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Webinar

Driving UM Efficiency: AI Powered Reviews

ET
60 Minutes

The evolving landscape of utilization management (UM) in healthcare demands a nuanced balance between automation and human oversight. Fully automated solutions offer speed but can falter on clinical context. This webinar highlights the importance of guided reviews that blend AI-powered efficiency with human expertise, ensuring evidence-based medical necessity evaluations, consistent decisions, and streamlined workflows. Examine real-world strategies for improving UM efficiency while maintaining decision integrity.

Attend this webinar to:
1. Discuss how AI-driven tools combined with human proficiency can enhance compliance and accuracy in medical necessity reviews
2. Identify how guided reviews fit into evolving payer UM ecosystems
3. Recognize best practices for enhancing the efficiency of medical necessity reviews

Speakers

Daniel Cawood

Daniel Cawood

Senior Product Manager, Interoperability Solutions
MCG Health

Daniel Cawood oversees the product development for MCG Health’s interoperability solutions as well as connecting payers and providers for authorization processes. Mr. Cawood began his time at MCG with a focus on the Indicia suite of solutions (provider market clinical decision support) and value-based care solutions. Before joining MCG, he was a Product Owner for Research & Development solutions at Optum Technology where he focused on using advanced technologies to solve operational, clinical, and business problems.

mcg

Paru Srinivasan, MS, MBA

Director, Data Science Products
MCG Health

Paru Srinivasan oversees the product management for MCG Health's data driven capabilities and is part of the product leadership team at MCG. 

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