Review of California Association of Health Plans Conference

Summary:  For more than 15 years, PCG Software has proudly attended and sponsored the California Association of Health Plans (CAHP) Annual Conference in Palm Springs, California. As one of the most influential gatherings for Medi-Cal, Medicare Advantage, Commercial, and specialty plans, CAHP remains the premier venue where California’s payer community comes together to learn, collaborate, and shape the future of healthcare delivery. We review each year that we attend the California Association of Health Plans to describe what was presented, who attended, and what was learned.

What is the CAHP Annual Conference?

The CAHP Conference brings together every major health plan in California, along with policy experts, clinical leaders, operational executives, and technology innovators. The event provides timely guidance on:

• New Medi-Cal and Medicare regulatory changes
• Payment and compliance requirements
• Risk adjustment, utilization management, and quality measures
• Emerging technologies, AI adoption, and automation
• Strategies for cost containment and improved member outcomes

Educational sessions are led by industry executives, CAHP board members, state officials, and subject-matter experts, giving attendees direct insight into the issues shaping California healthcare.



Beyond the keynote sessions, the Exhibit Hall is where plans can explore new solutions—from advanced auditing software to clinical programs, analytics tools, legal and consulting services, and operational support models. This year again, PCG Software was proud to be showcased among top-tier vendors helping shape the next generation of payer innovation.

2026 CAHP Conference Reviews

PCG Software is excited to announce that we will be returning as a sponsor, exhibitor, and speaker at the 2026 CAHP Annual Conference. Our team will present new advancements in AI-driven claims automation and emerging innovations in AI authorization automation, enabling payers to identify errors, prevent waste, and streamline decision-making before claims ever reach their adjudication systems. With California’s evolving compliance landscape and increasing pressure on health plans to improve accuracy and operational efficiency, our 2026 sessions will focus on practical, real-world applications of AI that strengthen payment integrity while reducing administrative burden. We look forward to reconnecting with California’s health plans and sharing the next generation of payer-focused automation.

To enroll, visit here:

https://www.calhealthplans.org/conferences/

2025 CAHP Conference Reviews

After 15 consecutive years of sponsoring and attending the CAHP Annual Conference, PCG Software made the strategic decision not to participate in 2025. This year brought an unusually high volume of new client installations, major software updates, and operational enhancements across our Virtual Examiner®, VEWS™, and iVECoder® platforms. With so many implementations occurring simultaneously, our leadership team determined that the most responsible choice was to prioritize our existing payer clients, ensuring they received uninterrupted support, rapid onboarding, and optimized workflows during a critical period of regulatory and operational change.



Rather than divide internal resources across conference preparation and travel, we focused entirely on strengthening client outcomes—enhancing accuracy, improving adjudication performance, and accelerating the delivery of new features designed to meet evolving compliance standards in 2025. We look forward to rejoining CAHP in the future once installations stabilize and our client transitions are fully complete.

2024 CAHP Conference Reviews

We were honored to return as an official sponsor and connect with the health plans we serve—and the ones we look forward to serving next. Throughout the conference, our team engaged with:



• 5 new health plans that expressed a strong interest in adopting our AI-driven claims auditing solutions
• 3 new potential strategic partners evaluating integration and co-solution opportunities
• Dozens of existing clients who rely on Virtual Examiner®, VEWS™, and iVECoder® to reduce overpayments, strengthen compliance, and improve operational efficiency

The conversations reinforced a consistent theme across the payer community:
California plans are under growing pressure to modernize operations, improve accuracy, adopt automation, and prepare for stricter regulatory timelines—including AB 3275’s 30-day payment rule.

CAHP continues to serve as the perfect forum for discussing how technology and compliance intersect—and how plans can stay ahead of accelerating requirements.

Why CAHP is important for Cost Containment, Efficiency, and Compliance

As the regulatory landscape tightens and operational expectations accelerate, the CAHP Annual Conference remains one of the most valuable gatherings for California’s payer community. Each year provides a clear snapshot of where the industry is heading—from emerging AI technologies to updated Medi-Cal and Medicare requirements, new compliance mandates, and evolving expectations around accuracy, payment integrity, and authorization efficiency. Whether PCG Software is presenting, sponsoring, or focusing internally on major client implementations, our commitment to supporting California health plans remains unchanged.

The lessons learned at CAHP, combined with the challenges and opportunities observed firsthand across our payer clients, reinforce a central truth: California plans must continue modernizing to meet the demands of faster payment cycles, rising oversight, and the increasing complexity of healthcare data. With the right combination of automation, real-time auditing, and operational redesign, payers can not only stay compliant—they can reduce leakage, strengthen provider partnerships, and build the resilient infrastructure required for the next decade of healthcare transformation. PCG Software looks forward to continuing this mission and sharing new innovations with the CAHP community in 2026 and beyond.