Our Senior Vice President of Clinical Transformation, Samantha Roushan, shares how responsible AI is informed with sound clinical knowledge and can stay within ethical and legal boundaries and benefit payers, providers, and patients.


Please share a little about yourself and your background. 

I am Sam Roushan, Senior Vice President of Clinical Transformation at Cohere Health. I’ve spent my entire career using business and human-centered design approaches to solve really big problems in health care, and I’ve worked all across the health care ecosystem with med tech companies, pharma, providers, and payers. I joined Cohere Health earlier this year because I’m incredibly passionate about utilizing technology to improve patient outcomes and create a provider experience that’s free from burnout and enables them to thrive in their careers. Cohere does just that, which is what really attracted me to the company.

We provide artificially intelligent prior authorization as a springboard to better quality outcomes. The ways in which we do that is by aligning physicians and health plans on evidence-based care paths to reduce administrative expenses and burden while improving patient outcomes. The solutions that we have reduce costs, reduce provider abrasion, help patients receive care that’s truly optimized for their needs, and we do it using AI that we have responsibly applied to more than 5 and a half million prior authorization requests today. We do that through Cohere’s Unify AI Platform. The platform has nearly 130 machine learning models in production, and those models have saved over 11,000 clinical review hours and have 2 and a quarter million unique findings each day. We’re a care transformation company, and this is really what makes us different from our competitors and what made me so excited about joining the company.

Published On: October 27th, 2023Categories: AI/ML National Media, News

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About the Author: Cohere Health

Cohere Health is a clinical intelligence company delivering AI-powered intelligent prior authorization solutions, which streamlines patients’ access to quality care by aligning their physicians and health plans for improved collaboration, transparency, and care coordination. Cohere works with nearly 600,000 providers and processes more than 12 million prior authorization requests annually, using AI to auto-approve up to 90% of requests for millions of health plan members around the country. The company was recognized twice in the Gartner® Hype Cycle™ for U.S. Healthcare Payers, is a Top 5 LinkedIn™ Startup for 2023 & 2024, and is a three-time KLAS Points of Light award recipient. Its investors include Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.