Transforming prior authorization with AI
Published:
June 13, 2025
In this episode, Siva Namasivayam, Chief Executive Officer of Cohere Health, discusses the challenges and opportunities in overhauling the prior authorization process in healthcare.
He shares how AI is being applied to reduce administrative delays, including the use of generative AI to summarize clinical data and intelligent agents to assist with scheduling and information retrieval processes. The conversation also touches on enabling real-time approvals for a majority of cases, designing algorithms informed by physician input, and navigating the shift to remote work. The discussion offers insight into how technology can address systemic inefficiencies while maintaining clinical oversight. Take a listen.
Written by
Siva
Namasivayam
In his third entrepreneurial healthcare venture, Siva Namasivayam is passionate about building companies that are focused on improving the healthcare system. Prior to co-founding Cohere Health and serving as its CEO since 2019, Siva was a founding partner of SCIO Health Analytics which served over fifty Fortune 500 healthcare organizations. Siva has more than 20 years of experience in utilizing technology and data to improve healthcare processes. He holds a master’s in computer science from the University of Pittsburgh, as well as an M.B.A. from the University of Michigan.
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