Compare Cohere Unify vs. SCRAM Nexus

The Cohere Unify platform enhances all of our intelligent prior authorization solutions through the integration of touchless and predictive technologies, clinical content grounded in evidence, and various advanced features. By leveraging these technologies, we significantly minimize or completely remove the manual processes involved in achieving a comprehensive, fully automated prior authorization workflow. This predictive functionality allows health plans to nearly eradicate the traditional steps associated with prior authorization processes. Consequently, the system can autonomously generate tailored care plans utilizing patient and population authorization and claims data, which includes the ability to pre-approve multiple services before any requests are made. We employ evidence-based clinical criteria for specific specialties that complement our touchless and predictive technologies. Additionally, our platform features reliable single sign-on capabilities with widely used portals such as Availity and NaviNet. Furthermore, the configuration and implementation of rules have been validated to effectively manage transactions involving millions of cases, showcasing the scalability of our system. Ultimately, this innovative approach streamlines healthcare operations while enhancing efficiency and accuracy.

Community corrections officers dedicate their efforts daily to minimizing recidivism, safeguarding the public, and enhancing client results. However, the absence of cohesive technology, coupled with the intricate nature of implementing and assessing evidence-based practices, often hinders officers from concentrating on their primary focus: the clients they serve. To address this issue, we developed SCRAM Nexus, the pioneering decision support software that enriches case management systems and assists officers in navigating their daily tasks while consistently applying evidence-based strategies. By facilitating dynamic supervision planning and tracking, clients are seamlessly referred to necessary treatment and monitoring services, which empowers officers to effectively manage varied caseloads and optimize their time and resources. Furthermore, Nexus continuously analyzes client data, providing tailored recommendations for incentives and sanctions that align with each client’s unique risk and needs, ultimately demonstrated to yield the most favorable outcomes. This innovative approach not only supports the officers but also enhances the overall effectiveness of community corrections as a whole.