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:
Modernizing Medical Policy Management: From Digitization to Questionnaires
Catch the replay of our webinar on modernizing medical policy featuring a recap of what CMS 0057 requires of payers when it comes to policies, how payers can modernize ongoing medical policy management with seamless versioning and long-term process optimization in mind, a case study highlighting how we helped a large Blues plan digitize their entire database of medical policies and more!
WEDI Summer Forum Playlist: Itiliti Health Session Replays
This is a playlist of four videos from Itiliti Health's presentations at the WEDI Summer Forum in 2025. Videos include: 1. Making Medical Policy Digitization and Management Easy 2. Prior Authorization Solution Design for a Major Blues Plan 3. Digitizing Coverage: Making Sense of CMS-0057-F's Policy Transparency Mandate 4. Exploring Prior Authorization as a Business Process
WEDI Spotlight on State Medicaid for CMS 0057: Key Technical Provisions
Itiliti Health provides a comprehensive technical walkthrough of the CMS-0057-F final rule and its implications for state Medicaid agencies. This session, part of WEDI's webinar series on prior authorization and interoperability improvements required by the new rule, breaks down key technical provisions to help state Medicaid leaders understand implementation requirements, plan strategically, and address operational challenges as they prepare for compliance.
Integrating ePrior Auth with External Care Guideline Vendors, UM, CM & Claims Systems (Part 2 of 2)
As CMS-0057 drives payers toward end-to-end prior auth automation, seamless integration across core systems is no longer optional—it's essential. In this session, we explore how prior authorization solutions connect with external care guideline vendors and internal systems like utilization management (UM), case management (CM), and claims platforms to enable compliance, streamline workflows, and prepare for a future state of touchless prior authorization.
CMS-0057: Streamlining Prior Authorization and Delegated Vendor Collaboration (Part 1 of 2)
Join us in a WEDI event replay for a deep dive into how automated solutions are reshaping the future of prior authorization. This session explores how prior auth vendors can seamlessly integrate with delegated vendors to help payers meet CMS-0057 mandates, streamline administrative workflows, and accelerate the transition toward a touchless prior authorization environment.
Why Cox HealthPlans Chose Itiliti Health as Its Prior Authorization Vendor
In this video, Susan Sanchez, Chief Information Officer of Cox HealthPlans, shares why their organization chose Itiliti Health as their prior authorization vendor. Susan shares the reasons behind their decision, the critical factors that influenced the selection process, and how the solution is helping meet federal mandates while ensuring operational efficiency. Tune in to hear her insights and takeaways that could help other health plans navigate similar hurdles.
How an Interoperability Server and Prior Auth Solution Work Together for CMS-0057 Compliance
Catch the replay of our live demo with Onyx Technologies, hosted in partnership with WEDI! Key highlights from the demo: ➡️ Walkthrough of the integrated Itiliti Health and Onyx solution, including CRD, DTR, and PAS capabilities ➡️ Tips for health plans on implementing these new standards and overcoming common adoption barriers
Navigating the Future of Prior Authorization: Current Challenges and Solutions
This session highlights current challenges in prior auth, strategies for leveraging technology to streamline workflows, and the importance of expert-led clinical reviews. The panel also discusses the future of prior auth and offer actionable advice for payers seeking to implement smarter, data-driven processes that enhance the care experience.
2025 Prior Auth Expectations: What Payers Need to Know
Join us for an in-depth discussion on the evolving landscape of prior authorization as we approach the end of Q1. This webinar explores the latest expectations for payers, including regulatory updates, implementation timelines, and strategies to gain compliance with upcoming regulations. Industry experts Karen Norris and Michael Lunzer address pressing challenges faced by payers and provide actionable insights into navigating delays, building trust, and creating value in an increasingly complex regulatory environment. Gain a clearer understanding of the current market dynamics, learn from real-world examples, and discover what steps you need to take now if you haven’t yet selected a solution. Don’t miss this opportunity to stay ahead of the curve and ensure your organization is prepared for the future of prior authorization.Ready to learn more or want to schedule a demo? Connect with our SVP of Sales, Steve McLeod: smcleod@itilitihealth.com
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.
Hello from 2027: What I Wish I'd Known About CMS 0057 and Prior Authorization Today
Did you miss Michael Lunzer’s presentation at HIMSS 25? We’ve got you covered! Watch the recorded version here to discover hidden details and opportunities in prior authorization compliance for CMS 0057. Don’t miss this opportunity to gain valuable knowledge and stay ahead.
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.