Who is Cohere Health?
- Cohere is a clinical intelligence company delivering AI-powered intelligent prior authorization solutions, which streamline patients' access to quality care by aligning their physicians and health plans for improved collaboration.
- Cohere works with nearly 600,000 providers and processes more than 12 million prior authorization requests annually.
- Cohere leverages advanced AI and evidence-based clinical expertise to automate approvals and drive clinically-focused decision making, reducing providers' administrative burden and improving the delivery and quality of care.
What is the AAOS Registry Program?
- The AAOS Registry Program is a national initiative that collects, analyzes, and reports on orthopaedic data to enhance patient care, support evidence-based practices, and drive quality improvement efforts across the field.
- Learn more about participating in the Registry Program here.
Why is the AAOS Registry Program collaborating with Cohere?
- Cohere’s goals align with the AAOS Registry Program’s efforts to collect, analyze, and report actionable data for its participants to promote clinical best practices.
- This collaboration between Cohere and AAOS is the first of its kind between a prior authorization vendor and AAOS.
What is the goal of the program?
- Allow AAOS American Joint Replacement Registry (AJRR) participants to track their performance against key quality metrics, with surgeons achieving quality benchmarks qualifying for decreased burden for prior authorization (greenlighting).
- Program participants will all receive a benefit of reduced administrative burden for their prior authorization submissions. Highest performers will benefit from greenlighting (full waiver of their prior authorizations).
Who can participate?
- Surgeons affiliated with a contracted AJRR site that submits data on four selected quality measures
- Participation is optional, but hospitals will need to authorize the sharing of data with Cohere to opt-in to this initiative
What are the selected measures reported on for participation?
View an overview of the Cohere program measures here. The measures include:
- 90-Day Readmission
- Discharged to Home
- Preoperative Functional/Health Status Assessment
- Postoperative Functional/Health Status Assessment
What are the steps to getting started with the program?
- Reach out to RegistryEngagement@aaos.org and sign a data sharing agreement. If a site is not currently participating in the AJRR, it will need to follow the steps outlined in the enrollment process before submitting a data sharing agreement.
- Continue or begin data submission for measure data elements.
- Once the hospital signs the data sharing agreement, AAOS will send a measure scorecard to Cohere. The scorecard includes benchmark status and aggregate, deidentified numerator and denominator data for the program measures.
- Scorecards will be submitted on a quarterly basis and determinations will be made on an annual basis.
For additional information about Cohere, please visit the Cohere website.