Itiliti Health
Prior Authorization’s Bot War Is a Medical Policy Problem For three decades, the prior authorization industry has digitized the envelope instead of the letter. A faxed PDF became an uploaded PDF, and the document moved faster. What was inside it…
Compliant on Paper but Manual in Practice: The Documents Still Running Prior Authorization Ask most payers how close they are to CMS-0057 compliance, and the answer usually centers on transactions: CRD, DTR, PAS, all wired up and ready for January…
MCG and Itiliti Health Form Partnership to Support Health Plans with CMS-0057-F Compliance The new strategic alliance combines evidence-based guidance and interoperability to prepare payers for new CMS requirements MCG Health, part of the Hearst Health network and the industry’s…
Itiliti Health Expands Leadership Team as Company Positions for Substantial Growth Ahead of CMS-0057 Compliance Deadline Healthcare veterans Kevin Aniskovich and Cindy Hommer join as Chief Executive Officer and Chief Revenue Officer; Founder Michael Lunzer continues to lead product vision…
Connecting the Dots: Technical Answers from Our WEDI Webinar (Part 2) In September, we concluded our two-part WEDI webinar series on CMS-0057 implementation with a deep dive into the technical mechanics of integration. While Part 1 focused on foundational elements…
Streamlining Prior Authorization: Technical Answers from Our WEDI Webinar (Part 1) In August 2025, we partnered with WEDI to host a two-part webinar series on CMS-0057 implementation, focusing on how payers can streamline prior authorization while managing delegated vendor relationships.…
Implementing CMS-0057: Expert Answers to Your Top Questions Last December, we partnered with WEDI to host a webinar featuring a large BUCA plan’s journey to CMS-0057 compliance. The session drew an engaged audience of health plan leaders, technical teams, and…
The Case for Accountability in Prior Authorization Automation In our recent post, The Hidden Cost of Old Technology in Healthcare, we explored how legacy technology is quietly draining healthcare budgets and stalling the modernization that CMS-0057 demands. But there’s a…
The Hidden Cost of Old Technology in Healthcare If you’ve spent any time around the healthcare industry, you already know the systems are old. What might surprise you is just how old, and how much that age is costing the…