Turn inpatient care challenges into strategic opportunities
Explore the key challenges in inpatient care and discover actionable opportunities to transform costs, compliance, and collaboration into strategic advantages.
**Modernize** inpatient UM for an aging population
As inpatient complexity and costs rise, traditional UM falls short. See how Cohere Health’s clinically trained AI empowers your team to reduce medical expenses, enhance productivity, and ensure members receive faster, better care.
Challenge
Opportunity
Rising medical expenses
Increasing inpatient volume and complexity, especially within Medicare Advantage, are driving up medical costs.
Control costs intelligently
Use AI to drive 10-15% medical savings by guiding care decisions upstream, moving beyond downstream denials to identify cost drivers.
Clinical team burnout
Your expert clinical staff is buried in administrative tasks, manually reviewing charts and chasing down information.
Accelerate clinical reviews
Empower your team with an AI copilot. Speed up medical reviews by up to 50% and free up clinicians to focus on high-value, complex cases.
Regulatory pressure
CMS rules being implemented in 2026 limit retroactive denials, demanding greater accuracy and transparency in upfront decisions.
Ensure upfront compliance
Stay ahead of CMS mandates with a platform that ensures accurate, consistent, and transparent care decisions from the start.
Provider abrasion
Outdated UM processes create friction, damage provider relationships, and lead to appeals and delays in care.
Improve provider collaboration
Achieve 94% provider satisfaction by offering a streamlined, digital-first experience that reduces administrative burden and fosters partnership.
Limited clinical visibility
Transactional UM systems fail to provide a holistic view of the patient journey, making it difficult to manage risk proactively.
Gain actionable intelligence
Go beyond single-service approvals. Gain a complete view of the patient journey to make data-driven decisions and improve outcomes.
Case summary
Automatically summarizes foundational case information for quick case orientation and faster decision-making.
Primary condition identification
Smart AI suggestions of the likely primary condition(s) based on clinical context to guide appropriate guideline selection.
Clinical indication validation
Surfaces condition-specific insights and patient indication data with direct links to source evidence within clinical documentation.
Clinical attachment viewer
Easy navigation interface for source evidence, making it simple to review and verify clinical information.
AI chatbot agent
Powerful AI-based chat experience that helps reviewers identify additional clinical insights and answer specific questions.
Workflow integration
Seamlessly integrates with existing UM systems - reviewers copy insights back to their system of record with familiar workflows.
Discover the Benefits
Cohere in action
Real results for health plans and their teams.
