Operationalizing Prior Authorization Across a Payer Continuum

Operationalizing Prior Authorization Across a Payer Continuum

Tuesday, March 10, 2026 3:30 PM to 4:30 PM · 1 hr. (US/Pacific)
Level 2 | Venetian E
Views From the Top
Digital Health Transformation

Information

This session brings together executives and leaders from the Blue Cross and Blue Shield System to explore the transformative journey of operationalizing electronic prior authorization (ePA) APIs across the payer continuum. Panelists will share firsthand experiences, insights, and lessons learned as they work to fulfill public commitments aimed at improving the prior authorization process. Attendees will gain a deeper understanding of the strategic and operational challenges faced by payers, providers, and other stakeholders in adopting these technologies. The discussion will also highlight the broader implications of interoperability and standards in the health information exchange ecosystem, emphasizing the critical role of collaboration among payers, providers, and regulators to enhance patient care and streamline administrative processes.

Target Audience
Advocacy Groups Focused on Patient, Family Member, or CaregiverPayerPhysician or Physician’s Assistant
Level
Intermediate
Format
Panel Discussion
Learning Objective #1
Discuss the progress of Plans implementing the ePA API technologies and how the technologies intersect with the PA commitments
Learning Objective #2
Describe the challenges in the broader health tech ecosystem that will impair the success of the APIs
Learning Objective #3
Summarize the opportunities presented by the APIs for providers to adopt and recommendations for regulators to support providers
Session #
59

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