Leaders from Sharp HealthCare and MCG Discuss AI-Driven Utilization Management Success at CMSA 2025

Care management experts will discuss the benefits of leveraging new technologies to reduce hospital administrative burdens

DALLAS, June 5, 2025 /PRNewswire/ -- MCG Health, part of the Hearst Health network and an industry leader in evidence-based guidance and technology, announces its participation in the 2025 CMSA Annual Conference in Dallas, Texas, from June 24-27, 2025. Thought leaders from MCG Health will present on the topic of assistive AI technology and its transformative impact on utilization management (UM) processes. Additionally, Sharp HealthCare, a valued MCG client, will host a separate session to share its success story in reducing administrative burdens for hospital staff through AI advancements. Both presentations will spotlight innovative approaches to streamlining hospital UM operations and enhancing efficiency.

Tonya Soroosh, the System Director of Case Management at Sharp HealthCare, will present the session, "Unleashing AI for UM: The Critical Role of Change Management," on Thursday, June 26, 2025, from 2:30 p.m. to 3:30 p.m. CDT. This session will focus on Sharp HealthCare's journey selecting, implementing, and training staff to use MCG AI tools for utilization management. Sharp integrated this new technology with evidence-based guidelines from MCG to facilitate appropriate care decisions and protect against unnecessary denials.

The presentation will also explore key outcomes of effective AI technology and its impact on ROI (return on investment) including:

• Reducing case review times by 80% (to less than three minutes) and improving staff productivity
• Accurate case prioritization leading to a potential savings of $6.95 million on observation to inpatient status conversions

Additionally, Ms. Soroosh will detail the most effective change management strategies to facilitate AI technology adoption for organizational impact.

"It is critical that hospital-based utilization management programs embrace AI and language processing technology to stay current with the industry," said Ms. Soroosh. "We can no longer throw FTEs at processes and expect significant change and optimal outcomes. It is exciting to be on the forefront of these changes rather than being pulled along. I look forward to sharing what Sharp HealthCare has learned about AI adoption at the CMSA 2025 conference."

Prior to Ms. Soroosh's presentation, MCG Senior Manager of Technical Product Management, Abbey Armstead, and Senior Account Executive, Rick Klingler, BSN, RN, MBA, CCM, CTT+, will present, "AI Adoption for Utilization Management: Transforming Reviews for Enhanced Accuracy, Revenue Protection, and Team Satisfaction," on Wednesday, June 25, 2025, during the Lunch Symposia #2 from 11:00 a.m. to 12:30 p.m. CDT. This session will provide additional insights from MCG experts on implementing AI solutions to optimize hospital revenue cycle operations and documentation practices.

For more details about the 2025 CMSA Annual Conference and to register, visit CMSA's official site.

About Sharp HealthCare

At Sharp HealthCare, it is our mission to improve the health of everyone we serve. And as San Diego's leading health care provider, we're proud to touch the lives of more individuals in our community than any other health care system.

Our vision at Sharp is to be the best place to work, practice medicine and receive care. We are committed to high reliability and achieving zero harm and zero defects to employees, physicians, and patients and their families.

Sharp is not for profit, but for people, which means all of our resources are dedicated to delivering the highest quality patient-centered care, the latest medical technology and superior service. Every day, our approximately 2,800 affiliated physicians and more than 20,000 employees work to provide our patients and their families with the extraordinary level of care that we call The Sharp Experience.

And with four acute-care hospitals, three specialty hospitals, three affiliated medical groups and a full spectrum of other facilities and services, Sharp makes it easy to get the care you need close to home.

About MCG Health

MCG, part of the Hearst Health network, provides unbiased clinical guidance that gives healthcare organizations confidence in delivering patient-centered care. MCG's artificial intelligence and technology, infused with clinical expertise, enable its clients to prioritize and simplify their workflows. MCG's world-class customer service ensures that clients maximize the benefits of licensing MCG solutions – demonstrating improved clinical and financial outcomes. For more information visit www.mcg.com.

About Hearst Health

The mission of Hearst Health is to guide healthcare organizations by delivering essential intelligence and software that improve the quality, safety and efficiency of care. Hearst Health has been innovating with care for more than 40 years, with a commitment to making a lasting positive impact on health. The Hearst Health companies — FDB, Homecare Homebase, MCG,  MHK, QGenda and Zynx Health — elevate care by informing and empowering participants across the health journey. To learn more, visit www.hearst.com/hearst-health and follow @Hearst Health on LinkedIn.

SOURCE MCG Health