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Hospitals and vendors report live prior‑authorization tests using open APIs
Summary
Panelists said pilot work has started to deliver real‑time prior authorization via open APIs so patients can get a fast yes/no while in the visit; one system (Ashland) said it went live but is still awaiting performance statistics.
Panelists used prior authorization as a concrete example of how pledges and public‑private work translate into patient benefit. Harry of Epic said pledges helped parties sit down and “test this out ahead of the deadline and actually make it work in production.”
Amy Gleason, who described her system as a 42‑hospital system across Louisiana, Mississippi and parts of Alabama, said her organization “was the 1st to go live with the API” for prior authorization and is monitoring early performance: “I don't have any stats yet. Before, we were about 30%. We're waiting on stats because it's fairly new.” The moderator clarified the user benefit: a fast “no” (no prior auth required) lets scheduling proceed in real time rather than waiting for a multi‑day SLA.
Panelists also stressed operational work beyond technical standards — trust, operational agreements and issue pipelines matter to make APIs work in production. The discussion noted security controls for production access; one vendor stressed that the environment is not “open to anyone” and uses defined security levels.
