GHP provides coverage to more than half a million members throughout Pennsylvania and boasts a network of more than 30,000 primary and specialty care physicians. GHP will utilize Cohere's AI-driven and machine learning technology to accelerate patient access to high-quality care while streamlining prior authorization. Cohere's digital platform creates episode-specific care paths based on the member's utilization history and individual care needs, in addition to historic results for a specific patient population. Fully transparent, evidence-based suggestions prompt providers to select high-value care options before requests are submitted, reducing peer-to-peer clinical reviews and denials. Initial clinical improvement programs will focus on increasing patient access to conservative and home-based treatments.

We are a digital healthcare technology company focused on helping health plans transform utilization management into truly collaborative care management, using next-generation technologies such as artificial intelligence and machine learning. I was drawn to Cohere because of the company's focus on ensuring that patients get the most optimal health outcomes. To make that goal a reality, Cohere is committed to playing a big role in transforming the vexing healthcare processes that undermine patient care. That is the company's mission, and that's what attracted me to Cohere. COVID has been a major catalyst for healthcare in multiple ways because it has laid bare the inefficiencies and inadequacies of the system.

Some healthcare provider organizations are using machine learning and other forms of artificial intelligence to provide clinicians with the best evidence-based care pathways. A group's aim could be to improve a patient's care plan based on personalized analytics. Another goal could be the further merging of evidence-based care paths with historical utilization and outcomes in order to offer optimal patient care. Provider organizations might be using social determinants of health combined with machine learning to offer clinically meaningful services. Healthcare IT News talked over these ideas with Niall O'Connor, chief technology officer at Cohere Health, a vendor of artificial intelligence technology and services designed to improve the provider, patient and payer experiences.