Cohere Health

Cohere Health serves health plans, healthcare providers, and patients by offering a streamlined, automated platform called Cohere Unify. This platform digitizes all prior authorization requests into a single automated workflow, integrating seamlessly with electronic medical records (EMR) and utilizing optical character recognition (OCR) to handle fax submissions. The platform employs machine learning (ML) and responsible artificial intelligence (AI) to automate decision-making based on health plan policies, speeding up the review process and ensuring completeness of information.

The company operates in the healthcare technology market, specifically focusing on utilization management and prior authorization. Its business model is based on a Platform-as-a-Service (PaaS) offering, where health plans can license the Cohere Unify platform for use by their internal utilization management (UM) staff. This model allows Cohere Health to generate revenue through licensing fees.

Cohere Health's innovative approach has been recognized in the industry, as evidenced by its selection as a winner of the 2021 TripleTree iAwards. The company's platform not only improves patient outcomes by reducing delays in care but also saves time and costs for healthcare providers and health plans.

In summary, Cohere Health is transforming the prior authorization process from a time-consuming task into a strategic asset, benefiting all stakeholders in the healthcare ecosystem.