How Cohere Health digitizes clinical policies using Amazon Bedrock AgentCore | Amazon Web Services
Prior authorization is the approval process health plans require before covering certain medical services or medications. It remains one of the most manual processes in healthcare, not because the medical reasoning for requiring approval is flawed, but because the policies that govern it are trapped in static, unstructured formats that resist automation. This content is at the core of day-to-day clinical operations impacting hundreds of millions of patients each year. However, the policy content varies by clinical area, geography, line of business, and health plan, and evolves as medicine and technology advances. Historically, health plans did not have a systematic way to manage, analyze, and optimize them. Digitizing these clinical policies into structured, machine-readable data using standard terminologies reduce a critical operational bottleneck by supporting more consistent, computable workflows and helping health plans modernize prior authorization operations at scale while maintaining appropriate clinical oversight.
Cohere Health(R), a clinical intelligence...
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