Skip to Content
webinars

CMS Prior Auth Rule: Partnering for Success with AI-Driven Innovation

Dates:
Aug 7, 2025
Time:
2:00 pm EDT
Presented by MCG Health_with tagline
Register Now Registration takes place at a third-party website.

About This Webinar

As the January 2027 mandate for compliance with the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) draws near, impacted payers and providers across the nation are facing a pivotal moment. Success requires more than just compliance—it demands true partnership, shared vision, and a commitment to transforming the prior authorization experience for patients and clinicians alike.

In this timely webinar, MCG Health brings together industry thought leaders to explore how organizations can not only meet the CMS requirements but also unlock new value through collaboration and innovation. Attendees will be equipped with actionable steps to prepare for the 2027 mandate.

The presenters will delve into:

  1. Strategies for building strong payer-provider partnerships that ease the burden of prior authorization
  2. The critical role of interoperability and technology in achieving compliance and seamless information exchange
  3. How artificial intelligence is reshaping the prior authorization landscape—accelerating automation, reducing delays, and improving patient outcomes
  4. Real-world success stories and practical steps to move from planning to implementation
  5. MCG Health’s unique approach to supporting clients through this transition—focusing on evidence-based guidelines, workflow automation, and compassionate care

Attendees Will Learn About

  • Fostering a collaborative mindset between payers and providers
  • Sharing a commitment to compliance, quality, and the human experience in healthcare
  • The value of AI-driven solutions in prior authorization workflows
  • MCG Health’s leadership and expertise in delivering sustainable, patient-centered transformation

Presenters

Pam Grappy, RN, BSN, ACM-RN, CMAC

Manager, Utilization Management

Allegheny Health Network

Pam Grappy serves as the Manager of the Central UR Nurse Team at Allegheny Health Network (AHN). She has played a key role in the implementation of MCG solutions for AHN, which have streamlined communication between payers and providers. These solutions have enabled the non-clinical support team to dedicate more time to other essential business tasks.

Learn more about Pam Grappy, RN, BSN, ACM-RN, CMAC

Rajesh Godavarthi

Associate Vice President, Technology & Interoperability

MCG Health

Raj Godavarthi joined MCG Health in 2003 and oversees a team that builds critical interoperability solutions. Mr. Godavarthi is MCG’s primary representative in the HL7 Da Vinci Project. He has led efforts to support industry stakeholders in developing new HL7 FHIR standards, allowing for improved interoperability and communication between payers and providers. He is also a WEDI Prior…

Learn more about Rajesh Godavarthi

Daniel Cawood

Senior Product Manager, Interoperability Solutions

MCG Health

Daniel Cawood oversees the product development for MCG Health’s interoperability solutions and connects payers and providers for authorization processes. Mr. Cawood began his time at MCG, focusing on the Indicia suite of solutions (provider market clinical decision support) and value-based care solutions. Before joining MCG, he was a Product Owner for Research & Development solutions at…

Learn more about Daniel Cawood