About

Cohere Health improves the prior authorization process in healthcare, which requires providers to get approval from health plans before delivering certain services. Their platform, Cohere Unify, automates and streamlines these requests by integrating with electronic medical records and using technologies like optical character recognition and machine learning. This approach allows for faster decision-making and reduces delays in patient care. Cohere Health aims to transform prior authorization into a more efficient system that benefits patients, healthcare providers, and health plans.

Simplify's Take

What believers are saying

• Humana expanded Cohere's platform use, enhancing nationwide healthcare access.
• Cohere Health raised $50M to meet AI-driven demand in prior authorization.
• Cohere Health's platform processes 5.5 million authorizations annually, benefiting 15 million members.

What critics are saying

• Increased competition from AI startups like Abridge threatens Cohere's market share.
• Flat healthcare IT deal activity may impact Cohere's future funding opportunities.
• Dependency on Humana partnership poses risk if challenges arise in collaboration.

What makes Cohere Health unique

• Cohere Health automates prior authorization with AI, reducing delays in patient care.
• The Cohere Unify platform integrates with EMRs, streamlining healthcare provider workflows.
• Cohere Health's platform uses ML to ensure compliance with health plan policies.

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