sector as they navigate the complexities and opportunities of 2024 considering the evolution of payment integrity, opportunities with AI implementation and impact of financial pressures.
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"The HPRI event's are great. I enjoy the presentations, opportunity to meet with vendors and network with other payers and providers."Monique Pierce, Head of Payment Integrity joined Devoted Health in 2020 with the goal of building the first ever integrated Payment Integrity Program. She shares her experiences, wins and challenges at the HPRI events.
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Navigating the Payment Integrity Vendor landscape with usThe ultimate guide to who’s who in the payment integrity vendor space – to help you choose the best option for your business.
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Looking for tips and tricks on how to develop your payment integrity strategy in 2024?We met with leader Dr. Michael Seavers from Harrisburg University of Science and Technology on where to start when it comes to addressing your current strategy to ensure you are working efficiently.
The Payment Integrity Vendor Landscape
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Navigating the Payment Integrity Vendor landscape can be daunting for health plans and providers, given the multitude of vendors and their diverse specialties. With so many options available, it's often difficult to identify the best partners. That's why we've created this document, which showcases the top vendors tailored to your specific needs including:
- Fraud Anayltics
- Provider Networking/Contracting
- PI BPO
- Pharmacy Benefit Management
- Coordination of Benefits
- Subrogration
- Risk Adjustment/Analytics
- Data Analytics and Data Mining
- Claims Management
- Patient Experience
- Specialty Audits
- Prior Authorisation
- Payment Management
OUR COMMUNITY OF PAYERS AND PROVIDERS
How To Get Involved
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Demonstrate your tech and leadership by partnering with us
Partner with us to elevate your brand and make valuable connections. Opportunities for thought leadership, branding, and networking available. Contact Thomas Carter at [email protected]
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Providers attend for free
Join interactive discussions and presentations on key challenges and opportunities presented by provider companies. All providers qualify for complimentary passes.
AGENDA HIGHLIGHTS
Panel: Strengthening Payer and Provider Relationships
- A discussion focused on strengthening ties and reducing provider abrasion
- Case studies of successful payer-provider initiatives and effective provider engagement strategies
- Progressing mutually beneficial initiatives in a collaborative manner
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/janell_zuckerman_2022_3.jpg?itok=3T0h9sZ-&c=1ef3116c77f052969d93caa100f431ea)
Janell Zuckerman
Janell Zuckerman has been at Select Health since 2021 as the Provider Network Development Director for Idaho. She leads the strategy and operations for network development including provider relations, contracting, and performance. Her focus is on building partnerships with regional clinically integrated networks and hospitals, and improving interaction models between payers and providers. She has successfully developed a direct Select Health network in Idaho and new clinically integrated network agreement, with new product launches across Southern Idaho for commercial and Medicare lines of business.
Janell has 15 years of experience in areas of acute care and ambulatory operations, clinically integrated networks, value-based care, and public health and policy, with time at St. Luke’s Health System and the YMCA. In 2023 she was an Idaho Business Review’s Women of the Year honoree. She is a board member and vocal artist with Opera Idaho and association member with HFMA and ACHE. She is a purpose-driven leader and serves as a connector across the health care ecosystem.
Janell is an Idaho native and lives with her husband and two children in Boise, Idaho. She holds a B.A. in English from Tufts University and Masters in Health Administration from Ohio University.
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Stina Redford
Payment Integrity Protecting Your Healthcare Dollar, Recent Schemes and Trends
- Payment Integrity Begins at the Top
- The SIU’s Greatest Need-Data
- Recent Schemes & Trends
- Internet Based Providers
- Behavioral Health Providers
- Telehealth Providers
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Carl Reinhardt
Revenue and Value Analysis Teams Collaborating to Achieve Decrease Cost
- In healthcare to optimize skills, understanding, and expertise used to improve the value of products, it is essential to remove clinical and financial silos. Collaborating and aligning revenue teams with value analysis teams provide a platform to tell the entire business story in healthcare, decrease cost, and increase revenue.
