How clinical intelligence eliminates health plan friction
Published:
September 1, 2026
Overview
An industry shift to reduce prior authorization volume. CMS raising the stakes for clinical quality and patient experience. Increased scrutiny around AI in healthcare. Health plans need solutions to address these challenges without added complexity, friction, or fragmentation.
In a recent interview with The L.A. Times, Matt Parker, chief product officer at Cohere Health, explains why that fragmentation is now a strategic problem–and how connected clinical intelligence can help plans address it, carrying valuable care and payment insights across siloed functions so each decision makes the next one smarter.
The conversation explores how Cohere Health’s AI systems connect unstructured data across health plan workflows to accelerate care decisions, improve payment accuracy, and automate quality reporting across 25 million covered lives.
Key themes covered:
- CMS’s shift from administrative to clinical quality measurement
- The operational gaps across the care and cost continuum
- Automating responsibly with AI while maintaining human judgment
- How connected clinical intelligence unifies historically fragmented systems
Written by
Matt
Parker
Matt Parker has more than 20 years of experience designing, developing and launching healthcare-related technology solutions. Prior to joining Cohere Health, he was SVP of Product Development at Kyruus Health, a healthcare technology company that provides health systems with search and scheduling solutions. Previously, Matt led Product at HealthSparq, where he developed industry-leading products for health plans to help their members take more control of their healthcare. He has held senior positions at DestinationRx and DrugCompare where he led the product development teams. Matt received his B.A. in Psychology from The Catholic University of America and his J.D. from Loyola University Chicago School of Law.
Stay ahead with expert insights on transforming utilization management and payment integrity—delivered straight to your inbox.
