Industry
Epic Executive Assesses Payer Readiness for Prior Auth API Deadline
Ahead of a January 1 deadline requiring payers to adopt new prior authorization application programming interfaces, Epic Vice President of Value-Based Care Ryan Bohochik discusses the industry's progress implementing the technology. The interview covers how payers, including those running Medicaid managed care plans, are approaching electronic prior authorization standards mandated under federal interoperability rules. It highlights gaps and momentum observed across the industry as the compliance date approaches, drawing on Epic's vantage point working with payers and providers on these integrations.
Why it mattersMedicaid managed care plans that miss the January 1 deadline for electronic prior authorization APIs face compliance exposure and operational disruption in utilization management workflows.