Prior Authorization 2.0: From Pilots to Mandates

Few processes have generated as much frustration across healthcare as prior authorization. Long criticized for delaying care and burdening clinicians, it now stands at the center of one of the most significant policy-driven technology shifts in years. With CMS’s 2026 Interoperability and Prior Authorization Final Rule now in effect, payers and providers must move from small-scale pilots to enterprise-wide automation — transforming how approvals are requested, reviewed, and recorded.

This roundtable explores what real-world implementation looks like as the rule goes live: how organizations are managing data integration, clinician adoption, and oversight; where AI and workflow automation are delivering early wins; and what pitfalls persist around bias, transparency, and interoperability. Participants will hear first-hand lessons from early adopters on achieving measurable gains in speed, equity, and compliance — and how to ensure automation enhances rather than complicates the patient experience.

Join us to discuss:

• What lessons are early adopters sharing from first-wave compliance and automation efforts?

• How can AI and interoperability tools accelerate approvals while maintaining transparency and trust?

• What metrics and dashboards best capture improvements in efficiency, equity, and patient experience?