Observed arrival · 2026-10-26
Vaglio makes prior-authorization decisions show their work
A source-available decision engine for health plans that traces each prior-authorization answer to policy text and evidence in the request.
- For
- Health plans evaluating prior-authorization workflows
- Worth noticing
- Its starter library contains 12 policies based on public Medicare and state documents; the site says reviewers found places where careful readers can disagree.
Field notes
The example request is a lumbar-spine MRI: the demo marks it “Pended” and distinguishes evidence found from details the record does not establish. Vaglio says its starter library draws on public Medicare and state documents, while acknowledging that careful readers can disagree about some interpretations. The site describes an 11 MB, self-hosted program and lists several integration paths, but also explicitly says it has not reached production or received outside review.
Observed signals
Read the marks
Editorial observations of this landing page, not a rating.
One card from the complete issue