WASHINGTON DC USA -- HEALTHCARE UPDATE NEWS SERVICE™ -- MAY 8, 2026: The 2026 WEDI Spring Conference is a 4-day virtual spotlight on best practices, lessons learned, and emerging trends shaping the future of health care IT. Bringing together leaders from across the health care ecosystem—payers, providers, vendors, standards organizations, and government—WEDI continues its mission of driving strong public-private collaboration to advance administrative automation and health information exchange.

As of March 31, 2026, impacted payers are required to publicly report on a basic set of prior authorization metrics as mandated in the CMS-0057-F rule.

This presentation will offer learnings and insights from publicly available PA metrics while also examining the current state of FHIR adoption based on transactions flowing through Edifecs’ systems. Part two of the presentation will outline the next generation of PA performance metrics health plans should begin tracking now to quantify ROI, identify automation opportunities, and systematically reduce administrative burden.

From state government proposals to eliminate requirements for certain conditions to payer pledges around response times, there are no shortage of ideas to reform prior authorization. CMS-0057-F is also a major catalyst for change, setting forth key objectives like accelerated decision timelines, transparency and implementation of FHIR-based APIs to support real-time data exchange between payers, providers, and patients.

This session will discuss how new technology investments can integrate APIs with existing systems such utilization and policy management. Edifecs product leaders will focus on practical yet valuable process improvements that payers can make in short order to automate routine PA decisions and reduce unnecessary back and forth.