Cohere Health Launches Smarter Prior Authorization Tool

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Key Highlights

  • 80% of PAs streamlined for trusted providers via green lighting
  • 55% reduction in time needed to submit PAs
    98% provider satisfaction rate with new tailored workflows
  • Enables real-time performance tracking and continuous optimization
  • Reduces provider abrasion compared to legacy gold carding programs

Source: Direct

Notable Quote

  • “Gold carding programs often create new roadblocks, lack transparency for providers, lead to spikes in utilization, and can end up increasing complexity and friction. With Cohere Align, we’re giving health plans new tools to manage these processes, with the flexibility to give providers a more personalized, supportive PA experience.” — Matt Parker, Chief Product Officer at Cohere Health

Why This Matters

The burden of prior authorizations continues to be a top concern for providers, with many reporting it pulls critical time away from patient care. Cohere Align™ represents a meaningful advancement in reducing this friction, using AI and real-time data to streamline processes without the drawbacks of traditional gold carding or blanket waivers. By enabling more personalized engagement, Cohere Health offers health plans an innovative, scalable way to improve provider satisfaction and care delivery efficiency.

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