Preparing for the future of utilization management

Event Date: 12/8/2021

Event Overview

Wednesday, 12/8/2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Cohere Health

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Utilization management, specifically prior authorization, has been making headlines lately as the industry grapples with an essential but frequently loathed healthcare process. Federal and state government bodies responding to physician and patient advocacy have begun to introduce legislation to tackle the burdens associated with what is still a largely manual, time-consuming process. Still, it's clear the tipping point has finally arrived - innovation is coming to utilization management.

Forward-thinking health plans and technology companies recognize the potential to transform utilization management from a source of friction between health plans, physicians, and patients, to an opportunity for collaboration and a natural bridge towards true care management. Join us as we discuss what the future of utilization management looks like and how health plans can prepare.

Attendees will learn:

The utilization management challenges driving the need for innovation
What proposed state and federal regulations are getting right (and wrong) about what meaningful change in prior authorization looks like
How innovation in this space has the capacity to improve both member and provider experiences
The potential ROI of a reimagined approach

About Cohere Health

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. Cohere then uses 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. Cohere's solutions also fully support pending CMS and state regulatory requirements, including immediate auto-determination, review turnaround times, and FHIR interoperability standards.

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

Thank you to our event sponsors

Sponsor

Documents

12/8/2021

Presentation: Preparing for the future of utilization management
Cohere Health discusses what the future of UM looks like and how innovative plans can prepare.

12/6/2021

Transforming Prior Authorization to Improve Care and Collaboration
From Obstacle to Opportunity - Learn How Humana Transformed Prior Authorization to Improve Care & Collaboration

12/6/2021

A needed transformation: changing prior authorization from an obstacle to a cornerstone of better care
In this article, learn how Cohere's technology around digital prior authorization has the power to create partnerships among patients, physicians, and health plans, and help achieve the promise of value-based care.