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Insight. Innovation. Transformation.

Executive Summary

Research Methodology

Research Findings
API Maturity: Current and Future

Research Findings
Additional Insights

Resources

How Change Healthcare


Can Help

Wired for Transformation: The State of Healthcare APIs


A review of API adoption, usage, and maturity among U.S. payers, providers, and
healthcare technology companies, and the transformative impact on healthcare

i Start
Executive Summary

Insight. Innovation. Transformation.


APIs to Drive Healthcare Transformation by 2023

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 Research Methodology

Research Findings

Methodology
API Maturity: Current and Future

Research Findings
Additional Insights

Resources

How Change Healthcare


Can Help

2 The State of Healthcare APIs


Research Methodology

Insight. Innovation. Transformation.

• ENGINE Insights employed a A total of 400 quantitative surveys


dual qualitative and quantitative were completed:
research approach to analyze and Executive Summary
Healthcare
understand the perceptions of APIs Total Provider Payer
Tech
(n=400) (n=125) (n=75)
in healthcare. (n=200)
Research Methodology
• A multi-faceted perspective was Executive n=172 n=66 n=32 n=74
captured by engaging healthcare Middle Manager n=195 n=51 n=38 n=106
Research Findings
providers, payers, and digital Developer n=33 n=8 n=5 n=20 API Maturity: Current and Future
healthcare companies that
support API innovation within the Research Findings
Additional Insights
healthcare industry. In order to
participate, respondents must be
familiar with their organization’s A total of 8 qualitative interviews Resources

API use and be API influencers/ were completed:


decision-makers. Healthcare
How Change Healthcare
Total Provider Payer Can Help
Tech
(n=8) (n=3) (n=2)
(n=3)
Executive n=5 n=2 n=1 n=2

Middle Manager n=3 n=1 n=1 n=1

The quantitative survey was fielded August 25 to September 17, 2020.


3 Qualitative interviews were conducted September 1-25, 2020. The State of Healthcare APIs
Research Methodology

Insight. Innovation. Transformation.

Qualitative interview respondents spanned a mix of organization


types and job roles. All purchase and build APIs.
Executive Summary

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

Location n/a n/a

4 The State of Healthcare APIs


Insight. Innovation. Transformation.

Executive Summary

Research Research Methodology

Research Findings

Findings
API Maturity: Current and Future

Research Findings
Additional Insights

API Maturity: Current and Future Resources

How Change Healthcare


Can Help

5 The State of Healthcare APIs


API Maturity: Current and Future

Insight. Innovation. Transformation.

Widespread API maturity is on the verge of reshaping healthcare IT.


Executive Summary

Research Methodology

Research Findings
API Maturity: Current and Future

The following pages illustrate


the overall industry picture of Research Findings
Additional Insights
current and future API use—both
as consumers and producers—for
Resources
healthcare tech vendors, payers,
and providers.
How Change Healthcare
Can Help

6 The State of Healthcare APIs


API Maturity: Current and Future

Insight. Innovation. Transformation.

Maturity of API Use Ramping Up Rapidly, But Scale is Lacking


More than half of providers report consuming and producing APIs at scale. Payers lag behind, with 43%
consuming and 37% producing APIs, but not at scale. This will change dramatically—with 67% of providers Executive Summary
and 61% of payers projecting their organizations will be using APIs at scale by 2023.

Current API Maturity Research Methodology


As a Consumer As a Producer
53% BC
50% BC Research Findings
Provider (A) API Maturity: Current and Future
18% 20% 21%
2% 7% 7% BC 8% 14%
Research Findings
Additional Insights

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

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


7 A1. Where would you place your organization on the following maturity scale for healthcare APIs? The State of Healthcare APIs
API Maturity: Current and Future

Insight. Innovation. Transformation.

Providers Double-Up in Maturity


Far more providers report using APIs at scale than payers or healthcare tech vendors, but payers are far
outpacing the field in terms of reaching maturity. Executive Summary

As consumers of Current Maturity as Consumers Research Methodology


APIs, more providers
(53%) are fully mature
than payers (24%) Research Findings
API Maturity: Current and Future
and healthcare tech
companies (29%). But Nascent Immature Reaching Maturity Fully Mature
43% of payers are Research Findings
reaching maturity. Additional Insights

Resources

53% How Change Healthcare


Providers Can Help
43%
Payers
32%
Healthcare Tech 29%
23% 24%
20%
19% 20% 21%
18%
Current 10%
9%
As consumers

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


8 A1. Where would you place your organization on the following maturity scale for healthcare APIs? The State of Healthcare APIs
API Maturity: Current and Future

Insight. Innovation. Transformation.

