Itiliti Health
How Itiliti Health Enables Modern Prior Authorization Understanding what modern prior authorization requires is one thing. Building it is another. This article details how Itiliti Health operationalizes the capabilities that payers need, from structured policy management and explicit applicability logic…
Core Capabilities Required for Modern Prior Authorization Most prior authorization modernization efforts start with the right intentions and stall at the same place: individual improvements that don’t add up to a better system. This article outlines the seven capabilities that…
AI in Prior Authorization: What Payers Need to Know AI is reshaping how payers think about prior authorization, and the vendor landscape is moving fast. But speed and capability in a demo are not the same as consistency and defensibility…
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 Secure…