How clinical intelligence eliminates health plan friction

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

Read the full article