Professional Documents
Culture Documents
The State of Healthcare APIs Ebook PDF
The State of Healthcare APIs Ebook PDF
Executive Summary
Research Methodology
Research Findings
API Maturity: Current and Future
Research Findings
Additional Insights
Resources
i Start
Executive Summary
APIs (application programming interfaces) are This ebook reports the results of this survey,
sets of code that enable data transmission offering key highlights and take-aways. Some Executive Summary
and shared digital services between disparate important themes that weave throughout the
software products. In healthcare today, they survey results include:
Research Methodology
are already playing a vital role in helping solve
long-standing, even once intractable challenges. • APIs are recognized as mission critical or at
However, adoption has been inconsistent, and least quite important to organizations’ Research Findings
API Maturity: Current and Future
concerns remain. Meanwhile, the clock is ticking business strategies
for compliance with related CMS interoperability • Concerns about technical skills gaps, security,
Research Findings
mandates that will be enforced starting cost, and competing industry standards remain, Additional Insights
July 1, 2021. and are hindering the industry from realizing the
full transformative potential of APIs
With so many questions surrounding API Resources
use across the industry, Change Healthcare • Adoption is inconsistent, with more than half of
providers using APIs at scale as consumers, but
commissioned research firm ENGINE Insights to
payers lagging far behind How Change Healthcare
conduct a new national study to look at where Can Help
payers, providers, and healthcare tech companies • Although there’s closer parity among payers,
providers, and HIT vendors as API producers, it’s
stand in regard to their embrace of APIs.
mostly for internal use
The study revealed that APIs are emerging as
• API use and maturity today remain largely
the backbone of the digital health economy and tactical, but maturity is predicted to escalate
will tip the balance to become mission-critical sharply among all stakeholders by 2023
for healthcare by 2023. In the meantime, there
remain some challenges to overcome.
1 The State of Healthcare APIs
Insight. Innovation. Transformation.
Executive Summary
Research Findings
Methodology
API Maturity: Current and Future
Research Findings
Additional Insights
Resources
Research Methodology
Providers Payers Healthcare Technology
Job Role Executive Executive Middle Executive Middle Executive Executive Middle
Research Findings
Manager Manager Manager
API Maturity: Current and Future
Department Information C-Suite Information C-Suite Digital Product C-Suite C-Suite Business/
Technology Technology Development Partner Dev.
Research Findings
Job title CIO/CTO CIO/CTO IT VP/Director/ CIO / CTO Product VP/ CEO CEO IT Manager Additional Insights
Manager Director/Mgr
API familiarity
Resources
Purchase APIs? ü ü ü ü ü ü ü ü
Build APIs? For internal For internal For internal For internal and For internal and For internal and For internal and For internal How Change Healthcare
use only use only use only external use external use external use external use use only Can Help
Decision role Primary DM Primary DM Influencer Primary DM Primary DM Influencer Influencer Influencer
Company size Just over $1B $100 M - $1B $1-10M >$B n/a n/a $50-100M > $50M
Executive Summary
Research Findings
Findings
API Maturity: Current and Future
Research Findings
Additional Insights
Research Methodology
Research Findings
API Maturity: Current and Future
43% AC 37% AC
24% 24% 31% Resources
Payer (B) 21%
3% 7% 9%
1%
How Change Healthcare
Can Help
41%
32% A 29% 26%
Healthcare 21% 24% A
14% A 7%
Tech (C) 6% A 3%
Haven't Considering Starting to Using but Using at Haven't Considering Starting to Using but Using at
considered but not using use not at scale scale considered but not using use not at scale scale
Resources
organizations (including
more than two-thirds of Research Findings
providers) expecting to be Additional Insights
“fully mature” in API use
as consumers. 67%
Resources
61%
51%
Providers How Change Healthcare
Can Help
Payers
Healthcare Tech
23%
18% 20%
14%
Future 9%
13%
9% 10%
7%
As consumers
Trapped in Silos
As API producers, there’s closer parity among all segments today, but that production is most likely for
internal use as an application development methodology. Executive Summary
As producers
Rocketing to Parity
In just three years, all three groups expect massive gains in maturity as API producers. Providers will be
at 64%, payer at 65%, and HIT vendors at 59%, a clear indication that APIs will be the glue that binds Executive Summary
healthcare together.
