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A Needed Transformation: Changing Prior Authorization From an Obstacle to a Cornerstone of Better Care

Transforming Prior Authorization White Paper Summary:

Although many physicians and patients would like to see prior authorization disappear entirely from the care planning process (along with other utilization management measures), it’s a necessary tool for curbing unnecessary spending. However, the current approach to prior authorization is broken and needs to change. In this white paper, we discuss how Cohere’s technology around digital prior authorization has the power to create partnerships among patients, physicians, and health plans, and help achieve the promise of value-based care.

About Cohere Health
Cohere drives collaborative utilization management (UM) by aligning physicians and health plans on evidence-based care paths for the patient’s entire care journey. By integrating these care paths into the prior authorization submission process, Cohere’s digital UM platform reduces denial rates and medical expenses while improving patient outcomes. The company is a winner of the TripleTree iAward and has been named to both Fierce Healthcare’s “Fierce 15” and CB Insights’ Digital Health 150 lists. Cohere’s investors include Flare Capital Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude Capital.