Get a data-driven blueprint to achieve 80% real-time prior authorization automation without increasing medical expense or creating provider chaos
Health plans that begin planning now will have time to implement defensible, data-driven strategies that position them as leaders in prior auth reform.
Schedule a consultation to learn how Cohere Health AHIP Readiness Program can help you:
Exclusive findings
This report analyzes prior authorization trends across 100+ health plans to help optimize PA strategies by identifying where PA delivers the greatest medical cost savings relative to provider burden.
Evidence-based reduction using your actual clinical data—examining approval rates, clinical variation patterns, and provider performance. Compare your PAL against Cohere's research analyzing over 100 health plans.
We help you develop a data-driven strategy that sequences automation based on risk, volume, and impact. You'll know exactly which auth categories to tackle first, and which should remain in traditional review.
We identify the specific utilization tripwires in your data—patterns that signal where automation could inadvertently increase costs—and build safeguards into your roadmap.
Our team helps you understand the interplay between AHIP commitments, CMS mandates, and state-specific requirements so you can build a compliance strategy that works across your markets.
Cohere Unify Platform
Policy platform digitization
Codify policies into machine-readable formats for CMS-0057-F compliance, enabling baseline automation and public-facing lookup tools.
Prior Auth Automation with AI
Our ML and AI models extract medical necessity criteria from unstructured data like encounter summaries to help you reach your 80% commitment. Explore Cohere’s In-House Solutions
