Reforming Prior Authorization with AI and Machine Learning

In this contributed article, Niall O’Connor, CTO at Cohere Health, discusses how the application of AI and ML to the onerous prior authorization (PA) process can relieve both physicians and health plans of the repetitive, manual administrative work involved in submitting and reviewing these requests. Most importantly, these intelligent technologies transform PA from a largely bureaucratic exercise into a process that is capable of ensuring that patients receive the highest quality of care, as quickly and painlessly as possible.