For Immediate Release

Itiliti Health to Improve Prior Authorization Experience for Patients and Providers

EDEN PRAIRIE, MN – Itiliti Health is collaborating with ZS to help streamline the prior authorization (PA) process. Combining Itiliti Health’s innovative technology with ZS’s expertise in data and analytics can deliver significant value to health plans.

“This is another pivotal step towards simplifying the intricacies of healthcare administration,” says Michael Lunzer, CEO of Itiliti Health. “We are excited to combine our innovative solutions with ZS’s analytical prowess to set new standards in efficiency and cost-effectiveness, all while keeping the patient’s well-being at the forefront,” he adds.

The collaboration introduces a transformative blend of services aimed at easing administrative overhead while delivering cost savings and improved care. With ZS’s Smart UM Optimizer, health organizations can automate critical aspects of the PA process, resulting in up to 80% fewer codes on PA lists and tangible financial improvements, including a threefold increase in return on investment.

In the same vein, Itiliti Health’s tool, PA Checkpoint™, has already achieved remarkable results by cutting down PA submissions by up to 30%, diminishing call volumes by 20%, and slashing call handle times by 15%. These advancements underscore the commitment of both companies to deliver not just innovative solutions but also tangible, quantitative benefits to providers, and most importantly, to the members they serve.

While the financial and operational benefits of this collaboration are evident, the impact on patient outcomes cannot be overstated. Reduced administrative tasks mean healthcare providers can focus more on patient care rather than paperwork. Furthermore, expedited PA approvals facilitate quicker patient access to necessary treatments, enhancing the overall patient experience. Clearly, ZS and Itiliti Health is poised to catalyze significant improvements across the healthcare spectrum, benefiting all stakeholders involved. 

About Itiliti Health

Itiliti Health provides payer solutions that streamline the prior authorization process. PA Checkpoint™ was conceived in collaboration with Blue Cross Blue Shield of Minnesota and assists health plans in reducing costs by eliminating hundreds of thousands of unnecessary prior authorization-related telephone calls and submissions. PA Complete™ automates prior authorization adjudication using AI and NLP. Itiliti Health is an experienced health plan-focused partner with a robust roadmap to address several additional payer challenges for interoperability and transparency.

About ZS
ZS is a management consulting and technology firm focused on transforming global healthcare and beyond. We leverage our leading-edge analytics, plus the power of data, science and products, to help our clients make more intelligent decisions, deliver innovative solutions and improve outcomes for all. Founded in 1983, ZS has more than 13,000 employees in 35 offices worldwide.