Experienced technology leaders illuminate the appropriate use of
artificial intelligence and automation in prior auth workflows
LAS
VEGAS, June 4, 2024 /PRNewswire-PRWeb/
-- MCG Health, part of the Hearst Health network and an
industry leader in technology-enabled, evidence-based guidance,
announces its Associate VP of Technology and Interoperability,
Rajesh "Raj" Godavarthi, and Senior Manager of Technical Product
Management, Larry McEntire II, will
be featured speakers at the upcoming America's Health Insurance
Plans (AHIP) 2024 conference. This premier event for health plan
professionals will take place from June
11-13, 2024, in Las Vegas,
Nevada.
"The MCG team is looking forward to sharing
valuable insights at AHIP 2024 on the CMS Final Rule and our
experiences implementing these new prior auth workflows." -
Rajesh Godavarthi, Associate VP of
Technology and Interoperability, MCG Health
Mr. Godavarthi and Mr. McEntire are set to deliver a compelling
Lunch & Learn session, " Insights into CMS' Prior Auth Rule:
How to Leverage AI and Automation" on Tuesday, June 11, from 12:00 – 12:45 pm PT. Their presentation will delve into
the complexities of the recent CMS Interoperability and Prior
Authorization Final Rule (CMS-0057-F), focusing on the integration
of artificial intelligence (AI) and advanced data interoperability
to optimize health insurance provider operations.
The session aims to provide attendees with a clear understanding
of how to employ AI and interoperability strategies to successfully
manage healthcare data more effectively, thus streamlining
processes, reducing administrative burdens, and fostering a
member-centric approach to healthcare.
Key objectives of the session will include:
- Identifying key opportunities for efficiency gains: Explore how
combining AI with enhanced data interoperability can streamline
processes across a member's healthcare journey
- Strategizing for successful implementation: Unpack the
intricacies of utilization management's (UM) prior authorization
workflows and discuss the necessary clinical and technological
aspects to address potential challenges
- Communicating benefits to stakeholders: Present the tangible
benefits of these advanced approaches, including improved member
outcomes, cost reductions, and strengthened regulatory
compliance
Mr. Godavarthi, a recognized HL7® Da Vinci Community Champion
and ONC HITAC member, said, "The MCG team is looking forward to
sharing valuable insights at AHIP 2024 on the CMS Final Rule and
our experiences implementing these new prior auth workflows." He
added, "MCG is also in a unique position to provide health plans
with critical guidance on leveraging artificial intelligence
appropriately for prior authorizations."
For more information about the session and to register for AHIP
2024, please visit https://www.ahip.org/conferences/ahip-2024.
About MCG Health
MCG, part of the Hearst Health network, provides unbiased clinical
guidance that gives healthcare organizations confidence in
delivering patient-centered care. MCG's artificial intelligence and
technology, infused with clinical expertise, enable its clients to
prioritize and simplify their work. MCG's world-class customer
service ensures its clients maximize the benefits of licensing MCG
solutions – demonstrating improved clinical and financial outcomes.
For more information visit http://www.mcg.com.
About Hearst Health
The mission of Hearst Health is to help guide the most important
care moments by delivering vital information into the hands of
everyone who touches a person's health journey. Care guidance from
Hearst Health reaches the majority of people in the U.S. The Hearst
Health network includes FDB (First Databank), Zynx Health, MCG,
Homecare Homebase, and MHK (formerly MedHOK). Hearst also holds a
minority interest in the precision medicine and oncology analytics
company Aster Insights. Follow Hearst Health on X @HearstHealth and
LinkedIn @Hearst-Health.
Media Contact
Arri Stewart, MCG Health, (206)
389-5405, arri.stewart@mcg.com, https://www.mcg.com/
View original content to download
multimedia:https://www.prweb.com/releases/mcg-thought-leaders-to-explore-ais-role-in-streamlining-prior-authorization-at-ahip-2024-302160316.html
SOURCE MCG Health