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2026 Update: The State of Prior Authorization

Event Date: 3/3/2026

Event Overview

3/3/2026
11:00 AM – 12:00 PM CT (60 minutes)
Zoom Meeting

 

As we enter 2026, the prior authorization landscape looks dramatically different than it did just a year ago. With the January 2027 CMS-0057 compliance deadline rapidly approaching, health plans that were in early planning phases are now in active implementation, and the lessons learned are reshaping industry best practices. This session provides a timely market update on how the prior authorization environment has evolved and what health plan leaders need to know heading into the final compliance stretch.
We'll examine the latest developments in federal and state regulations, share fresh insights from health plans at various stages of their modernization journey, and discuss how emerging trends in automation and AI are being applied in real-world environments. This update will focus on what has changed in the market over the past year.

Whether your organization is refining its compliance approach or accelerating implementation timelines, this session will offer current, actionable intelligence on market trends and proven strategies for success in 2026 and beyond.

 

 

 

Notice to participants

This sponsored webinar provides you the opportunity to learn from this organization's subject matter experts and hear about their programs and services. Please note that this does not constitute an endorsement by the Health Plan Alliance.

 

Questions or feedback?

Contact Jaime González, Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

Sponsors

Thank you to our event sponsors


Sponsor

Attendees

Below is a list of all delegates registered to date for this event

  • David Ackman
  • ALLIANCE MEMBER
  • VP, Medical Directors at MetroPlusHealth
  • Ann Bain
  • ALLIANCE MEMBER
  • Director of Compliance at Avera Health Plans
  • Kiran Biring
  • ALLIANCE MEMBER
  • Chief Pharmacy Officer at Western Health Advantage
  • Julie Boutwell
  • ALLIANCE MEMBER
  • Medicare Audit Analyst - Compliance at Providence Health Plan
  • Xenas Bradfield
  • ALLIANCE MEMBER
  • Delegation Vendor Oversight Auditor at Health Alliance Plan (HAP)
  • Suzanne Brown
  • ALLIANCE MEMBER
  • Vice President, Regulatory at Baylor Scott and White Health Plan
  • Sherry Cross
  • ALLIANCE MEMBER
  • Technical Project Coordinator at Sentara Health Plans
  • Mfon Ekong
  • ALLIANCE MEMBER
  • Medical Director at Johns Hopkins Health Plans
  • Sarah Hayzlett
  • ALLIANCE MEMBER
  • UM Nurse Manager at Providence Health Plan
  • Debbie Hirota
  • ALLIANCE MEMBER
  • Operations PM at Santa Clara Family Health Plan
  • Amy Ho
  • ALLIANCE MEMBER
  • Process Improvement Project Manager at Santa Clara Family Health Plan
  • Stacy Knudsvig
  • ALLIANCE MEMBER
  • Director Government Programs CM at Select Health
  • Deborah Marine
  • ALLIANCE MEMBER
  • Compliance Director at Geisinger Health Plan
  • Tracey McCloy
  • ALLIANCE MEMBER
  • Director, Strategic Growth & Product Development at HealthTeam Advantage
  • Christopher Ottiano
  • ALLIANCE MEMBER
  • Medical Director at Neighborhood Health Plan of Rhode Island
  • Celeste Richards
  • ALLIANCE MEMBER
  • Chief Operating Officer at Alliant Health Plans
  • Ryan Stansbury
  • ALLIANCE MEMBER
  • Technical Business Analyst II at CHRISTUS Health Plan
  • Sharon Taylor
  • ALLIANCE MEMBER
  • Director, Medical UM & at FirstCarolinaCare Insurance Company
  • Kelly Wallington
  • ALLIANCE MEMBER
  • Director of Utilization Management at Health First Health Plans
  • Robert Waterhouse
  • ALLIANCE MEMBER
  • Chief Medical Officer at Baylor Scott and White Health Plan
  • Ruie Winters
  • ALLIANCE MEMBER
  • Sr. Director, Health Outcomes and Pharmacy at Denver Health Medical Plan
  • Andrea Yap
  • ALLIANCE MEMBER
  • Manager of Financial Controls, Model Audit Rule, ORSA at MediGold