Cohere Health Named Top Prior Authorization Company

Intelligent Utilization Management Platform Receives National Recognition

Boston, MA (November 28, 2022) – Cohere Health, a recognized leader in utilization management (UM) technology, was recognized as a Top Company in Prior Authorization by AVIA Connect, a leading digital health marketplace. 

Cohere’s intelligent prior authorization platform, Cohere Unify™, aligns patients, physicians, and health plans on evidence-based care plans to improve clinical outcomes and speed patient access to high-quality care. The platform digitizes prior authorization requests from all sources, using transparent, AI-enabled recommendations to ensure complete and clinically appropriate requests before submission. Cohere’s industry-leading platform then automates request processing, including clinical review. Cohere’s emphasis on clinical best practices and reduced care variation has helped health plans reduce denial rates by 63%, increase quality outcome metrics by 11-43%, and expedite patients’ access to care by 70%.

The Top Prior Authorization Companies Report represents the aggregation and analysis of health system implementation data across the country and highlights broader industry trends to contextualize the impact companies and products have in the prior authorization space. Given the complexity and evolving nature of prior authorization, the report helps define the landscape and how these solutions best support patient care.

“The Top Companies report provides health systems with insights and clarity into the complex prior authorization space and how that fits into larger revenue cycle challenges,” said Dhiraj Patkar, SVP of Digital Health Solutions at AVIA. “We are thrilled to help health systems understand and identify solutions that can enable providers to obtain approval from payers before delivering care, in order to prevent lost revenue and reduce expenses.”

AVIA Connect is where innovative health systems and hospitals go to find the right digital health solutions. It’s built to efficiently search vendors and guide informed decisions, with tools like product comparisons, match scores, report generators, peer reviews, and market insights.

Furthermore, Cohere is one of a select few companies focused on utilization management to have earned HITRUST r2 certification and URAC accreditation, in addition to being the first digital prior authorization platform to achieve Utilization Management Accreditation from the National Committee for Quality Assurance (NCQA).