Cohere Health, a clinical intelligence company, has developed a solution to digitize clinical policies using Amazon Bedrock AgentCore. This technology helps health plans automate prior authorization processes by converting static, unstructured policy documents into structured, machine-readable data. The initiative aims to reduce manual effort and improve consistency in clinical operations, impacting hundreds of millions of patients annually. The solution leverages AgentCore's multi-tenant isolation and managed runtime to support scalable policy digitization across different health plans and clinical areas.
The digitization of clinical policies is critical for health plans to adapt to evolving medical and regulatory requirements. Cohere Health faced challenges in transforming static documents into structured data that AI systems can use while maintaining clinical oversight. The solution includes a flexible, multi-tenant agentic architecture that enables rapid scaling of policy digitization capabilities. By using AgentCore Runtime, Gateway, and Memory, the system supports version control, human-in-the-loop processes, and transparent workflows.
The initiative aligns with regulatory requirements, such as CMS mandates for API-based prior authorization by January 2027 and AHIP commitments for 80% real-time approvals. Cohere Health's solution allows health plans to manage, audit, and deploy clinical policies efficiently. The team implemented a two-tier deployment architecture to separate stable runtime environments from team-specific configurations, ensuring data isolation and flexibility.
Source: awsml