Explosive Growth As Consumers


Future parity among payers, providers, and HIT vendors as consumers is projected, with payers (61%),
providers (67%), HIT vendors (51%) expecting to be “fully mature” by 2023 Executive Summary

Within three years, all Future Maturity as Consumers Research Methodology


three groups anticipate
a substantial increase in
API consumption, with Research Findings
more than half of all Nascent Immature Reaching Maturity Fully Mature API Maturity: Current and Future

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

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


9 A1. Where would you place your organization on the following maturity scale for healthcare APIs? The State of Healthcare APIs
API Maturity: Current and Future

Insight. Innovation. Transformation.

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

Although half of providers Current Maturity as Producers Research Methodology


say they are “fully mature”
as API producers, and
nearly two-thirds (64%) Research Findings
API Maturity: Current and Future
say they are “fully mature” Nascent Immature Reaching Maturity Fully Mature
or “reaching maturity,”
more payers (68%) and Research Findings
healthcare tech vendors Additional Insights
(66%) indicate being on the
mature side of the curve. Resources

50% How Change Healthcare


Providers Can Help
41%
Payers 37%
31%
Healthcare Tech 26% 24%
21% 21%
15%
Current 10% 10%
14%

As producers

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


10 A1. Where would you place your organization on the following maturity scale for healthcare APIs? The State of Healthcare APIs
API Maturity: Current and Future

Insight. Innovation. Transformation.

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.

Nearly three-fourths of Future Maturity as Producers Research Methodology


all respondents expect
to be reaching maturity
or fully mature as API Research Findings
API Maturity: Current and Future
producers within the Nascent Immature Reaching Maturity Fully Mature
next three years. Indeed,
a solid 80% of payers Research Findings
anticipate being on the Additional Insights
mature side of the curve
by 2023. Resources
64% 65%
59%

How Change Healthcare


Providers Can Help
Payers
Healthcare Tech
18%
16% 16% 15% 16%
Future 11% 10%
8%
4%
As producers

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


11 A1. Where would you place your organization on the following maturity scale for healthcare APIs? The State of Healthcare APIs
API Maturity: Current and Future

Insight. Innovation. Transformation.


API Maturity: Parity Pending

• Maturity of API use in healthcare is escalating quickly across Executive Summary


all stakeholders. This is the key to pervasive API adoption
and strategic use to increase interoperability across payers,
providers, and tech vendors. Research Methodology

• 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

• As producers, there’s closer parity today but that’s most likely


How Change Healthcare
for internal (siloed) use, but by 2023 providers will be at 64%, Can Help
payer at 65%, and HIT vendors at 59%, a clear indication that
APIs will become the glue that binds healthcare together.

12 The State of Healthcare APIs


API Maturity: Current and Future

Insight. Innovation. Transformation.


Executive Perspective—Maturity and Scale
Providers, payers, and HIT vendors all expect to be producing APIs at scale within three years, and see
them playing a central role in their operations. Executive Summary

“It’s not a matter of using Research Methodology


more or less; it’s the quality
of your APIs that makes the
“Until six months difference. We’d still be using Research Findings
API Maturity: Current and Future
ago, I didn’t them at scale, but standards-
understand what based APIs allow us to interact
scale would look like. at scale with other entities-- Research Findings
Now we know that so interoperability becomes Additional Insights
scale means sharing easier among all players.”
anything with Resources
anyone using APIs.
An application here,
a use case there- “They’re core to the way
How Change Healthcare
-that’s not scale. Can Help
we do business. APIs are
Scale is on-demand, critical enablers. There
everything, anything, is no Google without the
in the thousands.” internet. And for us, APIs
play a very similar role.”

13 The State of Healthcare APIs


Insight. Innovation. Transformation.

Executive Summary

Research Research Methodology

Research Findings

Findings
API Maturity: Current and Future

Research Findings
Additional Insights

Additional Insights Resources

How Change Healthcare


Can Help

14 The State of Healthcare APIs


Additional Insights

Insight. Innovation. Transformation.


