Register Your Interest — Evidence-Based AI in Utilization Review: Measured Outcomes and Lessons Learned

NOTE: Only qualified HIMSS26 attendees who are logged in to their HIMSS26 Account will be able to register their interest for this session.

Utilization review teams know the pressure well. Rising inpatient volumes, increasingly complex documentation, and the constant threat of denials strain capacity while disrupting both revenue and patient flow. Many organizations have turned to AI for relief, only to find that general-purpose tools lack the clinical depth and transparency these workflows demand. This session presents an alternative path. Leaders from nationally recognized healthcare organizations will share what happened when they deployed MCG Synapse, pairing AI-enabled reasoning with MCG's evidence-based care guidelines. Their measured results include reduced review time, stronger reviewer productivity, and meaningful improvements in care coordination. Numbers only tell part of the story. Presenters will also discuss how they built clinician trust, what makes AI-assisted decisions hold up in appeals, and how they define success beyond efficiency metrics. Attendees in utilization management, clinical informatics, or health IT strategy will leave with actionable insights from peers who navigated this work firsthand.