Risk adjustment in 2026: Key updates and strategic readiness
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Accuracy has always been critical for risk adjustment coding, and recent policy changes and technology trends will make precision more important than ever in 2026. The new Medicare Advantage RADV auditing strategy announced by the Centers for Medicare & Medicaid Services (CMS) is relying on enhanced technology tools like AI, looking to expedite completion of 2018–2024 audits and begin auditing all Medicare Advantage plans going forward.
With these and other changes on the horizon, plans should ensure their risk adjustment programs meet the highest standards of accuracy and compliance for the year ahead.
Watch our on-demand webinar in partnership with RISE as we dive into key regulatory updates and emerging policy trends in 2026. You'll discover more about:
- Regulatory changes impacting risk adjustment programs in 2026
- Focus areas and priorities to strengthen your programs
- How to successfully execute change to improve coding accuracy
Presenters
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Katie Sender, MSN, RN, PHN, CRC With over 25 years of healthcare experience, Katie is responsible for leadership and management oversight of teams spanning the globe to ensure optimal client outcomes and service delivery through management of key performance indicators related to Clinical and Coding solutions. |
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Amanda Liu Amanda guides new risk adjustment product offerings, drives revenue opportunities in collaboration with go-to-market and marketing teams, and ensures the delivery of value to existing customers. With a strong background in data-driven strategy, product management, and advanced analytics, Amanda leverages data insights to shape solution strategies, and enhance outcomes for health plan clients. |