HEDIS® is a registered trademark of the National Committee of Quality Assurance (NCQA) and any reference thereto by RISE Health does not imply any endorsement by NCQA of RISE Health and its offerings.
You Know What's Changing. Now Build the Plan.
The rules are out. The timelines are taking shape. Now comes the harder part: turning them into a quality strategy that actually works.
The HEDIS® & Quality Improvement Summit brings together the people responsible for making that happen: health plan quality leaders navigating the move to digital HEDIS®, evolving Star Ratings, new measures, tighter budgets, AI adoption, and the constant pressure to improve performance.
Spend three days in Baltimore getting beyond the what and into the how: benchmark your approach with other health plans, work through your toughest measures, hear directly from NCQA, and leave with practical strategies you can put to work when you get home.
This is where HEDIS® teams come to solve what’s next.
What's New for 2026:
- 16 HEDIS® Measure Work Groups: Pick the measures that matter most to your plan and work through them with peers tackling the same challenges.
- MY 2027–MY 2030 Transition Roadmap: Map out what needs to happen (and when) as your plan moves toward fully digital HEDIS®.
- AI Bootcamp + Plan-Side Case Studies: Go beyond the hype with real use cases, costs, accuracy rates, governance considerations, and lessons learned.
- NCQA Fireside Chat: Hear directly from NCQA and dig into MY 2027, digital HEDIS®, and what health plans should be preparing for now.
- 7 Facilitated Roundtables: Have the conversations that don’t always make it onto the main stage, from FHIR readiness and outreach fatigue to small-plan strategy and workforce reskilling.
The Conversations Shaping the 2026 Agenda
Build Your Plan-Specific Roadmap to Fully Digital HEDIS® by MY 2030
Leave with dated milestones for every hybrid measure you report, and the business case to fund them.
Re-Aim Your Quality Strategy at the CY2027 Star Ratings Changes
Know which measures still move your rating, and where to put people and budget before the 2027 measurement year starts.
Use AI in HEDIS® and Quality Where It Works, and Govern It Before NCQA Asks
Real plan-side results and costs, plus a governance framework ready for the July 1, 2027 survey window.
Thinking About Attending? Here's Why You Should
- Benchmark Your Strategy: Compare priorities, processes, technology, and results with quality leaders from other health plans.
- Get Answers From the Source: Hear directly from NCQA and get closer to the conversations shaping HEDIS® measurement and the digital transition.
- Work Through Real Problems: Use measure work groups, facilitated roundtables, workshops, and case studies to tackle the challenges on your desk right now.
- Learn From Health Plans Doing the Work: Hear what’s working (and what isn’t) from teams implementing new approaches in real-world environments.
- Build Your Next-Step Plan: Turn three days of conversations into priorities and actions you can take back to your organization.
- Find the Right Partners: Meet solution providers who understand quality improvement, digital measurement, data, member engagement, AI, and the infrastructure behind the work.
You'll Be in Good Company
Take a look at who you'll be sitting next to. If you touch the quality journey, you belong here!
Organizations That Attend
- Health Plans: Medicare Advantage, Multi-Line, Commercial, & Medicaid
- Accountable Care Organizations
- Community-Based Organizations, Government Agencies, & Advocacy Groups
- Physician Practices, Medical Groups, & Hospitals
- IPA Management or MSO Companies
- Integrated Delivery Networks
- Not-For-Profit Organizations & Health Care Foundations
- Pharmacy Benefit Managers
- Pharmaceutical Manufacturers
- Prescription Drug Plans
- Consultants & Vendors That Provide Platforms and Solutions
- Auditors
- Academia & Employer Groups
Job Functions You'll Network With
- Quality
- Stars
- Customer Service & Experience
- Marketing
- Sales
- Population Health
- Social Determinants of Health
- Physician Outreach & Education
- Member Outreach, Engagement, & Experience
- Care Management
- Network Management
- Risk Adjustment
Step Into Baltimore’s Historic Harbor Scene
The HEDIS® & Quality Improvement Summit will be held in Baltimore, a vibrant waterfront destination known for its rich history and walkable downtown. Enjoy modern accommodations, local dining, and easy access to top attractions throughout the city.
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