Key Highlights
- Cohere Health® and MCG Health integrate solutions for enhanced prior authorization.
- Joint health plan client to launch the combined solution in early 2025.
- AI-driven technology and MCG guidelines enable faster, consistent care decisions.
- Reduced administrative burden for providers and quicker access to care for patients.
- Launch expected to significantly benefit providers, patients, and health plans.
Source: Direct
Notable Quotes
- “The partnership between Cohere and MCG Health will provide a powerful, unified solution to reduce administrative burdens in prior authorization.” — Jon Shreve, CEO at MCG Health
- “MCG Health is the perfect partner to complement Cohere’s groundbreaking, AI-driven offering with industry-leading and nationally recognized clinical criteria.” — Siva Namasivayam, CEO at Cohere Health
SoHC's Take
The integration of Cohere Health’s advanced AI-driven automation with MCG Health’s evidence-based clinical guidelines marks a significant step toward reducing inefficiencies in the prior authorization process. This collaboration not only promises to streamline administrative workflows for providers but also aims to deliver faster access to care for patients—addressing a longstanding challenge in healthcare. By enabling higher rates of auto-approvals and minimizing provider submission time, the combined offering could set a new standard for prior authorization processes. With the first joint client set to launch in 2025, this partnership holds the potential to reshape how insurers, providers, and patients experience the path to care.
