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AI, Prior Auth, and Provider Experience

Event Date: 8/21/2024

Event Overview

Thursday, 8/21/2024
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Cohere Health 

When GPS tells you to avoid a traffic jam, it's a relief to get that nudge in the right direction. What if your providers had that same guidance to nudge them toward automatic approvals, reduced administrative burden, and better care for their patients?
Intelligent prior authorization is leveraging innovative technology to improve patient and provider experiences alike. AI-powered nudges streamline the traditionally burdensome process and help providers get their patients to the best possible care, while eliminating unnecessary delays.

Our physician leaders are excited to share how AI and ML, when used responsibly, help health plans reduce administrative costs, improve provider experience, and enable faster, higher quality patient care.

 
Learning Objectives: 

 

  • Learn how AI-powered "nudges" streamline prior authorization, reducing burdens and improving care.
  • Discover how innovative tech guides providers to automatic approvals and better outcomes
  • Understand how AI and ML cut costs, enhance provider experience, and speed up patient care


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
8/22/2024

Recording: AI, Prior Auth, and Provider Experience
When GPS tells you to avoid a traffic jam, it's a relief to get that nudge in the right direction. What if your providers had that same guidance to nudge them toward automatic approvals and better care for their patients? Cohere's physician leaders explored how AI-powered prior authorization helps health plans reduce administrative costs, improve provider experience, and enable faster, higher quality patient care.

8/21/2024

Presentation: AI, Prior Auth, and Provider Experience
When GPS tells you to avoid a traffic jam, it's a relief to get that nudge in the right direction. What if your providers had that same guidance to nudge them toward automatic approvals and better care for their patients? Cohere's physician leaders will explore how AI-powered prior authorization helps health plans reduce administrative costs, improve provider experience, and enable faster, higher quality patient care.

Attendees

Below is a list of all delegates registered to date for this event

  • Dana Anaya
  • ALLIANCE MEMBER
  • Provider Enablement Consultant at Sentara Health Plans (Optima)
  • Yessica Anguiano
  • ALLIANCE MEMBER
  • Health Equity Program Coordinator at CHRISTUS Health Plan
  • Drew Breuckman
  • ALLIANCE MEMBER
  • Manager UM Operations and Analytics at Community Health Plan of Washington
  • Franchon Brown
  • ALLIANCE MEMBER
  • Manager, Quality Accreditation at Sentara Health Plans (Optima)
  • Sara Beth Brown
  • ALLIANCE MEMBER
  • Clinical Pharmacist at HealthTeam Advantage
  • Laura Campbell
  • ALLIANCE MEMBER
  • Director of Medical Management at Piedmont Community Health Plan
  • Andrea Costen
  • ALLIANCE MEMBER
  • Director, Utilization Management, Sentara Health Plans, Commercial Plans at Sentara Health Plans (Optima)
  • Laura Darnell
  • ALLIANCE MEMBER
  • Operations Management Specialist at Alliant Health Plans
  • Eric Ehrensing
  • ALLIANCE MEMBER
  • Chief Medical Officer at Ochsner Health Plan
  • Sam Estridge
  • ALLIANCE MEMBER
  • Architect at Johns Hopkins Health Plans
  • Jason Grattini
  • ALLIANCE MEMBER
  • Director of Customer Experience at Prominence Health Plan
  • Sara Hicklin
  • ALLIANCE MEMBER
  • Regulatory Oversight & QA Specialist at Quartz Health Solutions
  • Cindy Hobbs
  • ALLIANCE MEMBER
  • Director, BH UM at Sentara Health Plans (Optima)
  • Chava Kintisch
  • ALLIANCE MEMBER
  • Senior Compliance Specialist at Jefferson Health Plans
  • Jodi Lawrence
  • ALLIANCE MEMBER
  • Utilization Management Program Manager at Samaritan Health Plans
  • Melissa Markee
  • ALLIANCE MEMBER
  • Manager, Clinical Application Configuration at Providence Health Plan
  • Joel Maycock
  • ALLIANCE MEMBER
  • Healthcare Market Analyst at Triad Healthcare Network - Cone Health at HealthTeam Advantage
  • Kristie McCarty
  • ALLIANCE MEMBER
  • Managed Care Clinical Pharmacist at CommunityCare
  • Heidi Mullenix
  • ALLIANCE MEMBER
  • Quality Improvement Coordinator at Sentara Health Plans (Optima)
  • Sangeeta Panwar
  • ALLIANCE MEMBER
  • Medical Director at Sentara Health Plans (Optima)
  • Jessica Rainone
  • ALLIANCE MEMBER
  • Senior Quality Improvement Specialist at Neighborhood Health Plan of Rhode Island
  • Vic Richey
  • ALLIANCE MEMBER
  • COO BSWHPlan at Baylor Scott & White Health Plan
  • Noel Rivas
  • ALLIANCE MEMBER
  • System Director, Information Services at CHRISTUS Health Plan
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Brenda Schueller
  • ALLIANCE MEMBER
  • Regulatory Oversight & Quality Assurance Specialist at Quartz Health Solutions
  • Deborah Talacko
  • ALLIANCE MEMBER
  • Medical Policy Writer and Coding Specialist at Community Health Options
  • Elaine Tucker
  • ALLIANCE MEMBER
  • Compliance Consultant at IU Health Plans
  • Gina Wenzl
  • ALLIANCE MEMBER
  • Quality Improvement at Sentara Health Plans (Optima)
Speakers