APIs are Essential
Payers, providers, and healthcare tech agree that APIs are mission-critical or at least quite important to
organizations’ business strategies. Executive Summary

Research Methodology

Strategic Importance of APIs This importance


Research Findings
API Maturity: Current and Future
is because of the
functionality APIs
Research Findings
enable. Aspects of
Additional Insights
this functionality:
Provider (A) 40% 51% 8% 1%
• Capabilities that “Can’t be
delivered any other way.” Resources
For example, real-time
communication, which is
Payer (B) 48% 41% 11% “becoming the expected How Change Healthcare
standard.” Can Help

• Are or will be necessary for


regulatory compliance.
Healthcare Tech (C) 38% 50% 12%
• Provide “operational flexibility
and business flexibility.”
Mission critical Quite important Nice to have Not a factor

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


15 A4. How important are healthcare APIs to your organization’s strategy? The State of Healthcare APIs
Additional Insights

Insight. Innovation. Transformation.


APIs Boost Productivity
There is widespread agreement (40% of providers, 60% of payers, 45% of HIT vendors) that APIs boost productivity by
reducing manual work and enabling transformative capabilities that are otherwise impossible. Most payers, providers, Executive Summary
and vendors also agree that APIs improve solution quality and make patient data access “easy.”

Research Methodology

Productivity Impact of APIs


Research Findings
API Maturity: Current and Future
Positive Efficacy 40%
(e.g., improved productivity, improved 60% AC
access to data) 45%
Research Findings
9% Additional Insights
Positive Convenience
12%
(e.g., saves time/speeds up business) 8%

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%

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


16 U6. How has your productivity, or that of your clients, been impacted because of services that you deliver through third-party healthcare APIs? The State of Healthcare APIs
Additional Insights

Insight. Innovation. Transformation.


Executive Perspective—Better, Stronger, Faster

“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

“It’s a ‘standardized’ way of allowing local control Resources


of massive amounts of information. In healthcare, “Faster deployment, faster
that is really important, because local control can migration and cloning.”
translate to consent and privacy control. It allows How Change Healthcare
Can Help
for information to be generated at a population
level, which is otherwise impossible to generate.
So you’re getting better answers that are more
diverse and representative of the population.”

17 The State of Healthcare APIs


Additional Insights

Insight. Innovation. Transformation.

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

Provider 51% 10% 34% 6%


Research Findings
Additional Insights

Payer 35% 8% 52% 5%


Resources

How Change Healthcare


Healthcare Tech 29% 35% 34% 4% Can Help

For internal use only


To offer to other companies but not for internal use
For internal use and to offer to other companies
No (NET)

18 Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


S9. Has your organization built any APIs to deliver healthcare content or healthcare services?
The State of Healthcare APIs
Additional Insights

Insight. Innovation. Transformation.

Spending Set to Escalate


Most respondents report that spending on APIs will increase this year. Very few report a spending decrease. They also
note that spending on APIs increases in correlation with revenues or the volume of transactions, due to scale, but that Executive Summary
economies are realized.

Research Methodology

Change in Spending on APIs


Research Findings
API Maturity: Current and Future

Provider (A) 6% 30% 63%


Research Findings
Additional Insights

Payer (B) 3% 27% 71%


Resources

Healthcare Tech (C) 4% 25% 70% How Change Healthcare


Can Help

Decrease Stay about the same Increase

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


19 U1. How will this year’s spending on healthcare APIs compare to last year’s spending? The State of Healthcare APIs
Additional Insights

Insight. Innovation. Transformation.


Knowledge Gap and Security Concerns
Surprisingly, knowledge of how to use APIs is also named as a key challenge by more healthcare tech companies
than other respondents. Providers find security to be the biggest barrier, while payers find technical infrastructure a Executive Summary
challenge. Healthcare tech companies report security, technical infrastructure, and knowledge of how to create or
use APIs as leading barriers.
Research Methodology

Research Findings
API Maturity: Current and Future

Provider (A) Payer (B) Healthcare Tech (C)


Research Findings
Security 52% 41% 50% Additional Insights

Cost 47% 37% 41%

HIPAA Compliance 38% 40% 44% Resources

Privacy 37% 43% 47% A

43% 38% How Change Healthcare


Availability Of Standards-Based API 37%
Can Help
Technical Infrastructure 34% 45% A 48% A

Knowledge Of How To Create Or Use 29% 35% 50% AB

Procurement And Contracting Process To Engage 43% A 44% A


With Third Parties 26%

Limited Functionality 25% 37% A 38% A

Having A Need To Use APIs Instead Of Other Means 20% 39% A 41% A

Base: Provider (n=125), Payer (n=75), Healthcare Tech (n=200)


20 A5. What are the barriers to adopting healthcare APIs? The State of Healthcare APIs
Additional Insights

Insight. Innovation. Transformation.

