Virtual Learning Center

Gain insights into prior authorization below

Recent Webinars

Did you miss one of our most recent webinars or videos? Click below to catch a replay:

Don't Be Spooked by Gold Carding: Strategies for Payers to Streamline Prior Auth and Build Stronger Payer-Provider Relationships

This session explores state-specific regulations, the potential value of gold carding for payers and providers, and common challenges like identifying eligible providers and managing gold card programs. We cover effective communication strategies to ensure providers understand their gold card status, and our strategic approach section will guide you on setting goals and ROI metrics before implementing a program. Learn about the ZS process for launching successful programs, how Itiliti's tools can address common challenges, and actionable next steps for implementing a successful gold card program.

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Solving Payer-to-Provider Connectivity At Scale: A Key to Streamlining and Automating Prior Authorization

With upcoming requirements that help streamline and automate prior authorization, the industry is facing considerable challenges to scale connectivity between payers and providers rapidly. During this webinar, leading experts from Itiliti Health and eHealth Exchange discuss the best ways to create scalable connectivity between healthcare providers and payers.

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The Urgent Need for Payers to Address Prior Authorization and FHIR

Recently, Itiliti Health CEO Michael Lunzer joined Huthaifa Khan, Director of Solutions Architecture at VirtualHealth to discuss implementation and timelines for the latest FHIR requirements. Itiliti Health continues to pioneer the future of FHIR and prior authorization, which is underscored in this insightful video on the new regulations. Listen in to learn why healthcare payers must urgently address these requirements well in advance of the upcoming deadline.

Click Here to Watch

Don’t Be Spooked by Gold Carding: Strategies for Payers to Streamline Prior Auth and Build Stronger Payer-Provider Relationships

This session explores state-specific regulations, the potential value of gold carding for payers and providers, and common challenges like identifying eligible providers and managing gold card programs. We cover effective communication strategies to ensure providers understand their gold card status, and our strategic approach section will guide you on setting goals and ROI metrics before implementing a program. Learn about the ZS process for launching successful programs, how Itiliti’s tools can address common challenges, and actionable next steps for implementing a successful gold card program.

Solving Payer-to-Provider Connectivity At Scale: A Key to Streamlining and Automating Prior Authorization

With upcoming requirements that help streamline and automate prior authorization, the industry is facing considerable challenges to scale connectivity between payers and providers rapidly. During this webinar, leading experts from Itiliti Health and eHealth Exchange discuss the best ways to create scalable connectivity between healthcare providers and payers.
 

Sign up to receive a copy of the white paper mentioned in the video here.

Exploring the American Medical Association's Latest Findings on Prior Authorization​

Join Itiliti Health and American Medical Association leaders for an enlightening webinar that delves into insightful new prior auth research released in late June by the AMA. This session sheds light on the implications of the recently released study and discusses the challenges and solutions anticipated in prior authorization automation over the next two years.

 

Download the AMA survey here. 

CMS Rule on Interoperability and Electronic Prior Auth: Gaining Compliance and Improving Prior Auth Processes

Join Itiliti Health CEO Michael Lunzer alongside Deloitte Managing Partner, Mike Van Den Eynde, and Senior Manager Mike Selvage, for a comprehensive webinar that unpacks the nuances of CMS Rule 0057-F—a pivotal shift in healthcare management. This session is designed to offer valuable insights into:

 

  • The Direct Impact of CMS Rule 0057-F
  • Rule Provisions Explained
  • Strategic Planning for Payers
  • Rethinking Utilization Management (UM)
  • The Significance of Provider Engagement
  • Deep Dive Into X12 vs. FHIR Standards
  • Achieving End-to-End Digital Prior Authorization
  • Compliance Strategies with CMS Prior Auth API Requirements

The Urgent Need for Payers to Address Prior Authorization and FHIR

With the impending integration of prior authorization procedures and FHIR standards within the next couple of years, it’s critical to understand the current landscape. From how to effectively implement change to understanding whether your current systems can effectively integrate with the end solution you want, there are questions you should be asking now before implementing your long-term prior auth strategy.

Recently, Itiliti Health CEO Michael Lunzer joined Huthaifa Khan, Director of Solutions Architecture at VirtualHealth to discuss implementation and timelines for the latest FHIR requirements. Itiliti Health continues to pioneer the future of FHIR and prior authorization, which is underscored in this insightful video on the new regulations. Listen in to learn why healthcare payers must urgently address these requirements well in advance of the upcoming deadline.

Complexities and solutions surrounding the recently finalized CMS interoperability rule 0057​

Join Michael Lunzer, CEO of Itiliti Health, as he dives into the complexities and solutions surrounding the recently finalized CMS interoperability rule 0057.

In this insightful discussion, Michael explains the rule’s requirement that payers implement a prior authorization API by the end of 2026, how Itiliti Health helps insurance companies gain compliance with this new rule, and how to streamline prior authorization processes, resulting in improved member and provider experiences, reduced costs, and faster turnaround times.

More Recent Videos to Explore:

Navigating the intersection of regulatory oversight and healthtech
The Cost of Prior Authorization – and How to Change the Narrative 
AI + Automation in Prior Auth: A Candid Conversation
Webinar: Exploring Advanced Utilization Management​

FHIR Prior Authorization (“PARDD”) API: Requirements and Implementation

The Benefits of Prior Authorization Transparency​