MCG and Telligen Unveiling AI Innovations for Utilization Management at AHIP26

MCG and Telligen to Share Real-World AI Insights at AHIP26



In a significant development for healthcare management, MCG Health, a key player in clinical guidance within the Hearst Health network, announces a pivotal session at AHIP26, a high-profile conference dedicated to the future of healthcare innovation. The session will be led by MCG's Senior Manager, Daniel Cawood, alongside Nancy Johnson from Telligen, focusing on how artificial intelligence can be effectively utilized to enhance utilization management.

The session, titled "Applying AI to Modernize Utilization Management - Real World Insights," is set for June 10, 2026, from 11:40 AM to 12:55 PM at the Wynn Las Vegas. The discussion aims to delve into the practical application of AI in utilization management, emphasizing the importance of maintaining clinical rigor, human oversight, and consistency in decision-making processes.

In their presentation, Cawood and Johnson will draw on experiences from a 36-million-member organization that has integrated AI-driven tools for enhancing productivity, expediting processes, and ensuring uniform decision-making. The healthcare sector is increasingly exploring AI solutions to modernize and streamline operations, and this session seeks to provide valuable real-world insights into doing so responsibly.

"As health plans evaluate AI-enabled solutions, organizations are seeking practical ways to modernize utilization management while preserving transparency, consistency, and clinical integrity," stated Cawood. He believes that the session will equip attendees with actionable insights on leveraging AI to bolster operational performance.

Johnson, expressing enthusiasm for sharing Telligen's journey with AI, noted, "Our experience has demonstrated that when AI is thoughtfully integrated with robust governance frameworks and human oversight, it can significantly enhance both efficiencies and performance."

AHIP26, taking place on June 9-10, 2026, brings together prominent figures in the healthcare sector, including health plan executives, policymakers, and operational leaders. The event provides an invaluable platform to discuss the pressing challenges faced by the industry and the innovative strategies being adopted to tackle them.

About Telligen


Telligen is an employee-owned organization committed to enhancing health outcomes nationwide for over 50 years. It collaborates with various stakeholders, including federal and state agencies, health plans, and employers, to deliver innovative health management solutions aimed at improving quality and equity in care. The organization is recognized for its commitment to population health and transformative healthcare outcomes.

For more detailed information about Telligen and its initiatives, visit Telligen's website.

About MCG Health


MCG, part of the Hearst Health network, is recognized as a reliable source for clinical guidance in the healthcare landscape. By combining evidence-based guidelines with AI, MCG facilitates efficient and accurate clinical decision-making. Its reputable solutions are adopted by numerous health plans, hospitals, and governmental agencies dedicated to quality health outcomes and cost control. Visit MCG's website for more information.

About Hearst Health


With over 40 years of commitment to improving healthcare quality, Hearst Health aims to empower organizations with essential intelligence and software solutions. The mission emphasizes maintaining safety and efficiency in care, thereby positively influencing health outcomes for a broad spectrum of stakeholders. For more about Hearst Health, visit Hearst Health.

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