FHIR Dominates the Future


But the jury is still out. The adoption of FHIR is fundamental to
driving efficiency and scale, but there appears to be a lack of Executive Summary
refinement that must be addressed to provide a standards- “FHIR is the only
based interface. Some differentiate HL7 integrations from APIs one out there, but
but see FHIR as a true API standard. it’s incomplete.” Research Methodology

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

How Change Healthcare


Can Help

“I’m not holding my


breath for any of
the standards to be
dominant.”

21 The State of Healthcare APIs


Additional Insights

Insight. Innovation. Transformation.


APIs: Seismic Shift Underway

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

22 The State of Healthcare APIs


Insight. Innovation. Transformation.

Executive Summary

Research Methodology

Resources
Research Findings
API Maturity: Current and Future

Research Findings
Additional Insights

Resources

How Change Healthcare


Can Help

23 The State of Healthcare APIs


Resources

Insight. Innovation. Transformation.


Best Practices in API Implementation
We asked our API development experts for insights on key considerations that payers, providers, and healthcare tech
organizations should weigh as they expand their consumption and production of APIs. Executive Summary

To Build or Not to Build Research Methodology

Determine what will provide core differentiation and focus


your efforts there. Explore what exists before building. Research Findings
API Maturity: Current and Future
• Ask yourself, why hasn’t anyone done this before?
Answering this question can make sure that your Research Findings
differentiator is viable, feasible, and desirable. Odds Additional Insights
are that someone has had this idea before, but failed
in one of those three categories. For example: Cost
Resources
transparency in healthcare is desirable, but often fails
the feasibility test.
How Change Healthcare
• Build vs buy: While focusing on your core differentiator, Can Help
analyze existing healthcare players to see where they
can plug in to enable your solution. This will allow more
time to dive deep into your functionality while still
ensuring you are meeting what’s required to operate in
the healthcare industry.

24 The State of Healthcare APIs


Resources

Best Practices in API Implementation (Continued)


Insight. Innovation. Transformation.

Executive Summary

Data Considerations Research Methodology


Determine your model and considerations for
providing, receiving, and ingesting clinical, financial, Research Findings
and engagement data. API Maturity: Current and Future

• Data is king in the 21st century. Laying the


Research Findings
groundwork to intake, store, and extract insights Additional Insights
from your data will pay major dividends once you
reach scale.
Resources
• Become very familiar with HIPAA guidelines and the
standard accreditations such as EHNAC and HITRUST.
How Change Healthcare
Healthcare data is among the most sensitive, and Can Help
your proven compliance will be a major selling point
to your customers and end users.

25 The State of Healthcare APIs


Resources

Insight. Innovation. Transformation.


Five Tips Related to Pending ONC & CMS Rules
On March 9, 2020, two rules were issued by the HHS Office of the National Coordinator for Health Information
Technology (ONC) and Centers for Medicare & Medicaid Services (CMS) to implement the interoperability and Executive Summary
patient access provisions of the 21st Century Cures Act. The rules’ intent is to put the consumer at the center of
their care. The CMS Rule applies to Medicare- and Medicaid-participating providers, while the ONC Rule applies
to payers, providers, and healthcare tech vendors. CMS will begin enforcing these new requirements beginning Research Methodology
July 1, 2021. The ONC Information Blocking rule goes into effect April 5, 2021.
Research Findings
API Maturity: Current and Future
1. Become familiar with the mandates, their
requirements, and their standards, such as FHIR
Research Findings
2. Conduct an objective assessment of your current Additional Insights
capabilities to comply with the mandates

3. Identify any gaps in readiness—technical, Resources


operational, resource, data

4. Determine the processes, protocols, training, etc., How Change Healthcare


for providing patients/proxies easy access to data Can Help

5. Create a streamlined implementation plan with clear


deliverables, resource requirements, and timelines

26 The State of Healthcare APIs


Resources

Insight. Innovation. Transformation.


