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Cohere Health

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Cohere's digital health plan solutions fundamentally transform utilization management to drive truly collaborative care journeys. Our solutions not only automate provider and payer preauthorization functions, but also generate clinical policy guidance that drives better care decisions without having to delay or deny care. We then use prior authorization as a trigger to engage plans, providers, and patients in episode-based care paths that merge traditional utilization management, care management and patient engagement functions. Our solutions also fully support pending CMS and state regulatory requirements, including immediate auto-determination, review turnaround times, and FHIR interoperability standards.

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A needed transformation: changing prior authorization from an obstacle to a cornerstone of better careTransform Utilization Management into True Care Management
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