September 17, 2026
Prior authorization: what payers should expect in 2027
By Lena Brooks
Prior authorization is one of the most debated processes in healthcare. Upcoming interoperability requirements are set to change how requests are submitted, tracked and answered.
From fax to API
Health plans will increasingly be expected to support electronic requests and share status updates with providers in near real time.
What to prepare now
- Map every authorization workflow and the systems it touches
- Identify the services where decisions could be automated safely
- Build reporting on turnaround times before regulators ask for it
Transparency on turnaround time will become a competitive advantage, not just a compliance item.
