Intelligent Prior Authorization Platform Recognized for Delivering
Highest Quality of Care and Safety Standards
Boston, MA (December 13, 2022) – Cohere Health, a recognized leader in transformative utilization management (UM) technology, has received full Utilization Review Accreditation Commission (URAC) accreditation through November 1, 2025.
URAC is the independent leader in promoting health care quality by setting high standards for clinical practice, consumer protections, performance measurement, operations infrastructure and risk management.
With URAC’s Health Utilization Management Accreditation, Cohere demonstrates its ability to deliver the highest quality of care and confidentiality across utilization management processes to protect all associated parties – patients, providers, and health plans. During the course of URAC’s Quality Evaluation Program, Cohere was evaluated based on 40 core standards and 40 utilization management standards.
“We applaud Cohere Health on achieving URAC accreditation. With this distinction, Cohere demonstrates excellence in quality health care delivery and their commitment to ensuring patient safety,” said URAC President and CEO Shawn Griffin, M.D.
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%.
“From the beginning, compliance and quality have been central to what we are building at Cohere,” said Brian Covino, M.D., FAAOS, Chief Medical Officer of Cohere Health. “Achieving URAC accreditation shows that we’re at the forefront of ensuring the highest quality care and outcomes for patients.”
Furthemore, Cohere is one of a select few companies focused on utilization management to have earned HITRUST r2 certification, and was the first digital prior authorization platform to achieve Utilization Management Accreditation from the National Committee for Quality Assurance (NCQA).
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About URAC
Founded in 1990 as a non-profit organization, URAC is the independent leader in promoting health care quality and patient safety through renowned accreditation programs. URAC develops its evidence-based standards in collaboration with a wide array of stakeholders and industry experts. The company’s portfolio of accreditation and certification programs span the health care industry, addressing health care management and operations, pharmacies, telehealth, health plans, medical practices and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.
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About the Author: Cohere Health
