Where Payer Accountability, Provider Execution, and Regulatory Oversight Meet
The California Collaborative brings together Managed Care Organizations and Delegated Risk entities operating on the Epic Tapestry platform to address the real-world challenges that arise where payer accountability, provider execution, and regulatory expectations intersect.
Designed for cross-functional leaders and operational teams, these collaborative working sessions focus on shared learning, readiness planning, and practical solutions across utilization management, authorizations, eligibility, enrollment, and benefits.
Participants are welcome to attend multiple sessions depending on their role and organizational priorities.
General Session
For Leaders Navigating Payer–Provider Complexity
This session is designed for executives and cross-functional owners responsible for strategy, compliance coordination, and organizational alignment.
Topics may include:
- CMS interoperability and prior authorization requirements (CMS-0057) and organizational readiness
- Service-level and unified authorizations: sequencing, ownership, and lessons learned
- Payer-driven operational changes such as enrollment file redesigns and ID updates
- Cross-team governance and execution strategies
Who should attend:
- Strategy leaders
- Compliance and regulatory stakeholders
- Operational owners managing payer–provider initiatives
Utilization Management (UM) Workflows
For Authorization and Clinical Operations Leaders
Focused on delegated models, this collaborative explores operational workflows and stabilization strategies following authorization changes.
Topics may include:
- Delegated UM workflows and oversight responsibilities
- Transitioning from referrals to service-level and unified authorizations
- Claim-to-authorization matching challenges and post-go-live lessons learned
- Provider communication and operational alignment during authorization redesign
Who should attend:
- Utilization Management leaders
- Authorization and clinical operations teams
- Delegated risk program owners
Eligibility, Enrollment & Benefits (E&E)
For Teams Managing Financial Accuracy and Member Data
This session supports organizations responsible for eligibility management, benefit configuration, and downstream financial integrity.
Topics may include:
- Benefit plan maintenance and employer group structure strategies
- Enrollment filer challenges and payer-specific data gaps
- Preparing for Epic benefit redesign initiatives and Benefit Builder dependencies
- Improving operational alignment between eligibility and claims outcomes
Who should attend:
- Eligibility and enrollment teams
- Benefits configuration specialists
- Revenue cycle and financial operations stakeholders
Session Structure and Cadence
The California Collaborative follows a recurring cadence designed to support ongoing learning and peer collaboration:
- General Session: Leadership-focused discussions held on a regular monthly cadence
- Utilization Management Workflows: Operational deep dives aligned with delegated UM priorities
- Eligibility, Enrollment & Benefits: Functional working sessions centered on data accuracy and benefit strategy
Specific session dates may vary. Participants are encouraged to reach out for the latest schedule and participation details.
Learn More
If you are interested in participating in the California Collaborative or would like more information about upcoming sessions, please contact: