How to Leverage CMS Interoperability Rules for Prior Auth Innovation, Presented by Cohere Health

As the CMS interoperability rules’ compliance deadline nears, we’re seeing a variety of approaches towards meeting the new requirements. Forward-thinking plans are using the mandate to implement innovative approaches to UM and prior authorization. In this webinar, the Cohere Health team will share how health plans are progressing towards the deadline–and how some are taking the opportunity to leverage AI/ML and clinical intelligence to transform UM and prior authorization.

Learning Objectives:

• How your health plan’s CMS compliance progress stacks up to other plans
• How key aspects of interoperability create a foundation for innovation
• How your plan’s new interoperability foundation can leverage AI/ML and clinical intelligence to further improve prior authorization and medical management as a whole

Speakers:

Jason Amaral, Interoperability Business Lead, Cohere Health

Brad Smertz, Director, Product Strategy, Cohere Health