Cohere Health is a transformative brand that is revolutionizing utilization management (UM) and prior authorization in the healthcare industry. With their innovative products and services, they are turning these processes from inefficient burdens into strategic assets. The prior authorization maze often hampers access to care and compromises quality outcomes, but Cohere Health has the answer with their intelligent prior authorization solution, Cohere Unify™.

Cohere Unify™ enables health plans to digitize the entire prior authorization process, ensuring regulatory compliance while driving the best outcomes. Through Cohere Unify™, requests from various sources are consolidated into an automated workflow, eliminating manual steps and improving efficiency. The platform also leverages AI and advanced technology to automate clinical policies and facilitate a shorter approval path for qualifying providers.

To support the advanced capabilities of Cohere Unify™, Cohere Health offers the Cohere Platform, which incorporates AI, machine learning, rules, and analytics engines. This platform enhances the end-to-end capabilities of Cohere Unify™, providing seamless integration and interoperability. Additionally, Cohere Health offers the Cohere Complete™ solution, a fully outsourced and delegated specialty UM service for select medical specialties.

This comprehensive service manages an entire health plan's UM operations, leveraging the power of Cohere Unify™ combined with intake and clinical staff. The unique capabilities of Cohere Health have produced remarkable results for their clients, including a 70% faster access to patient care, a 63% decrease in denial rates, and an 18-43% decrease in adverse outcomes. These outcomes are driven by real-time clinical intelligence, evidence-based guidance, AI/ML-based suggestions, and analytics integrated into the prior authorization workflow.

If you're ready to transform the prior authorization process and improve patient outcomes, Cohere Health is here to help. Contact them today to learn more about their solutions and how they can benefit your organization