MCG Health

11/05/2025

MCG Health's Colleen Dudley and Beth Markus-Boles are representing the voice of evidence-based medicine at the Texas Association of Health Plans' "Texas Covered" conference (Nov. 2-5) in Austin, TX. This is one of the premier events in the state, which brings together industry leaders, innovators, and policymakers to explore the future of . With conversations spanning federal reform, state policy, and operational insights for health plans and providers, it’s an invaluable opportunity to connect and network with experts across the field. Our team is engaging with fellow professionals to discuss how our and solutions can optimize health plan efficiency, support compliance, and improve member outcomes. Learn more about this event: https://www.tahpconference.com/

11/04/2025

Several members of the MCG Health team were proud to join the "More Than Pink Walk" for Susan G. Komen on October 25, 2025, as part of the "Walk Anywhere" event. (see pics below). Our MCG team members were supporting the fight against and honoring all those impacted by the illness. Thanks to the generosity of our team and the generous Hearst match through Benevity, we raised hundreds of dollars for this important cause. A huge thank-you to everyone who participated, walked, and donated to make a difference. 🩷

10/30/2025

MCG Health Director of Product Management for Provider Utilization Management & Solutions, Marivie Lanter, MBA, RN, BSN, will join thought leaders from Allegheny Health Network (AHN) to speak at the 2025 American Case Management Association's Leadership & Physician Advisor Conference, taking place November 12–14 in Boston, Massachusetts. Ms. Lanter will co-present “Interoperability, , and Evidence-Based Care: Mitigate Denials & Improve Efficiency” with AHN’s Amanda Smith, MHA, Director of Utilization Review Operations, and Pam Moyer Grappy, RN, BSN, CMAC, ACM-RN, Manager of the Central UM Team. Read the PR: https://www.mcg.com/news-events/press-releases/mcg-and-allegheny-health-network-to-present-at-2025-acma-leadership-conference-on-the-benefits-of-ai-in-utilization-management/

10/29/2025

MCG Health Sr. Manager of Product Management, Daniel Cawood, will join Smile CDR CEO, Duncan Weatherston, and VP of Payer Solutions, David Chisholm, as well as a clinical operations leader from a national payer, at next week’s WEDIonline National Conference to discuss how and prior authorization mandates—like the Centers for Medicare & Medicaid Services' CMS-0057-F Rule—are reshaping the landscape. The panel discussion (Nov. 4, 11:15 am - 12:00 pm ET) will explore how thoughtful architecture, governance, and data strategies can help health plans not only meet compliance requirements but also unlock lasting operational and clinical value as we look ahead to 2026 and beyond. This conference takes place in Washington, D.C. (Nov. 3-6) but will also be presented on Zoom. Learn more and register: https://members.wedi.org/event-calendar/Details/wedi-2025-national-conference-1236375?sourceTypeId=Website

10/28/2025

Join MCG Health Director of Clinical , Jason Gillman, MD, FIDSA, and Associate Managing Editor, Barbara Moore, M.D., FAAP, for our upcoming Nov. 13 webinar: “The Role of Clinical Guidelines in the Era of (AI).” In this session, we’ll explore how is shaping . Attendees will examine real-world case studies that demonstrate how AI can produce misleading or incorrect clinical answers, and learn how expert-curated, evidence-based clinical guidelines can enhance the accuracy and relevance of AI-driven tools. professionals can earn one hour accredited by the California Board of Registered Nursing. Learn more here: https://info.mcg.com/webinar-clinical-guidelines-and-artificial-intelligence.html?utm_medium=social&utm_source=facebook&utm_campaign=wbr-pl-2025-guidelines-ai

10/24/2025

Last week, MCG’s Cindy Hommer, MSW, LICSW, Larry McEntire II, and Brandy Frantz attended the Dreamforce 2025 conference in San Francisco (see photo below). MCG and Salesforce maintain a strong strategic alliance, serving several mutual clients who leverage MCG care guidelines within the Salesforce Health Cloud platform to enhance disease management and improve patient outcomes. Learn more about this innovative partnership: https://www.mcg.com/news-events/press-releases/salesforce-health-cloud-mcg-integration/?utm_medium=social&utm_source=facebook&utm_campaign=ts-2025-mcg

