{"id":12929,"date":"2026-04-28T13:36:00","date_gmt":"2026-04-28T13:36:00","guid":{"rendered":"https:\/\/medical-article.com\/?p=12929"},"modified":"2026-04-28T13:36:00","modified_gmt":"2026-04-28T13:36:00","slug":"digitizing-medical-policy-alone-will-not-automate-prior-authorization-at-scale","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=12929","title":{"rendered":"Digitizing Medical Policy Alone Will Not Automate Prior Authorization at Scale"},"content":{"rendered":"<p><a href=\"https:\/\/medcitynews.com\/2026\/04\/digitizing-medical-policy-alone-will-not-automate-prior-authorization-at-scale\/\"><\/a><\/p>\n<p>Many health plans are discovering that even after digitizing medical policies and implementing FHIR APIs, prior authorization turnaround times remain slow and provider frustration remains high. The reason is straightforward: digitization alone does not make medical\u2011necessity determinations executable by automated systems at scale.<\/p>\n<p>The post <a href=\"https:\/\/medcitynews.com\/2026\/04\/digitizing-medical-policy-alone-will-not-automate-prior-authorization-at-scale\/\">Digitizing Medical Policy Alone Will Not Automate Prior Authorization at Scale<\/a> appeared first on <a href=\"https:\/\/medcitynews.com\/\">MedCity News<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Many health plans are discovering that even after digitizing medical policies and implementing FHIR APIs, prior authorization turnaround times remain slow and provider frustration remains high. The reason is straightforward: digitization alone does not make medical\u2011necessity determinations executable by automated systems at scale. The post Digitizing Medical Policy Alone Will Not Automate Prior Authorization at&#8230;<\/p>\n","protected":false},"author":0,"featured_media":12930,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-12929","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/12929"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12929"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/12929\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/media\/12930"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12929"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=12929"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=12929"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}