Arguably, the biggest challenge in healthcare is that there are so many interconnected parties—hospitals and other various medical facilities, surgical centers, nursing centers, physician offices, insurance companies, pharmacies, manufacturers—but lack of standards by which they all collaborate. Such poor collaboration results in delayed or unnecessary care, driving both unnecessary expense and suboptimal patient outcomes.
Getting providers and health plans working together on a single UM platform that leverages artificial intelligence (AI), machine learning (ML), and real-time analytics—combined with deep, evidence-based clinical expertise—can guide all stakeholders to the best care choices without unnecessary delays, thus promoting the best and quickest outcomes for the patients.
Listen in on more of my perspective on transforming UM into proper care management in the Breaking Health podcast.
Featured Content
Follow Jenny’s story – from diagnosis to recovery – to see how our digital UM platform dramatically improves the patient and provider authorization experience, shortens the journey and drives better outcomes. See how Cohere speeds the PA process while also driving better, faster outcomes, and lower costs
News You Can Use
🥼 Interoperability, User-Centered EHR Design Key to Tackling Clinician Burnout (Xtelligent Healthcare Media)
🏛️ House committee advances bill to install new prior authorization reforms for Medicare Advantage (Fierce Healthcare)
💳 “Gold card” approach to prior authorization introduced in Congress (American Medical Association)
Cohere Minute
🤖 Reforming Prior Authorization with AI and Machine Learning (insideBIGDATA)
4️⃣ Four Ways Medicare Advantage Plans Can Stay Ahead of OIG Denial Concerns (Managed Healthcare Executive)
📈 Overhauling Prior Authorization: How to Achieve Better Outcomes at a Lower Cost (MedCity News)
🩺 Improving Patient Outcomes with AI-Driven Prior Authorization (AIThority.com)
