Itiliti Health Launches Integrated Solution for Prior Authorization Automation Simplifying Compliance and Enhancing Care Management for Healthcare Payers

MINNEAPOLIS, MN — (November 20, 2024) — Itiliti Health is proud to announce a strategic partnership with VirtualHealth to introduce a comprehensive, white-labeled solution that addresses the complex challenges of prior authorization, compliance, and utilization management. This collaboration underscores Itiliti Health’s commitment to partnering with leading technology companies to create innovative, robust solutions that streamline operations, reduce costs, and improve care outcomes for healthcare payers.

In response to the evolving regulatory landscape, including the CMS-0057-F ruling and emerging state regulations, Itiliti Health and VirtualHealth have combined their expertise to develop the new HELIOS® + Itiliti Health platform. This solution integrates Itiliti Health’s advanced prior authorization automation tools with VirtualHealth’s industry-leading HELIOS platform, offering healthcare payers a seamless and efficient way to manage care and utilization, ensuring compliance with federal and state requirements.

“At Itiliti Health, we believe that collaboration is key to driving innovation in healthcare,” said Michael Lunzer, Founder and CEO of Itiliti Health. “Our partnership with VirtualHealth allows us to offer a solution that not only meets the regulatory demands but also delivers significant cost savings and operational efficiencies. By automating prior authorization processes and integrating them into a single platform, we help payers reduce manual work, close care gaps faster, and ultimately improve patient outcomes.”

Key Features of the HELIOS® + Itiliti Health Solution Include:

  • Seamless Integration: Incorporates Itiliti Health’s PA Checkpoint™️, Policy Transparency, and Prior Authorization Routing with VirtualHealth’s HELIOS platform for a unified solution.
  • Automation and Efficiency: Streamlines authorizations, appeals, and grievances with automated processes, reducing administrative costs and increasing care team productivity.
  • Compliance and Security: Ensures adherence to CMS and state regulations, with HITRUST CSF certification, HIPAA and HITECH compliance, and NCQA pre-validation.
  • Comprehensive Reporting: Offers advanced analytics and intuitive dashboards for real-time insights into care management and operational performance.

This partnership highlights Itiliti Health’s dedication to transforming the prior authorization landscape by reducing the administrative burden on payers and providers alike. “We invite organizations to reach out and discover how Itiliti Health can help them offer prior authorization automation as part of a comprehensive care management strategy,” added Lunzer. To learn more, visit www.itilitihealth.com.

About Itiliti Health

Through our innovative solutions, Itiliti Health is at the forefront of transforming the prior authorization landscape. By eliminating unnecessary manual processes, implementing automation, and streamlining operations, we significantly reduce administrative burdens and operational and clinical costs. Our approach not only enhances efficiency and creates significant cost savings for payers but also improves the satisfaction of healthcare providers and patients alike, making the entire healthcare delivery system more effective and responsive.

MEDIA CONTACT

Cortney Galster
Chief Marketing Officer
cgalster@itilitihealth.com