MCG and Allegheny Health Network to Discuss AI's Impact on Utilization Management at 2025 ACMA Conference

MCG and Allegheny Health Network at 2025 ACMA Leadership Conference



MCG Health has announced its participation at the 2025 ACMA Leadership Physician Advisor Conference, set to occur from November 11-14 in Boston, Massachusetts. The event focuses on the evolving responsibilities of physician advisors and healthcare leaders, making it an essential gathering for those in the healthcare sector. The conference aims to equip professionals with insights on optimizing patient care while navigating the complexities of modern healthcare.

Key Presenters from MCG


Marivie Lanter, MBA, RN, BSN, the Director of Product Management for Provider Utilization Management and Population Health Solutions at MCG, will take the stage alongside Amanda Smith, MHA, Director of Utilization Review Operations at Allegheny Health Network (AHN), and Pam Grappy, RN, BSN, ACM-RN, CMAC, Manager of the Central UM Team. Their joint presentation titled "Interoperability, AI, and Evidence-Based Care: Mitigating Denials and Improving Efficiency" will take place on November 12 from 2:05 to 3:05 p.m. ET.

Session Highlights


The session aims to explore effective strategies to integrate artificial intelligence into evidence-based care practices, with a focus on improving patient outcomes and minimizing unnecessary claims denials. The discussion will also cover:
  • - Enhancing Communication: Discovering methods to foster better alignment and communication between healthcare providers and health plans.
  • - Real-World Applications: Analyzing practical case studies that demonstrate how AI can enhance clinical decision-making, making the utilization management process more efficient.

In Ms. Lanter's words, "In today's healthcare landscape, it is critical to strengthen collaboration between hospitals and health plans for the benefit of patients. By implementing the trifecta of evidence-based guidance, AI, and interoperability, we can meaningfully advance improvements in outcomes, efficiency, and costs." This perspective emphasizes the vital role AI plays in transforming traditional approaches to patient care.

The Importance of AI in Healthcare


The integration of AI in healthcare is not simply a technological trend but a necessity for enhancing efficiency and reducing costs while maintaining high standards of care. As MCG Health continues to offer trusted clinical guidance, their commitment to combining evidence-based practices with cutting-edge technology exemplifies how innovation can lead to better health outcomes.

About MCG Health


MCG Health, part of the Hearst Health network, serves as a crucial resource in the healthcare domain, providing trusted clinical guidance to numerous health plans, hospitals, and government agencies. Their technological solutions are designed to streamline workflows and ensure that clinical decisions are not only efficient but also based on the latest evidence and research.

Learn more about this session and register for the 2025 ACMA Leadership Physician Advisor Conference by visiting ACMA Website. The upcoming conference is expected to be an insightful experience for all attendees, highlighting AI's transformative powers alongside the importance of collaboration across the healthcare ecosystem.

About Hearst Health


With a 40-year dedication to innovating in healthcare, Hearst Health focuses on delivering essential software and intelligence aimed at improving care quality, safety, and efficiency. Their commitment to enhancing healthcare reflects in businesses like FDB, MCG Health, and others, advocating for a coordinated approach to patient care across the healthcare landscape.

Topics Health)

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