- Relationships in this arena generate opportunities to find billing and charging errors, and implement best practices into workflow, procedures, and buying trends. Collaboration benefits the teams by offering vital evidence that helps providers make judicious choices about the products they may want to bring into facilities. A revenue cycle analyst can aid in the discovery of problems with processes or old ways of how and where procedures are performed. Using dashboards, reports, and charging and reimbursement data can be seamlessly be integrated into existing value analysis processes making it easy to collaborate on the best ways to achieve your revenue targets.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/lori_jensen_headshot.jpg?itok=pMwPMjcJ&c=294b9a6f2ad4a6ada27f79d28e7ff00d)
Lori Jensen
MEDIA KIT
For more information on webinars, roundtables, content marketing packages, interviews and marketing solutions opportunities, download the Media Kit.
If you have any questions, please contact Harry Ludbrook, Sales Director, [email protected].
OUR COMMUNITY
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Step into interactive discussions and engaging presentations on the key challenges and opportunities presented by payment companies today:
OUR PARTNERS
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AUDIENCE BREAKDOWN
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Healthcare Payers/ Insurance Companies40%What our attendees say
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Healthcare Providers30%What our attendees say
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Payment Integrity Vendors30%What our attendees say
OUR SELECTION COMITTEE
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Brannon Morisoli
Mr. Morisoli joined SWK Holdings as a Senior Analyst in March 2016. Prior to joining SWK, he was an Investment Analyst and Portfolio Manager for a family office that invested in equities, fixed income, real estate, and alternative investments. Prior to that, he was an Investment Analyst for Presidium Group, a real estate private equity firm, where he played an integral role in closing over $100mm in transactions. Mr. Morisoli began his career at Neurografix, a startup medical technology company in Santa Monica, CA that was doing groundbreaking work in the MRI imaging of peripheral nerves. While with Neurografix, he was published in two leading neurology journals. Brannon graduated from UCLA with a B.S., was awarded a fellowship and graduated from the University of Notre Dame with an M.B.A, and was awarded a Samson Fellowship from the University of Wisconsin Law School, where he graduated with a J.D. Mr. Morisoli is an inactive member of the State Bar of Wisconsin
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/thomas_busby_-_headshot.jpg?itok=mtxN2U1e&c=b66d34f487bc8520d9e3d0e170b11fd8)
Thomas Busby
Thomas Busby is a Vice President and has been with Outcome Capital since 2015. He focuses on medical technology, digital health and life science services segments with particular interest in innovative life science companies that deliver patient impact by leveraging novel approaches. Thomas is driven by the desire to identify disruptive technologies and services that require unique strategic thought and assistance to realize their full market potential. Thomas has been published in leading life science journals Life Science Leader and The Pharma Letter, and also serves on the board of HealthTech Build, a Boston-based digital health innovation group.
Prior to his career in life-science investment banking, Thomas pursued his passion for the public service and non-profit sectors working in a variety of leadership and management positions, and at one time held a Massachusetts teaching license.
Thomas completed his MBA at Suffolk University’s Sawyer Business School on full academic scholarship where he was President of the school’s Graduate Business Association and class speaker at graduation. Prior, he completed a BS in Philosophy with Honors from Suffolk’s College of Arts & Sciences. Committed to giving back, Thomas is currently the President of the College of Arts & Sciences Alumni Board of Directors. Thomas is a FINRA Registered Securities Representative holding his Series 79 and 63.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/robert_crousore_-_headshot.jpg?itok=Q_qPKy9W&c=aa85e2f63e550aba6c9fc3ad61582464)
Robert Crousore
Robert has 28 years of experience in the health care products and
services industry. Crousore is a serial entrepreneur with multiple
successful product and services company exits. His experience spans
the entire business enterprise including Sales, Marketing, Operations,
Product Innovation and, most recently M & A.
Highlights Include:
- Has successfully managed a global commercial organization in the wound care business.
- Has a number of patent credits for products in the wound care industry.
- Sits on multiple boards of healthcare technology companies.
