MedReview Inc.

Are you heading to Burbank this week for the California Association of Health Plans "Artificial Intelligence in Health Care" seminar? MedReview CEO Spencer Young and VP of Business Development Carrie Cunningham will be attending and would love to connect. As California health plans address the rapid adoption of AI, our team is eager to discuss how a Human-in-the-Loop methodology can help balance automation with expert physician oversight to safeguard your financial integrity. Visit us here to schedule a time to meet, and be sure to catch Spencer’s session at 12:45 p.m.: https://lnkd.in/eFV4RKem #HealthcareAI #HealthPlans #MedReview #CAHP #HealthcareInnovation

We are excited to share that Spencer Young, CEO of MedReview, Inc., will be speaking at the California Association of Health Plans (CAHP) event on May 13th. Join us for “Artificial Intelligence in Health Care” alongside 150+ health plan leaders as we explore how AI is transforming our industry. Looking forward to a great discussion—hope to see you there! https://lnkd.in/eFV4RKem #HealthcareAI #HealthPlans #MedReview #CAHP #HealthcareInnovation

MedReview is proud to announce the appointment of Susan Hines as our new Senior Vice President of Operations. With 25 years of experience driving innovation across the healthcare and payment integrity landscapes, Susan has built her career at the intersection of business, technology, and operations, turning complex challenges into scalable solutions. She brings a practical, forward-thinking perspective to healthcare transformation, including the use of artificial intelligence to enhance outcomes and quality. In her new role, Susan will be responsible for enterprise operations and optimizing the performance and quality of all business units. We’re excited to announce her new role on our payment integrity leadership team. https://lnkd.in/euGzWc4F

MedReview is proud to announce the acquisition of Vital Data Technology, the premier provider of advanced healthcare payer workflow and data technology. This integration of technology and expertise into the MedReview family is driven by a shared commitment to innovation and enhancing the value we provide to our healthcare payer partners. Read our announcement here: https://lnkd.in/eVHSZKKe

We are set up and ready in Dallas for the Medical Cost Containment Series! If you are walking the floor, keep an eye out for booth 10 (pictured here). Stop by for a cookie, to discuss your payment integrity challenges, or learn more about our Human-in-the-Loop approach to AI. 💡 #MCC #MedicalCostContainmentSeries #HPRI #PaymentIntegrity #HumanInTheLoop #MedReview

Heading to Dallas this week for the Medical Cost Containment Series? Stop by booth 10 to say hello or learn how we can help you stop financial leakage before revenue walks out the door. Learn more here and schedule a meeting with our team: https://lnkd.in/ekpJwA6m #MCC #MedicalCostContainmentSeries #HPRI #PaymentIntegrity #HealthcareInnovation #MedReview

When researchers asked an AI to analyze medical imaging, it “identified” a brain structure that doesn’t exist. Imagine that level of error applied to payment decisions. In healthcare payment integrity, speed without accuracy is dangerous. Unchecked AI has already led to lawsuits over unfairly denied care and growing regulatory scrutiny. That is why Human-in-the-Loop (HITL) AI is not an option, but rather a necessity. At MedReview, our HITL approach ensures: ☑️ True Accuracy - Human experts validate AI findings, preventing systemic errors. ☑️ Transparency - We eliminate the "black box" problem with explainable, defensible human reviews, aligning with rules like the HHS HTI-1. ☑️ Adaptability - Our clinicians train the AI to recognize evolving fraud schemes faster than automation alone. Learn why blending automation with human judgment is the only ethical and effective path forward. Read our new blog: https://lnkd.in/ebuVNqJ9 #HumanInTheLoop #AI #PaymentIntegrity

MedReview closes out the year with gratitude in our hearts. We wish you and yours the very best this holiday season! ✨

AI holds great promise for payment integrity and fraud detection, yet the constant changes and complex nuances of healthcare don’t play to its strengths. How do you incorporate AI while ensuring results are accurate, defensible, compliant, and engender trust from providers? Watch our on-demand webinar on “The Payment Integrity Shakeup: Taking AI in a Human Direction” with the Illinois Association of Medicaid Health Plans (IAMHP) to learn more. https://lnkd.in/e855te3N #paymentintegrity #humanintheloop

MedReview is thrilled to announce the appointment of Dutch Noss as our new Senior Vice President of Operations. With over 25 years of leadership in payment integrity, Dutch brings deep expertise at the intersection of technology, healthcare, and strategy. His experience spans both clinical and non-clinical audit operations across pre-pay and post-pay environments for federal, commercial, Medicare, and Medicaid payers. In his new role, Dutch will lead enterprise operations and drive strategic development initiatives across the organization. We’re excited to welcome him as a vital addition to our payment integrity leadership team. Learn more here: https://lnkd.in/eqrvXyRH