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MCG Care Guidelines Sets Rules for Prior Authorization

Dr. Eric Bricker Explains How the Same Milliman Care Guidelines (MCG Care Guidelines) Are Used by the 8 Largest Insurance Carriers, 1,900 Hospitals and Affect 200+ Million Americans. Health Insurance Carriers Outsource Prior Authorization to Vendors Such as eviCore, Which is Owned by Cigna. These Prior Authorization Vendors Approve or Deny Coverage for Services Such as Surgery, MRIs and Cardiac Stress Tests. The Prior Authorization Vendors Use the MCG Care Guidelines as the Clinical Basis for Their Decisions. MCG Care Guidelines is Owned by Hearst Health, which in turn is owned by Hearst--the same famous, private, newspaper company founded by William Randolph Hearst. Approving and Denying Health Insurance Coverage for Medical Care in America is a Complex Web of Relationships with MCG Care Guidelines at its Center. AHealthcareZ is 200+ Healthcare Finance Educational Videos. 💥 BOOK: Check out Dr. Bricker’s Book 16 Lessons in the Business of Healing here: https://www.ahealthcarez.com/healthca... AHealthcareZ Viewers Include: Employee Benefits Professionals, HR, CFOs, Insurance Brokers, Benefits Consultants, Doctors and Nurses in Leadership Roles, Hospital and Health System Administrators, Health Insurance Carrier and PBM Professionals, Pharma and Med Device Professionals, Academic Professors and Students in Healthcare Administration and Public Health. 90,000+ Views Per Month Across All Platforms. Visit AHealthcareZ.com to Subscribe to the Healthcare Finance Video Newsletter. #HealthcareCosts #HealthcareIndustry #MillimanCareGuidelines