- His passion is creating meaningful changes in patient care by combining great products with great teams that are focused on empowering improved clinical and financial outcomes.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/brannon_morisoli_-_headshot.jpg?itok=mT2KSeZL&c=9265ac2a9155e60568cf7254bae6f184)
Brannon Morisoli
Mr. Morisoli joined SWK Holdings as a Senior Analyst in March 2016. Prior to joining SWK, he was an Investment Analyst and Portfolio Manager for a family office that invested in equities, fixed income, real estate, and alternative investments. Prior to that, he was an Investment Analyst for Presidium Group, a real estate private equity firm, where he played an integral role in closing over $100mm in transactions. Mr. Morisoli began his career at Neurografix, a startup medical technology company in Santa Monica, CA that was doing groundbreaking work in the MRI imaging of peripheral nerves. While with Neurografix, he was published in two leading neurology journals. Brannon graduated from UCLA with a B.S., was awarded a fellowship and graduated from the University of Notre Dame with an M.B.A, and was awarded a Samson Fellowship from the University of Wisconsin Law School, where he graduated with a J.D. Mr. Morisoli is an inactive member of the State Bar of Wisconsin
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/thomas_busby_-_headshot.jpg?itok=mtxN2U1e&c=b66d34f487bc8520d9e3d0e170b11fd8)
Thomas Busby
Thomas Busby is a Vice President and has been with Outcome Capital since 2015. He focuses on medical technology, digital health and life science services segments with particular interest in innovative life science companies that deliver patient impact by leveraging novel approaches. Thomas is driven by the desire to identify disruptive technologies and services that require unique strategic thought and assistance to realize their full market potential. Thomas has been published in leading life science journals Life Science Leader and The Pharma Letter, and also serves on the board of HealthTech Build, a Boston-based digital health innovation group.
Prior to his career in life-science investment banking, Thomas pursued his passion for the public service and non-profit sectors working in a variety of leadership and management positions, and at one time held a Massachusetts teaching license.
Thomas completed his MBA at Suffolk University’s Sawyer Business School on full academic scholarship where he was President of the school’s Graduate Business Association and class speaker at graduation. Prior, he completed a BS in Philosophy with Honors from Suffolk’s College of Arts & Sciences. Committed to giving back, Thomas is currently the President of the College of Arts & Sciences Alumni Board of Directors. Thomas is a FINRA Registered Securities Representative holding his Series 79 and 63.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/robert_crousore_-_headshot.jpg?itok=Q_qPKy9W&c=aa85e2f63e550aba6c9fc3ad61582464)
Robert Crousore
Robert has 28 years of experience in the health care products and
services industry. Crousore is a serial entrepreneur with multiple
successful product and services company exits. His experience spans
the entire business enterprise including Sales, Marketing, Operations,
Product Innovation and, most recently M & A.
Highlights Include:
- Has successfully managed a global commercial organization in the wound care business.
- Has a number of patent credits for products in the wound care industry.
- Sits on multiple boards of healthcare technology companies.
- His passion is creating meaningful changes in patient care by combining great products with great teams that are focused on empowering improved clinical and financial outcomes.
PARTNER WITH US
Based on your objectives, we can create bespoke packages designed specifically for you – from presenting your expertise on the main stage, to hosting a private dinner. You can partner with us showcase your brand and make valuable new connections. Opportunities predominantly lie in 3 main categories: Thought Leadership, Branding & Networking.
To discuss your objectives and partnership opportunities please contact Harry Ludbrook, Sales Director [email protected]
Interested in a media partnership?
We'd love to hear from you and how we can support one another to connect with the industry. Contact Jodie Purser, Marketing Manager, [email protected]
PARTNER WITH US
Based on your objectives, we can create bespoke packages designed specifically for you. Opportunities predominantly lie in 3 main categories: Thought Leadership, Branding, and Networking.
Interested in a media partnership?
We'd love to hear from you and how we can support one another to connect with the industry. Contact [email protected]
Venue
Luxor Hotel & Casino, 3900 S Las Vegas Blvd, Las Vegas, NV 89119, United States
We're excited to welcome you face-to-face in Las Vegas at the Luxor Hotel & Casino for the Healthcare Payment & Revenue Integrity Summit West!
To stay at a discounted rate, you can use the link here.
About Kisaco Research
Kisaco Research produces, designs and hosts B2B industry conferences, exhibitions and communities – focused on a specialized selection of topic areas.
Meet industry peers that will help build a career-changing network for life.
Learn from the mistakes of your peers as much as their successes—ambitious industry stalwarts who are happy to share not just what has made them successful so far but also their plans for future proofing their companies.
Note down the inspired insight that will form the foundation for future strategies and roadmaps, both at our events and through our online communities.
Invest both in your company growth and your own personal development by signing up to one of our events and get started.
We'd love to hear from you.
Contact us at +44 (0)20 3696 2920 and email [email protected], or let us know what subject area you're interested in below.