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. The goal is to make the prior authorization process more efficient, benefiting healthcare providers, health plans, and patients.

Simplify's Take

What believers are saying

• Humana expanded its use of Cohere's platform for diagnostic imaging and sleep services.
• Cohere Health raised $50 million to meet demand for AI-driven prior authorization.
• Cohere's platform processes 5.5 million authorizations annually, benefiting 15 million members.

What critics are saying

• Increased competition from AI-driven startups like Abridge threatens market share.
• Flat deal activity in healthcare IT indicates a challenging investment environment.
• S32's new General Partner may boost funding for competing healthcare startups.

What makes Cohere Health unique

• Cohere Health automates prior authorization, reducing delays and administrative burdens.
• The Cohere Unify platform integrates with EMR and uses OCR for fax submissions.
• Machine learning and AI enhance decision-making based on health plan policies.

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