Cohere Health Advises Federal Government on the Development of Electronic Prior Authorization Standards

The usage management collaboration company supports FHIR data standards and implementation specifications, offers additional compatibility recommendations

BOSTAN, March 29, 2022 / PRNewswire / – Cohere Health, a recognized leader in collaborative usage management technology, has announced that it has submitted recommendations to the Office of the National Health Information Technology Coordinator (ONC) to develop electronic pre-authorization standards. Cohere called on ONC to help reduce the burden of acceptance on providers by requiring providers of electronic medical records (EMRs) to adopt ONC standards to manage a fully compliant healthcare system.

Cohere Health manages joint use management by reconciling physicians and evidence-based health plans throughout the patient’s treatment pathway. By integrating these care pathways into the pre-authorization process, the Cohere platform reduces rejection and medical costs while improving patient outcomes. For more information, visit coherehealth.com. (PRNewsfoto / Cohere Health)

Cohere’s intelligent authorization platform uses machine learning, interaction, and advanced analytics to simplify the pre-authorization process and speed up patients ’access to valuable care. The platform brings together physicians and health plans based on science-based treatment plans for the entire patient treatment episode, helping to improve the quality of care and reduce costs.

У January 2022ONC issued by Fr. public inquiry regarding the standards of electronic pre-authorizations, specifications and certification criteria that may be adopted under the ONC Health Information Technology Certification Program, a voluntary health information technology certification program that uses requirements established by the Secretary of the Ministry of Health and Social Services.

In its response to the information request, ONC Cohere commented on the ability of the ONC Health IT Certification Program to successfully promote electronic pre-authorization, noting the need for payers to be able to survey vendor investments to obtain sufficient evidence to determine medical necessity. Cohere also expressed support for the adoption of the Fast Healthcare Interoperability Resources (FHIR) standard to simplify the administrative workflow with prior authorization. As a modern data standard, FHIR provides more flexibility than the X12 standard to convey critical clinical information regarding patient status and history.

“Transforming the pre-authorization paradigm is a critical element in the transition of our country’s healthcare system towards value-based healthcare,” said Siva Namasivayam, CEO of Cohere Health. “We will continue to work with ONC and other federal agencies to help inform about the development of electronic pre-authorization standards that facilitate the seamless exchange of information between suppliers as well as between suppliers and payers to maintain high-quality, evidence-based products. care ».

About Cohere
Cohere Health manages joint use management (UM), reconciling physicians and evidence-based health plans throughout the patient’s treatment pathway. By integrating these care pathways into the pre-authorization process, UM Cohere’s digital platform reduces rejection and medical costs while improving patient outcomes. The company is the winner of the TripleTree iAward and entered the Fierce 15 lists from Fierce Healthcare and the Digital Health 150 lists from CB Insights. Cohere’s investors include Flare Capital Partners, Define Ventures, DeerfieldPolaris Partners and Longitude Capital.

Contact Cohere Health Media:
Jessica SmithAmendola Communications for Cohere Health
jsmith@acmarketingpr.com

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