MCG Health
Guiding the most effective care.
Overview
MCG Health, part of the Hearst Health network, provides unbiased, evidence-based clinical guidelines and software solutions used by health plans and providers. The guidelines help drive effective care by supporting decisions about utilization management, case management, care transitions, and health equity.
✨ Key Features
- Evidence-based care guidelines
- Inpatient & Surgical Care guidelines
- Ambulatory Care guidelines
- Chronic Care and Behavioral Health guidelines
- Integration with provider and payer systems
- Analytics and benchmarking
🎯 Key Differentiators
- Focus on guiding 'effective care' based on clinical evidence
- Annual updates to guidelines based on rigorous literature review
- Strong market penetration in the payer space
Unique Value: Helps payers and providers align on effective care decisions, improving patient outcomes while managing costs.
🎯 Use Cases (4)
✅ Best For
- A leading solution used by a majority of US health plans and many hospitals to inform care management and medical necessity decisions.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Point-of-care diagnosis and treatment for clinicians
- Drug monograph reference
🏆 Alternatives
MCG and InterQual are the primary players in this market, offering competing sets of evidence-based guidelines for utilization and case management.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (All tier)
🔒 Compliance & Security
💰 Pricing
Free tier: N/A
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