Itiliti Health Enables Full CMS Prior Authorization Compliance for Large Blues Payer Eden Prairie, MN — October 15, 2025 — Itiliti Health, a leader in payer-focused prior authorization solutions, announced that a large regional Blues plan is now live with…

Digitizing Medical Policies: The Key to Scalable Prior Authorization Automation Prior authorization (PA) is undergoing a long-overdue transformation. The days of faxes, long turnaround times, and frustrating appeals are numbered, thanks to regulatory pressure and a growing demand for real-time,…

A Guide for Payers Choosing a Prior Authorization Vendor With CMS-0057 placing prior authorization (PA) in the national healthcare spotlight, payers are facing a pivotal moment. For years, PA has been a source of frustration and inefficiency for payers, providers,…

EDEN PRAIRIE, MN — August 6, 2025 — Itiliti Health, a leader in prior authorization automation and healthcare interoperability, is pleased to announce that Michael Lunzer, CEO and Co-Founder, has been appointed Co‑Chair of the WEDI Prior Authorization Subworkgroup. The…

How the Upcoming CMS Prior Authorization Rule Impacts Providers In January 2024, the Centers for Medicare and Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), a mandate aimed at payers to improve prior authorization (PA)…

A Promising Step Forward: What the Payer Pledge Means for Prior Authorization Prior authorization (PA) has long been a source of friction in the U.S. healthcare system. For providers, it’s a significant administrative burden marked by manual processes, inconsistent communication,…

Itiliti Health Digitizes Over 650 Medical Policies Across Four Lines of Business at Major Blues Plan EDEN PRAIRIE, MN — May 20, 2025 — Itiliti Health, a leading innovator in prior authorization automation, is announcing the successful digitization of more…

Health Plan Finances: Rising Costs and Emerging Solutions for Payers America is facing a reckoning of sorts when it comes to healthcare costs. And while most people understand that healthcare is quickly becoming too costly for many patients, most don’t…

5 Practical Considerations for Payers Adopting Prior Authorization Automation As healthcare payers move toward automating prior authorization (PA) processes, the transition involves more than just implementing new technology—it requires strategic planning to ensure regulatory compliance, workflow efficiency, and provider collaboration.…