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Utilization Management: The New Front Door for Health Insurance Providers

Jun 9, 2022
1:00 pm EDT
Presented by Cohere Health
Register Now Registration takes place at a third-party website.

About This Webinar

Many utilization management (UM) solutions automate prior authorization (PA) submission, but still providers must often interface with multiple UM solutions across multiple modalities for the same health insurance provider. That’s like a supermarket making customers go to a separate checkout line for each type of grocery. Doesn’t really make sense, does it?

This webinar will describe an innovative approach that creates a front door to consolidate provider PA processing for a given health insurance provider. Our team will share how a health insurance provider can keep multiple UM platforms, tools, and delegated vendors in place, while enabling a single, unified experience for the provider – which in turn incrementally improves both the provider and member experiences.

Attendees Will Learn About

  • What a consolidated UM front door for prior authorization processing looks like
  • How multiple UM platforms, tools, and vendors can be integrated in the front door
  • The financial, experiential, and care quality benefits driven by this approach
  • Real-world examples of how this approach works for health insurance providers


Gina Kim

Chief Product Officer

Cohere Health

Gina has more than ten years of product management experience in the healthcare technology space with roles including Director of Product Management for Haven, VP of Product at Kyruus and product management roles at Verily Life Sciences and Castlight. Gina earned a Bachelor of Science degree in Mechanical Engineering, a Master of Science degree in Technology and Policy, a Master of Science in…

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Kaleb Guion

Vice President of Product Strategy

Cohere Health

Currently, Kaleb serves as the Vice President of Product Strategy. Prior to joining Cohere, Kaleb worked for Deloitte Consulting in Washington, D.C. Previously, he held positions within the product and software department at Ob Hospitalist Group, the largest dedicated OB/GYN hospitalist employer in the nation. Kaleb holds a bachelor’s degree in biomedical engineering from Clemson…

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Brian Covino, MD, FAAOS

Chief Medical Officer

Cohere Health

After practicing orthopedic surgery for more than 25 years, Dr. Brian Covino joined Cohere in 2020 after having served as a consultant since 2018. During his years as a practicing surgeon, Dr. Covino was a partner at Knoxville Orthopaedic Clinic/OrthoTennessee specializing in joint replacement surgery. He holds a bachelor’s from Harvard University as well as an M.D. from Georgetown University…

Learn more about Brian Covino, MD, FAAOS