10/23/2025

MCG Health thought leaders took the stage at the HLTH conference in Las Vegas (Oct. 19–22) this week. MCG Chief Medical Officer Anthony Oliva, DO, MMM, FACPE, presented “Enhancing Clinical Decisions with Trusted AI,” sharing how vetted scientific evidence can strengthen the trustworthiness of in clinical reasoning—while reducing administrative burdens and improving patient outcomes. Jason Gillman, MD, FIDSA, MCG’s Director of Clinical , showcased real-world case studies demonstrating how physician-developed, context-informed prompts—applied to a curated knowledge base—can help AI agents deliver more accurate, guideline-aligned clinical insights. See photos from the event below.

10/21/2025

Milliman consultants to MCG Health, Senior Director of Clinical Lashana Narayan, ASA, MAAA, and Senior Data Analyst Allison Budzinski, MPH, have authored a new article exploring the complex challenges surrounding the hospitalization of patients experiencing . The piece examines key factors such as the demographics of this population, the impact of insurance coverage, the central role of , and evidence-based tools that can potentially help improve care and outcomes for these patients. Read the article:

Introduction: Why Housing Status Matters in Hospital Care Homelessness is often seen as a housing crisis, but for hospitals it is also a healthcare Learn about the impacts of social determinants of health (SDOH) on homelessness and hospitalization. Read the latest blog from MCG.

10/20/2025

On Oct. 10, MCG Health team members Shelby Duke, Megan McCarville, Parvathi (Paru) Srinivasan, and Beth Markus-Boles volunteered at Nourishing Hope, formerly Lakeview Pantry, in Chicago. For more than 50 years, Nourishing Hope has provided food, , and social services so that all Chicago neighbors can thrive. They serve over 200,000 people and provide the equivalent of 4.5 million meals each year. Together, Shelby, Megan, Paru and Beth helped sort food for personalized distribution. This experience reminded them how small acts of kindness can make a meaningful difference for others. You can learn more about Nourishing Hope and see how you can get involved here: https://www.nourishinghopechi.org/get-food/the-hub/

10/17/2025

MCG Health team members gathered once again this year during our MCG Week in Seattle to celebrate , the Hindu Festival of Lights. While this year Diwali is celebrated on Oct. 20, teams gathered to honor the occasion a little early on Oct. 15 with a feast of delicious Indian cuisine, a festive photo booth, and beautiful paste-on henna designs. This event brought light and joy into the office, reflecting the heart of Diwali. A special thanks to team member Kazuyuki Shibuya, and Internal Communications Manager Laura McLeod for capturing the celebration photos below!

10/15/2025

Last week, MCG Health's CTO, Tavi Siochi, AVP of Technology & , Rajesh Godavarthi, and Associate Director of , Rishi Bansal (pictured below), attended the Hearst Technology Conference at Hearst Tower in NYC. The event brought together CTOs and IT leaders from across Hearst’s diverse businesses. Designed as a collaborative forum, it provided an opportunity for technology professionals to exchange practical, innovative solutions, explore enterprise-wide applications of , share insights on what’s working (and what isn’t), and build the relationships that help turn good ideas into meaningful impact.

10/14/2025

Join MCG Health Senior Consultant, Cindy Young, BSN, MBA, RN, CMCP, for our upcoming Nov. 4 webinar: "Navigating Levels of Care: Optimizing Observation Status in Rural Hospitals," which is part of our November Month series. This session will examine how Observation Care serves as a bridge between emergency and inpatient services. Attendees will learn strategies for determining the most appropriate level of care, identifying key indicators for observation status, and applying reliable protocols to streamline clinical decision-making and documentation. Register now: https://info.mcg.com/webinar-rural-health-series.html?utm_medium=webinar&utm_source=facebook&utm_campaign=wbr-in-2025-rural-health-1