Frequently Asked Questions

Q
Executive Summary
What would you tell a developer who is new to
using APIs in healthcare?
Research Methodology

A Familiarize yourself with the main players in


the industry (providers, payers, clearinghouses,
Research Findings
API Maturity: Current and Future
third-party administrators) as well as the main
transactions needed to succeed. What part of Research Findings
Additional Insights
the patient and member experience do you
want to focus on? Eligibility, claim submission,
Resources
rejection/denial management, clinical data
exchange, member payments, and more are
How Change Healthcare
all viable candidates. Spend time on use cases. Can Help

What kinds of scenarios in healthcare will you


see 80% of the time? What do you need to
succeed? Consolidate the questions and needs,
so that you can resolve them and be confident
in your solution before going live.

27 The State of Healthcare APIs


Resources

Insight. Innovation. Transformation.

Frequently Asked Questions

Executive Summary

Q What tips would you offer to better


understand how to use APIs?
Research Methodology

A Test in a sandbox! Avoid


implementing all APIs at once. Focus
on the most important problem
Research Findings
API Maturity: Current and Future

to solve first. To this end, hire a Research Findings


Additional Insights
healthcare subject matter expert
to escalate the project, or engage Resources
an API provider with deep expert
healthcare expertise. How Change Healthcare
Can Help

28 The State of Healthcare APIs


Resources

Insight. Innovation. Transformation.

Frequently Asked Questions

Executive Summary

Research Methodology

Q What shouldn’t you do? Research Findings


API Maturity: Current and Future

Research Findings

A Avoid making broad assumptions. Additional Insights

Healthcare is a large industry with


many niche scenarios. There is a myriad Resources

of complexities between stakeholder


How Change Healthcare
interactions and transactions, as well Can Help
as the types and uses of data. Take the
time to test thoroughly before going live.

29 The State of Healthcare APIs


Insight. Innovation. Transformation.

Executive Summary

How Change Research Methodology

Healthcare
Research Findings
API Maturity: Current and Future

Research Findings
Additional Insights

Can Help Resources

How Change Healthcare


Can Help

30 The State of Healthcare APIs


How Change Healthcare Can Help

Insight. Innovation. Transformation.

Accelerating Innovation Throughout Healthcare


If you’re a healthcare tech start-up, hospital, insurer, or other health-focused business working to develop
innovative solutions and services, you can speed development by accessing the data, networks, and Executive Summary
embedded functionality that power Change Healthcare’s proven solutions. To accelerate transformation in the
healthcare system through the use of pervasive APIs, we offer the API & Services Connection™ marketplace,
which includes a portfolio of clinical, financial, operational, and patient experience API products. Research Methodology

Research Findings
API Maturity: Current and Future
Productized APIs to Power Healthcare Solutions
Research Findings
Additional Insights

Help reduce complexity and Secure your transactions with


overhead for your organization with APIs that meet or exceed
Resources
RESTful API designs distilled from industry standards, giving you
decades of healthcare experience. peace of mind that your data is
in good hands. How Change Healthcare
Can Help

Connect to payers and partners Onboard your solution quickly


nationwide via our APIs, leveraging with our easy-to-use online
one of the largest financial and resources and an experienced
administrative networks in the U.S. support staff to assist you on
healthcare system. your journey.

31 The State of Healthcare APIs


How Change Healthcare Can Help

Insight. Innovation. Transformation.


Breadth & Scale

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

32 The State of Healthcare APIs


How Change Healthcare Can Help

Insight. Innovation. Transformation.

Enabling Connected Healthcare


Giving our customers actionable insights gained from one of the largest networks in healthcare today
Executive Summary
Our network reach, technology, and expertise inspire us to create a stronger, better coordinated, increasingly
collaborative, and more efficient healthcare system—one that that enables operational efficiencies, optimizes
financial performance and enhances the healthcare experience.
Research Methodology

Research Findings
API Maturity: Current and Future

Research Findings
Additional Insights

Resources

How Change Healthcare


Can Help

33 The State of Healthcare APIs


Insight. Innovation. Transformation.

Executive Summary

Research Methodology

Research Findings
API Maturity: Current and Future

Research Findings
Additional Insights
Insight. Innovation. Transformation.
Resources

How Change Healthcare


Can Help

About Change Healthcare


Change Healthcare (Nasdaq: CHNG) is a leading independent healthcare technology company, focused on insights, innovation and accelerating the
transformation of the U.S. healthcare system through the power of the Change Healthcare Platform. We provide data and analytics-driven solutions to
improve clinical, financial, administrative, and patient engagement outcomes in the U.S. healthcare system.

© 2021 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. CH022021

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34 The State of Healthcare APIs

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