Cohere Health推出 Cohere Align，通过更智能的健康计划预授权机制超越金卡制度-动脉网

Cohere Health Launches Cohere Align to Move Beyond Gold Carding with Smarter Prior Authorization for Health Plans

CISION 等信源发布 2025-03-25 21:00

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Cohere Align delivers a personalized approach to prior authorization by streamlining utilization management, improving the provider experience, and accelerating care access

Cohere Align 通过简化资源利用管理、改善供应商体验以及加速医疗访问，为事先授权提供了一种个性化的方法。

BOSTON

波士顿

，

March 25, 2025

2025年3月25日

/PRNewswire/ --

Cohere Health®

, the leader in clinical intelligence solutions for health plans, announces Cohere Align™, a new solution designed to improve provider satisfaction and accelerate access to high-quality care with personalized prior authorization (PA). By leveraging advanced analytics, curated AI-powered PA workflows, and direct provider engagement, Cohere Align moves beyond the limitations of legacy gold carding, blanket PA waivers, and long 6-12 month evaluation periods, to deliver a smarter, faster, more targeted approach..

，临床智能解决方案在健康计划领域的领导者，宣布推出Cohere Align™，这是一款旨在提高供应商满意度并加速获得高质量护理的新解决方案，通过个性化的预先授权（PA）来实现。通过利用先进的分析技术、精心设计的AI驱动PA工作流程以及与供应商的直接互动，Cohere Align突破了传统黄金卡、全面PA豁免和长达6-12个月评估期的局限性，提供了一种更智能、更快速、更有针对性的方法。

Clients are already seeing strong results for Cohere's approach:

客户已经看到了Cohere方法的显著成果：

80% of PA submissions streamlined for trusted providers through provider green lighting

通过提供商绿灯通行，80%的PA提交流程对可信提供商进行了简化。

55% reduction in time needed to submit PAs

提交PAs所需时间减少55%

98% provider satisfaction rate

98% 的供应商满意度

4x faster trend analysis to identify utilization pattern changes and outliers

快速趋势分析，速度提升4倍，用于识别使用模式的变化和异常值

'Health plans want to support providers in delivering appropriate patient care and reducing abrasion,' notes Cohere Health's Chief Product Officer

“健康计划希望支持医疗服务提供者提供适当的患者护理并减少摩擦，”Cohere Health的首席产品官指出。

Matt Parker

马特·帕克

. 'Gold carding programs often create new roadblocks, lack transparency for providers, lead to spikes in utilization, and can end up increasing complexity and friction. Cohere is focused on creating better provider experiences, working closely with our AI, Clinical, and Provider Engagement teams. With Cohere Align, we're giving health plans new tools to manage these processes, with the flexibility to give providers a more personalized, supportive PA experience.'.

“金卡计划常常带来新的障碍，对供应商缺乏透明度，导致使用率激增，并最终增加复杂性和摩擦。Cohere专注于创造更好的供应商体验，与我们的人工智能、临床和供应商参与团队密切合作。通过Cohere Align，我们为健康计划提供了管理这些流程的新工具，灵活地为供应商提供更加个性化、支持性的PA体验。”

A tailored approach to prior authorization and utilization management

定制化的预先授权和使用管理方法

Cohere Align personalizes the PA process by identifying trusted providers, tailoring workflows, and continuously optimizing engagement. This approach enables health plans to reduce provider abrasion while ensuring appropriate utilization, care quality, and patient safety. Three key capabilities include:.

Cohere Align 通过识别可信赖的供应商、定制工作流程以及持续优化互动，使 PA 流程个性化。这种方法使健康计划能够在确保适当使用、护理质量和患者安全的同时，减少供应商摩擦。三大关键能力包括：

Provider identification

提供商识别

: Identifies trusted providers, such as those who qualify for green lighting or other curated, goal-based experiences, using deep analytics to assess provider trend data;

：使用深度分析来评估提供商的趋势数据，识别可信赖的提供商，例如那些符合绿色通道或其他精心策划、基于目标的体验的提供商；

Curated engagement

精选互动

: Delivers personalized in-platform journeys and external communications to ensure providers have clear, efficient experiences; and

：提供个性化的平台内旅程和外部沟通，以确保供应商获得清晰、高效的服务体验；以及

Continuous optimization

持续优化

: Allows access to real-time provider performance dashboards, which actively monitor for ongoing performance, patient procedure safety, and unnecessary utilization for engagement refinement, and uncover new opportunities for better experiences and collaboration.

：允许访问实时供应商绩效仪表板，该仪表板主动监控持续的绩效、患者手术安全性及不必要的使用情况，以优化参与度，并发现改善体验和协作的新机会。

Health plans face continued pressure to reduce providers' PA burden. In fact, the American Medical Association

健康计划面临持续的压力，需要减轻医疗提供者的PA负担。事实上，美国医学协会

reports

报告

physicians and staff spend 13 hours per week on PAs, pulling them away from patients. In response, some health plans and state regulators have turned to programs like gold carding. These programs are often imprecise, resource-intensive, and can drive up utilization and unwarranted medical expenses, leading to downstream provider abrasion issues.

医生和员工每周花费13个小时在事先授权（PAs）上，使他们无法专注于患者。对此，一些健康计划和州监管机构转而采用类似“金卡”(gold carding)的项目。这些项目通常不够精确、耗费资源，并可能导致医疗资源使用增加和不必要的医疗开支，进而引发后续的医疗服务提供者之间的摩擦问题。

Cohere Align delivers a smarter, personalized, and data-driven approach, without the provider abrasion inherent to rigid legacy efforts..

Cohere Align 提供了一种更智能、个性化且数据驱动的方法，避免了僵化传统方案固有的供应商摩擦。

To learn more about Cohere's personalized PA provider experiences, please visit us at

要了解更多关于Cohere的个性化PA供应商体验，请访问我们

https://coherehealth.com/align

or contact us to see a demo at

或联系我们查看演示 at

https://coherehealth.com/connect

。

About Cohere Health

关于Cohere Health

Cohere Health

is a clinical intelligence company delivering AI-powered intelligent prior authorization solutions, which streamlines patients' access to quality care by aligning their physicians and health plans for improved collaboration, transparency, and care coordination. Cohere works with nearly 600,000 providers and processes more than 12 million prior authorization requests annually, using AI to auto-approve up to 90% of requests for millions of health plan members around the country.

是一家临床智能公司，提供由人工智能驱动的智能事先授权解决方案，通过协调患者的医生和健康计划，促进更好的协作、透明度和护理协调，从而简化患者获得优质护理的途径。Cohere与近60万名医疗服务提供者合作，每年处理超过1200万份事先授权请求，利用人工智能自动批准全国数百万健康计划成员高达90%的请求。

The company was recognized twice in the Gartner® Hype Cycle™ for U.S. Healthcare Payers, is a Top 5 LinkedIn™ Startup for 2023 & 2024, and is a three-time KLAS Points of Light award recipient. Its investors include Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners..

该公司两次入选《Gartner® 美国医疗支付者技术成熟度曲线™》，被评为2023年和2024年LinkedIn™前五名初创企业，并三次荣获KLAS Points of Light奖项。其投资者包括Deerfield Management、Define Ventures、Flare Capital Partners、Longitude Capital和Polaris Partners。

CONTACT

联系

：

Kat Long

凯特·朗

anthonyBarnum Public Relations

安东尼·巴纳姆公共关系

kat.long@anthonybarnum.com

Rachel Rabinowitz

瑞秋·拉比诺维茨

Cohere Health

rachel.rabinowitz@coherehealth.com