2026 Risk Adjustment Outlook: CMS Changes, AI Trends & Q1 Priorities
- Jan 28th 2026
- 11:00 AM to 11:40 AM (EST)
Join us for a focused look at what’s ahead.
You’ll walk away with:
- Clear breakdown of 2026 CMS regulatory changes impacting your risk adjustment program
- AI adoption roadmap to maximize accuracy under the current V28 model
- Actionable Q1 priorities to protect revenue and reduce audit exposure

The 2026 Regulatory Shift
What continued V28 implementation and CMS policy updates mean for HCC capture, coding workflows, and your bottom line this year

AI That Actually Works
How clinical AI is moving beyond hype to deliver explainable, audit-ready results your team can trust

Q1 Action Checklist
Concrete steps to align your coding operations, vendor strategy, and compliance posture before March

The Road Ahead
Industry trends shaping risk adjustment through 2026 and how leading plans are preparing now
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Strategic Takeaways

The 2026 Regulatory Shift
What continued V28 implementation and CMS policy updates mean for HCC capture, coding workflows, and your bottom line this year

AI That Actually Works
How clinical AI is moving beyond hype to deliver explainable, audit-ready results your team can trust

Q1 Action Checklist
Concrete steps to align your coding operations, vendor strategy, and compliance posture before March

The Road Ahead
Industry trends shaping risk adjustment through 2026 and how leading plans are preparing now
Panelists
Wynda Clayton, MS, RHIT – Lead Presenter
Director of Risk Adjustment Coding & Compliance
Wynda is a recognized leader with over 20 years of experience in risk adjustment, coding, and compliance. A seasoned RADV auditor and educator, she focuses on maximizing coding accuracy and maintaining regulatory standards. At RAAPID, Wynda spearheads AI-driven initiatives to enhance value-based care delivery and reimbursement accuracy.
Cat Valyi – Moderator
Senior Marketing Consultant
Cat Valyi is a seasoned B2B healthcare marketing strategist with over 30 years of experience and the creator of the 3D Strategic Marketing Approach. She’s also a speaker, podcast host, and founder of CV Strategic Marketing Solutions—helping healthcare organizations grow through clear, results-driven marketing.
Who Should Attend
At organizations including Medicare Advantage plans, ACA health plans, ACOs, value-based provider groups, and third-party administrators
- Chief Executive Officer (CEO)
- Chief Financial Officer (CFO)
- Chief Compliance Officer (CCO)
- VP of Risk Adjustment
- Director of Compliance
- Risk Adjustment Manager
- Coding Manager/Director
- Revenue Cycle Director
- Quality Assurance Manager
- Audit Manager
- Operations Director
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