• Far more providers are using APIs at scale than are payers
Research Findings
or healthcare tech vendors, which could hinder payers’ ability API Maturity: Current and Future
to comply with pending ONC and CMS regulations governing
interoperability. Research Findings
Additional Insights
• Parity among payers, providers, and HIT vendors is projected
by 2023. As consumers, payers (61%), providers (67%), and HIT
vendors (51%) expect to be “majority mature” by 2023. Resources
Executive Summary
Research Findings
Findings
API Maturity: Current and Future
Research Findings
Additional Insights
Research Methodology
Research Methodology
Resources
9%
Neutral 5%
8%
Provider (A)
How Change Healthcare
9% B Payer (B) Can Help
Negative impacts Negative Convenience 1%
10% B
due to limited vendor Healthcare Tech (C) APIs have a
support, limited positive impact
4%
API functionality, Negative Efficacy 3% on productivity
limited availability of 10% AB because they
standards-based APIs, reduce manual work and enable
use of older versions, 14% what was previously impossible.
slow computers, etc. No impact/ nothing/ N/A 11%
10%
“It’s a richer, more personalized experience for consumers. That comes from speed of the Executive Summary
API and the ability to put data to work in the right place at the right time, and in the right
context for the consumer. That translates into more, faster, better business decisions. You
are fueling the consumer experience but, also collecting insight faster, more frequently Research Methodology
with richer analytics. It’s about enabling cooperation.”
Research Findings
API Maturity: Current and Future
Research Findings
Additional Insights
APIs Everywhere
Virtually all respondents build APIs and purchase content/services delivered via APIs. Payers and providers build APIs
for internal use, some of which are also offered to other companies. Healthcare tech companies build some APIs for Executive Summary
internal use, some for use by others, and some for both internal and external use.
Research Methodology
What APIs are Being Built For
Research Findings
API Maturity: Current and Future
Research Methodology
Research Findings
API Maturity: Current and Future
Having A Need To Use APIs Instead Of Other Means 20% 39% A 41% A
Research Findings
API Maturity: Current and Future
Organizations use multiple standards and will continue to do so. More
providers use EDI than HL7 or FHIR, while more payers (64%) and
healthcare tech (61%) companies use FHIR than HL7 or EDI. Although Research Findings
more respondents say FHIR will dominate than EDI or HL7, EDI is a close “I think FHIR is going to Additional Insights
runner up according to providers (56%). dominate … because
it was created from
within healthcare.” Resources
Executive Summary
Research Methodology
“We, as an industry, stand on the edge of an
innovation revolution—a revolution that will require
healthcare organizations to strategically embrace Research Findings
the use of APIs as both consumers and producers. API Maturity: Current and Future
There’s no better evidence of this seismic shift than
CMS’s recent and upcoming rules requiring APIs for Research Findings
data exchange and prior authorization. The next two Additional Insights
years will be pivotal, with the market consolidating
around data interoperability, enhanced patient
Resources
experience, and operating efficiencies. The laggards
risk being left behind.”
How Change Healthcare
Gautam M. Shah Can Help
Vice President of Platform
and Marketplace at Change Healthcare
Executive Summary
Research Methodology
Resources
Research Findings
API Maturity: Current and Future
Research Findings
Additional Insights
Resources
Executive Summary
Q
Executive Summary
What would you tell a developer who is new to
using APIs in healthcare?
Research Methodology
Executive Summary
Executive Summary
Research Methodology
Research Findings
Executive Summary
Healthcare
Research Findings
API Maturity: Current and Future
Research Findings
Additional Insights
Research Findings
API Maturity: Current and Future
Productized APIs to Power Healthcare Solutions
Research Findings
Additional Insights
Executive Summary
Products in the Change Healthcare API & Services Connection Research Methodology
marketplace reflect the breadth of our proven solution portfolio.
Research Findings
API Maturity: Current and Future
Research Findings
• Eligibility and Claims • Patient and Member Additional Insights
Engagement
• Billing Management
Resources
• Care Operations and
• Payments and Reimbursements Management
• Data Access and Interoperability How Change Healthcare
• Analytics and Insights Can Help
Research Findings
API Maturity: Current and Future
Research Findings
Additional Insights
Resources
Executive Summary
Research Methodology
Research Findings
API Maturity: Current and Future
Research Findings
Additional Insights
Insight. Innovation. Transformation.
Resources
© 2021 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. CH022021
changehealthcare.com