Modernizing Medical Policy Management: From Digitization to Questionnaires, sponsored by Itiliti Health

Health plans and state Medicaid agencies face increasing pressure to streamline medical policy management, ensure compliance with new regulations, and reduce administrative burden in prior authorization workflows.

Featuring a real-world case study of this approach within a large Blues organization, this webinar will share insights into methodology and best practices for converting policies into digital workflows, as well as strategies to improve efficiency. Attendees will walk away with a practical understanding of how modern medical policy management will support the digitization of policies for CMS-0057, streamline prior auth and de-risk the use of AI tools in prior authorization.

This webinar will cover:

1. A case study highlighting how we helped a large Blues plan digitize their entire database of medical policies, including lessons learned and the real-world impact
2. An innovative approach to transform static medical policies into structured, interactive documents through centralized policy ingestion
3. How payers can modernize ongoing medical policy management with seamless versioning and long-term process optimization in mind
4. What to consider when creating questionnaires for the associated policies to support CMS-0057

Presenters:

Michael Lunzer, Founder & CEO, Itiliti Health

Keith Brick, Interoperability Architect, Itiliti Health