Cohere Health provides a platform for improving the prior authorization and clinical review processes in healthcare. Its platform uses artificial intelligence (AI) to automate and streamline clinical review and prior authorization processes by applying evidence-based guidelines, integrating with electronic medical records (EMR), and facilitating communication between health plans and providers. Cohere Health offers two delivery options for its platform: Cohere PaaS and Cohere Complete. Cohere PaaS allows health plans to license the platform as a service (PaaS) and use it with their own internal staff. Cohere Complete includes the platform plus intake and clinical staff to provide fully outsourced and delegated specialty services.
The company partners with healthcare plans and physicians, offering its platform on a subscription basis.
Cohere Health notes that as of January 2024, it is able to immediately approve 83% of authorization requests. On requests requiring clinician review, turnaround time averages 4.5 days and just nine hours for urgent cases.
Funding and financials
In February 2024, the company raised USD 50 million in a funding round led by Deerfield Management, along with contributions from other investors. The raised capital was set aside to aid the company’s expansion efforts.
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