Itiliti Health
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…
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…
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…