The 9th Annual
Medicare Advantage Leadership Innovations

Navigating Complexity, Compliance, and Competition in a Changing Market

About The Event

As Medicare Advantage faces a pivotal year in 2026, health plans must navigate a complex landscape shaped by regulatory reform, financial strain, and shifting demographics. Key sessions will explore the implications of the 2025 Final Rule, and subsequent new regulatory initiatives with a spotlight on updated prior authorization processes and supplemental benefit evaluation. With star ratings declining across the board, plans must sharpen strategies to improve quality metrics and avoid revenue penalties. Risk adjustment and RADV audits continue to raise compliance stakes, while pharmacy and medical cost pressures challenge already tight margins. The member acquisition battleground intensifies during AEP, demanding smarter broker engagement and digital-first marketing strategies to maximize retention and lifetime value. Across these discussions, the emphasis is clear: success in 2026 requires agile strategy, operational excellence, and a relentless focus on regulatory readiness and financial resilience. This conference will directly address these critical challenges through expert-led keynotes, in-depth case studies, exciting panel discussions, and actionable strategy sessions designed to equip MA leaders with the tools, insights, and innovations needed to thrive in a rapidly evolving landscape. Tailored for Medicare Advantage leaders across every function, this premier event is renowned for its unparalleled networking opportunities, comprehensive education, and practical insights that drive real-world results.

Featured Speakers
2025



Designed for C-Suite Executives, Vice Presidents, Directors, Managers, Medical Directors and other Decision-Makers from Medicare Advantage Health Plans, Provider Groups and Health Systems with job functions in the following departments:

  • Strategy
  • Government Programs
  • Medicare
  • Clinical
  • Business Development & Growth
  • Member Engagement/Exprience
  • Population Management
  • Care Coordination
  • Stars
  • Quality
  • Risk Adjustment
  • Revenue Management
  • Marketing
  • Sales
  • Distribution
  • Product Development
  • Benefit Design
  • Operations
  • Utilization
  • Claims
  • Provider Contracting/Network Management
  • Analytics


  • Strategy, Regulation, and Financial Pressures
    • Navigating Regulatory Uncertainty and CMS Oversight
    • Declining Star Ratings – The Revenue Risk of Falling Below 4 Stars
    • Inside RADV Audits and Risk Adjustment Exposure
    • Margin Compression – Managing Medical and Pharmacy Cost Pressures
    • Member Acquisition and Retention in a Crowded AEP

  • Operations, Technology, and Innovation
    • Prior Authorization Backlash and Administrative Burden
    • Achieving Health Equity through SDOH Integration
    • Technology Modernization and Interoperability Compliance
    • Supplemental Benefits – Differentiation or Cost Sink?
    • Managing Risk Mix and Avoiding Adverse Selection
    • Network Adequacy, Tiered Design, and Provider Alignment
    • Plan Design Complexity and the Push for Simplicity
  • Risk, Reputation, and Long-Term Sustainability
    • Broker Channel Oversight in the Age of Marketing Scrutiny.
    • Member Disenrollment – Root Causes and Early Interventions
    • Behavioral Health Integration – Closing the Gaps
    • Managing Brand Risk in the Social Media Age
    • False Claims Act and Risk Adjustment Litigation Trends
    • Value-Based Contracting – From Vision to Execution
  • Leadership Development, Strategies and Management Tools
    • Leading Teams in an Uncertain Environment
    • Silo Busting – Building Cross-functional Teams


Testimonials from
Our 2025 Program:


SUPPORTING ORGANIZATIONS