Itiliti Health
The Real ROI of Prior Authorization Modernization Starts Where Compliance Ends CMS-0057-F has given health plans a clear deadline: January 1, 2027. But plans that have already begun modernizing their prior authorization programs are seeing the bigger picture: there is…
Prior Authorization in 2026: The Burden We Can No Longer Ignore A new KFF poll makes it official: prior authorization is the single biggest burden Americans face when navigating the health system. Not surprise bills. Not getting an appointment. Not…
Modernizing Medicaid Policy Management: How Itiliti Health Transforms Provider Manuals for CMS-0057 Compliance State Medicaid agencies are facing a significant compliance challenge. CMS is now requiring agencies and Medicaid plans to add FHIR criteria questionnaires to long, complex provider manuals,…
Operationalizing CMS-0057: Michael Lunzer Shares Practical Insights on the WEDI Podcast Michael Lunzer, Founder and CEO of Itiliti Health, recently joined the WEDI podcast to discuss turning CMS-0057 policy into practice. In this conversation, Michael explores the real-world challenges of…
How Prior Authorization Can Help Reshape the Public Perception of Payers Health insurers face a credibility crisis. Despite playing a critical role in the healthcare system, payers are often viewed as obstacles rather than advocates, blamed for denials, delays, and…
Itiliti Health & Concord Technologies Partner to Accelerate Prior Authorization with Intelligent Document Processing Eden Prairie, MN – Itiliti Health, a leader in prior authorization automation, is pleased to announce a strategic partnership with Concord Technologies, a leading provider of…
South Country Health Alliance Selects Itiliti Health’s PA Checkpoint to Streamline Prior Authorization Transparency Eden Prairie, MN — Itiliti Health is proud to announce that South Country Health Alliance (SCHA), a county-based purchasing health plan serving Minnesota, has chosen to…
Why Waiting to Act on CMS-0057 Puts NCQA Accreditation at Risk By January 1, 2027, CMS is requiring health plans to support electronic prior authorization (ePA) through FHIR APIs. Right now, that may feel like a faraway deadline because it’s…
Itiliti Health Receives WEDI’s Innovation in Health IT Award for Advancing Prior Authorization Automation Itiliti Health, a leader in prior authorization automation, is proud to announce that it has been recognized with the Innovation in Health IT Award by the…