Cohere Health

Cohere Health

Automates prior authorization in healthcare

About Cohere Health

Simplify's Rating
Why Cohere Health is rated
B+
Rated B on Competitive Edge
Rated A on Growth Potential
Rated B on Differentiation

Industries

AI & Machine Learning

Healthcare

Company Size

501-1,000

Company Stage

Series C

Total Funding

$196M

Headquarters

Boston, Massachusetts

Founded

2019

Overview

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 enhance patient outcomes while saving time and costs for healthcare providers and health plans.

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Funded Recently
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Simplify's Take

What believers are saying

  • Raised $90M Series C to enhance AI-powered platform for clinical workflows.
  • Humana expanded use of Cohere's platform, indicating strong market validation.
  • Named a 2024 Built In Best Place to Work, attracting top talent.

What critics are saying

  • Increased competition from AI-driven startups like Abridge threatens market share.
  • Flat deal activity in healthcare IT may impact future funding opportunities.
  • Expansion with Humana may strain resources, affecting service quality.

What makes Cohere Health unique

  • Cohere Health automates prior authorization, reducing delays and administrative burdens.
  • The platform integrates with EMR systems, enhancing data accuracy and workflow efficiency.
  • Cohere Unify uses AI and ML to streamline decision-making based on health plan policies.

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Funding

Total Funding

$196M

Above

Industry Average

Funded Over

4 Rounds

Series C funding is usually for startups that are doing well and are looking for more money to fuel major growth, such as acquiring other companies, expanding into global markets, or launching new product lines. Investors typically include larger venture capital firms and private equity.
Series C Funding Comparison
Above Average

Industry standards

$50M
$50M
Medium
$62M
SeatGeek
$90M
Cohere Health
$100M
Oura

Benefits

Health Insurance

401(k) Company Match

Performance Bonus

Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

↑ 0%

1 year growth

↑ 0%

2 year growth

↑ 1%
Barchart
May 14th, 2025
Cohere Health Raises $90M Series C

Cohere Health has raised $90 million in Series C funding to enhance its AI-powered platform for clinical workflows and prior authorization transformation. The funding round was led by Temasek, with participation from Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. This investment brings Cohere's total funding to $200 million.

PR Newswire
May 14th, 2025
Cohere Health Secures $90M Series C to Expand AI-Powered Platform Transforming Health Plan Clinical Decision-Making

/PRNewswire/ -- Cohere Health®, the leader in clinical intelligence solutions for health plans and risk-bearing providers, today announced it has raised $90...

Cohere Health
Jan 7th, 2025
Built In Honors Cohere in Its Esteemed 2025 Best Places To Work Awards

Built In honors Cohere in its esteemed 2025 Best Places to Work awards.

TechCrunch
Jun 25th, 2024
10 Of The Most Exciting Digital Health Startups Of 2024, According To Vcs

In the post-COVID world, VCs say it’s not as easy to get excited about investing in digital health. Deal activity in healthcare IT was relatively flat in Q1 2024 at 74 total deals, valued at about $1 billion total, up only 3% from the year-ago quarter, according to PitchBook data. Still, promising startups have grabbed investors’ attention this year. TechCrunch spoke with about a dozen healthcare VCs about the companies they think have the most promising future. While recently formed AI-driven startups that are solving staggering administrative challenges in the U.S. healthcare system dominated their recommendations, they also mentioned several slightly older, non-AI-focused businesses.We narrowed their suggestions to the list of names that more than one VC mentioned, which came in at an even 10 companies. VCs discussed with us the companies that were both in their portfolios and not.AbridgeWhat it does: Uses AI to automate medical records based on conversations between doctors and patients.Founded in 2018 by Shiv Rao, a practicing cardiologist, Abridge is an early entrant into the medical note-taking space and one that has secured integration with the all-powerful Epic Systems health records software. Why it’s promising: The Pittsburgh-based startup generates excitement among investors and hospital systems eager to free up physicians’ time spent on note-taking

Hit Consultant
Apr 23rd, 2024
Humana Expands Use Of Cohere Health’S Prior Authorization Platform

Humana Expands Use of Cohere Health’s Prior Authorization Platform. by Syed Hamza Sohail 04/23/2024 Leave a Comment. What You Should Know:–              Cohere Health, a recognized leader in clinical intelligence and prior authorization automation, announced that Humana Inc. (NYSE: HUM) will expand its use of Cohere’s prior authorization platform for diagnostic imaging and sleep services. –              In January 2021, Cohere and Humana began a pilot program in 12 states to improve the prior authorization process for musculoskeletal (MSK) services.Transformative Prior Authorization Solutions: Cohere’s Nationwide Impact on Healthcare Access and Provider SatisfactionThe program effectively decreased turnaround times for prior authorization approvals, boosted provider satisfaction, and improved care delivery for MSK services. This success led to expansion across all 50 states in 2022. In January 2023, Cohere’s solutions were rolled out nationwide, encompassing cardiovascular and surgical services.Cohere’s prior authorization platform expedites the approval process for providers and patients. Its unique combination of real-time analytics and evidence-based clinical intelligence reduces denial rates and facilitates quicker patient access to care.Annually, Cohere handles 5.5 million prior authorizations, benefiting over 15 million health plan members and 420,000 healthcare providers nationwide.“We’re pleased Humana will be utilizing our diagnostic imaging and sleep solutions, further strengthening our strategic and ongoing partnership,” said Siva Namasivayam, Chief Executive Officer of Cohere Health

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