Cohere Health’s Guiding Principles of AI
Cohere Health is leveraging artificial intelligence (AI) to transform prior authorization. It’s time for prior authorization to stop focusing on transactions and start creating elevated care journeys.
Here’s how Cohere is rethinking the status quo to simplify healthcare.
Bring humanity back to healthcare.
Imagine a future where physicians and nurses can focus on patients instead of paperwork. The bloated administrative tasks weighing down the healthcare system prevent medical professionals from doing their best work.
It’s not technology but administration stripping humanity from healthcare.
Cohere sees the potential of AI to restore the focus back to the art of medicine.
We’ll always need physicians, and Cohere is committed to getting them back at the bedside. We generate care plans that treat the whole patient care plan or journey. Prior authorizations have the power to drive better care when AI nudges physicians toward care decisions based on the whole patient picture, instead of a single medical service.
AI can remove the noise interfering with the human-to-human interactions patients and physicians need to thrive. Patients are more than their procedure code bucket. Cohere’s technology solves the problem of keeping up with regulatory compliance changes and meeting turnaround time requirements, which ultimately gets patients to the care they need sooner.
Technology is a catalyst to make healthcare more human.
Unlock new levels of collaboration by breaking down silos.
Collaboration requires real-time communication between everyone in a patient’s care journey.
Of course, advancing infrastructure is a major part of facilitating better communication, but creating “pipes” doesn’t guarantee health data is exchanged productively. Building strategic provider partnerships and implementing clinician-driven programs create a more connected, efficient healthcare experience that goes far beyond meeting basic interoperability standards.
One of the best ways to reduce provider abrasion is to make prior authorization touchless, and interoperability is critical to achieving this north star. A frictionless end-to-end authorization process means providers and plans would never have to deal with prior authorizations for appropriate care.
The transport of information is one part of the end-to-end automation puzzle, but exchanging information doesn’t result in automatic decisions. It’s like having a rocket ship without any fuel. Cohere’s decisioning platform draws on thoughtful, evidence-based care and specialized society guidelines to empower doctors to make the right choices for their patients.
Pre-authorizing the next best step earlier in a patient care journey and assisting non-specialty physicians in identifying complex conditions gives them the keys to getting patients to and through the best treatment more efficiently.
Breaking down silos and accelerating collaboration with AI improves the quality and speed of healthcare decisions.
Drive better care quality.
AI in prior authorization is a launching pad for a more longitudinal approach to helping achieve the best and fastest patient outcomes.
Applying AI and machine learning (ML) models to healthcare data will improve care quality with upstream moments of influence. Things like data-driven provider recommendations get patients to the right specialist sooner.
Whether getting patients to the right provider or authorizing multiple service requests on a care path in an episodic authorization, AI can improve care access and drive better health outcomes.
Cohere sees a future where technology can drive preventative measures to reduce risk, decrease the need for more invasive interventions, and simplify the path to better care quality.
And the future is now.
