Cardiovascular

Using data and technology to enable care collaboration

Cohere’s fully-delegated delivery of our intelligent prior authorization solution for cardiovascular services helps health plans an end-to-end solution to drive better care outcomes, reduce provider burden, and save administrative costs.

  • Encourages adherence to evidence-based care pathways
  • Enables medex savings with upstream moments of influence
  • Reduces care variation with increased decisioning transparency
  • Applies patient and provider cohorting data to improve outcomes

The result?

15-20%

medical cost savings

85%

provider satisfaction

Services Covered

Cohere’s cardiovascular clinical innovation solution incorporates nationally accepted clinical criteria from the American College of Cardiology (ACC). Together we are working to put consistent, evidence-based guidelines into practice across:

Ablation

Cardiac devices

Cardiac procedures

Diagnostic and cardiac imaging

Peripheral revascularization

Percutaneous Ventricular Assist Devices (VADs)

Download our white paper to learn more about how we are aligning physicians and health plans to drive care collaboration and medical expense savings.

White paper graphic with pink box and bullet points

Powering our fully delegated solution for Cardiovascular services is Cohere Unify™, our intelligent prior authorization platform. Cohere’s platform brings together intelligent authorization intake, advanced technology, and real-time analytics with deep, evidence-based clinical intelligence, to enable the digital transformation of UM processes, driving greater operational efficiency, and most importantly, faster and better patient outcomes.

Foster collaboration with providers and patients by simplifying and improving the process

Our differentiated approach uses our board-certified cardiologists to drive impact

1

Drive optimal care using intelligent, diagnosis-centered care paths

Our platform creates patient cohort-specific care plans from 22 evidence-based, data-driven, cardiovascular care paths.

2

Influence care choices prior to request submission

Use in-workflow “nudges” during authorization requests to offer real-time guidance to patient-specific, clinically optimal care choices.

3

Reduce care variation by improving decisioning transparency

Leverage the longitudinal health record to provide pre-submission guidance and alignment to policy and best practices, improving utilization and patient outcomes.

4

Proactively leverage provider & patient data to improve outcomes

Different forms of health plan data can be used to approve higher quality care and inform health plans of strategic opportunities for cost savings and improved patient outcomes by suggesting underutilized services.

5

Interoperable, design-first, end-to-end automation

Our platform simplifies prior authorization for providers with digitized intake across multiple channels, automated decisioning for routine services and uses advanced technology to accelerate manual review, where required.

Headshot of Brian Covino, Chief Medical Officer
Meet our cardiology leadership

Brian Covino, M.D., FAAOS

Chief Medical Officer

After practicing orthopedic surgery for more than 25 years, Dr. Brian Covino joined Cohere in 2020 after having served as a consultant since 2018.  During his years as a practicing surgeon, Dr. Covino was a partner at Knoxville Orthopaedic Clinic/OrthoTennessee specializing in joint replacement surgery.  He holds a bachelor’s from Harvard University as well as an M.D. from Georgetown University School of Medicine. Dr. Covino received his surgical training at the University of Virginia Graduate School of Medical Education and completed a fellowship at The Cleveland Clinic Foundation.

Russell Rotondo, M.D., FACC

Vice President of Clinical Strategy and Innovation, Cardiovascular

After practicing cardiology for more than 25 years in Knoxville, TN, Dr. Rotondo joined Cohere in 2021 from Humana Inc. where he was with the health plan for more than two years. During his years as a practicing general, invasive, and interventional cardiologist, Dr. Rotondo was a partner at East Tennessee Heart Consultants. He holds a bachelor’s degree and an M.D. degree from Brown University. Dr. Rotondo received his Internal Medicine training at the University of Tennessee Medical Center in Memphis and the Washington University Medical Center in St. Louis, MO. In addition, he completed his cardiology fellowship at the Washington University Medical Center.

Dr. Agunanne headshot

Enoch Agunanne, M.D., FACC

Medical Director, Operations Cardiovascular

Dr. Enoch Agunanne joined Cohere in 2022. Dr. Agunanne brings to Cohere a vast wealth of experience in both clinical practice and utilization management. Dr Agunanne is Board-Certified in the following specialties/subspecialties: Advanced Heart Failure and Transplant Cardiology, Cardiovascular disease, and Internal Medicine. Additionally, he is Board-Certified in Nuclear Cardiology and Comprehensive Adult Echocardiography. Dr. Agunanne received his Advanced Heart Failure and Transplant Cardiology Fellowship training at the Baylor University/Texas Heart Institute/St Luke’s Hospital, Houston, Texas and his Cardiology Fellowship at Texas Tech University. He also holds a Master of Public Health degree.

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