# MCG Health

> MCG Health licenses evidence-based care guidelines and decision-support software to hospitals, health plans and government agencies. Part of Hearst Health, it combines clinical publishing, utilization management, interoperability and assistive AI to help organizations document medical necessity and coordinate care.

- **Founded:** 1988
- **Headquarters:** Seattle, United States
- **Founders:** Richard L. Doyle (Founding editor of the care guidelines; developed within Milliman, rather than a verified sole corporate founder)
- **Products:** MCG Care Guidelines, MCG Indicia, MCG Indicia Focus, MCG Indicia Synapse, MCG CareWebQI
- **Notable:** MCG reported licensing by more than 3,200 hospitals in March 2026., Care guidelines carry URAC Health Utilization Management: Clinical Review Criteria certification., MCG, Regence and MultiCare Connected Care received a 2023 KLAS Points of Light Award.

## Products & services

- **MCG Care Guidelines** — Annually updated clinical content across inpatient, ambulatory, behavioral, post-acute, home and chronic care; 30th edition released in March 2026.
- **MCG Indicia** — Provider utilization review, case management, discharge planning and documentation software.
- **MCG Indicia Focus** — Machine-learning prioritization of observation conversion and denial-avoidance opportunities.
- **MCG Indicia Synapse** — Assistive AI extracts patient-specific EHR information and surfaces clinical indications for admission.
- **MCG CareWebQI** — Payer workflow software for utilization management and tracking care episodes.
- **MCG CareWebQI Synapse** — Payer AI extracts relevant information from submitted clinical documentation and pre-fills reviews.
- **MCG Path** — FHIR-based APIs make guideline criteria and payer policies available in interoperable authorization workflows.
- **MCG AutoAuth** — Rules-based prior authorization through payer portals using documented clinical criteria.
- **MCG Transparency** — Shares licensed clinical indications and evidence with members, providers and auditors.
- **MCG Coordinate** — Assessment and care-planning software for care transitions and complex chronic conditions.
- **MCG Interrater Reliability** — Case-based assessments of consistent guideline application by clinical staff.
- **ODG by MCG** — Workers’ compensation treatment and return-to-work guidance and claims analytics; joined the portfolio in 2017.
- **Consulting, education and training** — Services supporting guideline adoption and clinical workflow implementation.

## Achievements

- MCG reported licensing by more than 3,200 hospitals in March 2026.
- Care guidelines carry URAC Health Utilization Management: Clinical Review Criteria certification.
- MCG, Regence and MultiCare Connected Care received a 2023 KLAS Points of Light Award.
- NYC Health + Hospitals reported halving inpatient claim denials over two years and $50 million in one fiscal year of savings from MCG tools plus internal process changes.

## Latest updates

- **2026-09** — MHK integration certified for MCG Path and CareProminence; announced September 10.
- **2026-09** — MCG published analysis of claims data, variation and utilization on September 15.
- **2026-06** — MCG announced a CMSA session with Norton Healthcare and reported review times below three minutes; a vendor-reported customer result.
- **2026-03** — 30th edition released March 3 with expanded clinical guidance and AI-ready content.
- **2026-01** — MCG published its Synapse reasoning methodology, including human annotation and performance evaluation.

## Links

- Website: https://www.mcg.com/
- LinkedIn: https://www.linkedin.com/company/mcg-part-of-the-hearst-health-network/
- Twitter/X: https://twitter.com/mcg_health
- YouTube: https://www.youtube.com/@MCGHealth
- Facebook: https://www.facebook.com/MCGCareGuidelines/

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Profile page: https://yespress.io/mcg-health
Published by YesPress — https://yespress.io
Last updated: 2026-10-02