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…

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…

CRD, DTR, and PAS Explained in Layman’s Terms  Prior authorization is one of the most complicated workflows in healthcare. Endless phone calls, payer portals, faxed medical records, and manual reviews create friction for providers, health plans, and patients alike. That’s…