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Your Compliance Roadmap for the CMS Prior Authorization Rule

Mar 6, 2024
1:00 pm EST
Presented by Osara
Register Now Registration takes place at a third-party website.

About This Webinar

CMS just passed its long-awaited Interoperability and Prior Authorization Final Rule (CMS-0057-F), which is poised to reshape prior authorization (PA) by improving PA processes and easing the burden on patients, health care providers, and payers alike.

With implementation deadlines rapidly approaching (some as early as 2026!), payers must ensure they’re complying with the rule’s requirements around PA transparency, turnaround times, interoperability, and accountability. And the countdown has already begun. Payers are racing towards compliance. But there’s a solution that can help them get ahead of regulatory compliance, and actually use compliance as a springboard for PA innovation.

This webinar is a unique opportunity to learn how forward-thinking payers are preparing for the implementation deadlines with AI-driven, intelligent prior authorization. Join our expert panel as they break down the final rule and how leading payers are using AI not just to comply, but to actually go beyond the basic requirements and transform utilization management (UM), ultimately driving better outcomes while reducing costs.

Attendees Will Learn

  • What’s ultimately included in the final rule–and crucial deadlines
  • Ways to get ahead of compliance (and effectively tackle the most common challenges)
  • How to use intelligent prior authorization to elevate and speed up your approach to meeting and even surpassing the new UM requirements


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

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…

Learn more about Kaleb Guion

Mary I. O’Connor, MD

Co-founder & Chief Medical Officer

Vori Health

Mary I. O’Connor, MD is the previous Chair of Orthopedic Surgery at Mayo Clinic in Florida, past Director of the Center for Musculoskeletal Care at Yale School of Medicine and Yale-New Haven Health, and a US Olympic rowing athlete. Dedicated to patient-centric, value-based care she left her practice about 1 year ago to co-found and serve as Chief Medical Officer at Vori Health, a physician-led…

Learn more about Mary I. O’Connor, MD