Photo: FG Trade/Getty Images

照片：FG Trade/Getty Images

Prior authorization automation platform Cohere Health and MCG Health, part of the Hearst Health network that provides evidence-based care guidelines, announced they will integrate their content and technology offerings to enhance the prior authorization process for providers, patients and health plans..

事先授权自动化平台Cohere Health和MCG Health是赫斯特健康网络的一部分，提供循证护理指南，他们宣布将整合其内容和技术产品，以增强提供者、患者和健康计划的事先授权流程。。

The aim is to integrate MCG care guidelines into Cohere's Unify Decisioning tool to build a solution for prior authorization decision-making, driving higher rates of clinically relevant auto approvals while decreasing provider submission time and friction.

目的是将MCG护理指南整合到Cohere的Unify决策工具中，为事先授权决策建立解决方案，从而提高临床相关汽车批准率，同时减少提供者提交时间和摩擦。

The companies said a large regional insurer that intends to launch the two companies combined platform in early 2005 will be their first client.

两家公司表示，一家打算在2005年初推出两家公司合并平台的大型地区保险公司将成为他们的第一个客户。

The partnership is designed to benefit joint health plan clients and their provider networks and patients.

该合作关系旨在使联合健康计划客户及其提供者网络和患者受益。

As a result of the integration, health plan clinical review staff members can view indications, pre-filled by Cohere models within MCG Cite CareWebQI.

。

Cite CareWebQI aims to ease access to evidence-based best practices and criteria to support clinical decision-making. In addition, health plans, payers and insurers can track members and episodes while monitoring and identifying variances from best practices.

Cite CareWebQI旨在简化循证最佳实践和标准的获取，以支持临床决策。此外，健康计划、付款人和保险公司可以跟踪成员和事件，同时监测和识别与最佳实践的差异。

According to the two companies, Cohere's AI-driven technology is expected to lower time to care and MCG's clinical guidelines are intended to drive steady, clinically relevant care decisions.

据两家公司称，Cohere的人工智能驱动技术有望缩短护理时间，而MCG的临床指南旨在推动稳定的临床相关护理决策。

'MCG Health is the perfect partner to complement Cohere's groundbreaking, AI-driven offering with industry-leading and nationally recognized clinical criteria,' Siva Namasivayam, CEO of Cohere Health, said in a statement.

Cohere Health首席执行官西瓦·纳马西瓦亚姆（Siva Namasivayam）在一份声明中说，MCG Health是完美的合作伙伴，可以补充Cohere开创性的、人工智能驱动的产品，并具有行业领先和国家认可的临床标准。

'Our leading, proven technology innovations applied to MCG's substantial clinical guidelines footprint will accelerate a new era of less prior authorization friction. Healthcare constituents are increasingly demanding innovative solutions that provide lower costs and faster access to care.'

“我们领先、成熟的技术创新应用于MCG的大量临床指南足迹，将加速减少事先授权摩擦的新时代。医疗保健部门越来越需要创新的解决方案，以提供更低的成本和更快的医疗服务。”

THE LARGER TREND

更大的趋势

In April, Cohere Health and health insurer Humana expanded their 2021 partnership, which focused on the prior authorization process for musculoskeletal issues, to include diagnostic imaging and sleep services.

4月，科伊尔健康与健康保险公司Humana扩大了2021年的合作关系，该合作关系专注于肌肉骨骼问题的事先授权流程，包括诊断成像和睡眠服务。

Through the expanded partnership, diagnostic imaging and sleep solutions would be added to the services Humana offers its members and providers via Cohere Health.

通过扩大的合作伙伴关系，诊断成像和睡眠解决方案将被添加到Humana通过Cohere Health为其成员和提供商提供的服务中。

In 2021, Cohere Health secured $36 million in Series B funding. Polaris Partners led the round with participation from investors Longitude Capital and Deerfield Management. Also contributing to the funding round, Flare Capital Partners and Define Ventures.

2021年，Cohere Health获得了3600万美元的B系列资金。Polaris Partners在投资者经度资本（Longitude Capital）和迪尔菲尔德管理（Deerfield Management）的参与下领导了这一轮。还为融资回合、Flare Capital Partners和Define Ventures做出了贡献。

In 2016, consumer engagement software company PegaSystems partnered with MCG Health to join forces in the Pega Care Management Application. The app puts patient records in one unified, collaborative platform, permitting each member of the care team to access information and oversee patient care.

2016年，消费者参与软件公司PegaSystems与MCG Health合作，共同开发Pega护理管理应用程序。该应用程序将患者记录放在一个统一的协作平台上，允许护理团队的每个成员访问信息并监督患者护理。

Tags: Cohere Health, MCG Health, prior authorization automation platform, evidence-based care guidelines

标签：Cohere Health，MCG Health，事先授权自动化平台，循证护理指南

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