Digitize prior authorization and improve care quality
Solutions that foster collaboration, not abrasion.
Cohere leverages an innovative blend of AI and machine learning, deep, evidence-based clinical expertise, and real-time analytics, not only to digitize prior authorization, but also to guide the best and fastest care across the entire patient journey.
Lower administrative costs for your health plan
Less abrasion and faster turnaround for your providers
The Cohere Platform drives automated workflows, analytic insights, and interoperability through the use of advanced technologies, including AI and machine learning.
Workflow
Our Decisioning Engine stores and deploys your plan’s administrative and clinical rules that govern prior authorization decisions.
Analytics
Our Analytics Layer drives clinical and network intelligence, including signals-based and predictive analytics, to further improve provider and patient experience.
Interoperability
The Cohere Platform enables interoperability with all related provider and payer IT systems, including EHRs and UM systems, via FHIR, 278, SSO, and other widely accepted standards.
The ROI of a better approach - actuarially verified results
Our capabilities have driven these unique, actual results
70%
Faster
access to patient care
Driven by real-time clinical intelligence at the point of diagnosis
63%
Decrease
in denial rates
Driven by evidence-based intelligence that guides clinically appropriate requests before submission
18-43%
Decrease
in adverse outcomes
Driven by AI/ML-based clinical suggestions (“nudges”) and analytic features in the prior authorization workflow
Case Study
Learn How Humana Transformed Prior Authorization to Improve Care & Collaboration