RISE Virtual Event Series: Member Accounting & Reconciliation

Payment accuracy is under a microscope. As CMS scrutiny intensifies, retroactive adjustments grow more complex, and revenue leakage continues to erode margins, we understand the increasing pressure Medicare Advantage organizations are under to ensure financial accuracy, audit readiness, and operational alignment.

The Medicare Advantage Member Accounting and Reconciliation Summit delivers a deep, practical look at the financial and operational challenges shaping the market right now. This is the only conference dedicated to helping MA leaders understand, evaluate, and improve how membership and revenue reconciliation is managed across the organization.

Join Medicare Advantage executives from across the country to tackle today’s most urgent challenges:

• Increased CMS scrutiny and audit pressure on payment accuracy
• The growing financial impact of retroactivity and payment adjustments
• Persistent revenue leakage driven by data and operational misalignment
• The need for scalable, audit-ready reconciliation processes

Walk away with clear, actionable strategies to strengthen financial performance, improve payment accuracy, and build processes that stand up to regulatory scrutiny.

• Stop revenue leakage and recover lost dollars with clear visibility into where discrepancies occur
• Improve payment accuracy and predictability by mastering CMS payment mechanics and RAF-to-revenue alignment
• Reduce the impact of retroactivity and financial rework with stronger, more efficient reconciliation processes
• Strengthen cross-functional alignment across finance, risk, enrollment, and billing to eliminate costly data disconnects
• Build audit-ready operations with controls and workflows designed to withstand RADV and CMS scrutiny