Healthcare Innovation January 14, 2026
Company’s chief product officer explains how his company is helping eliminate the technical complexity and manual burden of policy digitization
Key Highlights
- Health plans are increasingly recognizing the need for digitized, structured policies to automate authorization workflows and meet CMS interoperability requirements.
- Cohere Health’s Policy Studio uses AI algorithms to convert static policy documents into structured, API-compatible formats, streamlining policy management and decision-making.
- Achieving full interoperability requires collaboration across payers, vendors, and EHR providers, with standards like FHIR and initiatives such as the Da Vinci Project guiding the way.
Health plans are starting to realize that without digitized, structured policies, they cannot effectively automate authorization workflows and can’t meet CMS interoperability requirements or fulfill...
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Topics: CMS, Govt Agencies, HIE (Interoperability), Insurance, Interview / Q&A, Payer, Provider, Technology, Trends