Cohere Health

Cohere Health today announced that we're included for a fourth consecutive year in the Gartner® Hype Cycle™ for U.S. Healthcare Payers, 2025. 👏 We’re proud to be recognized in the Intelligent Prior Authorization category, which received a “Transformational” Benefit Rating in the report. 🚀 Our CEO Siva Namasivayam shared his thoughts on this significant recognition. “We remain committed to making intelligent prior authorization simpler, faster, and more transparent. As prior authorization reform continues to evolve, we believe clinical-grade AI solutions can play a key role in helping payers reduce friction, ease provider burden, and improve care delivery.” We were also named in the Hype Cycle™ for Intelligent Health, 2025. Read the announcement here 👉 https://lnkd.in/ewR9CbDr

Clinical decisions shouldn't compromise efficiency. With Review Assist, uncovering critical insights from unstructured clinical records is no longer a tedious task. 🔍 Cohere Health's AI-driven solution empowers your team to make faster, more accurate review decisions, all while integrating seamlessly into your current systems. Here’s how Review Assist stands out: • Reduce review times by up to up to 50% • Boost decision accuracy with clinically-trained AI • Ensure smooth integration in under three months Explore how Review Assist transforms your plan's complex reviews into smarter operations 👉 https://lnkd.in/edmMM5XR.

Welcome to Cohere Insider–a new name that reflects the broader value Cohere Health brings to health plans. 👋 As our clinical intelligence solutions continue to evolve, Cohere Insider will keep you ahead of the curve with news, innovations, and insights that matter to today's health plan leaders. 💡 In our latest edition, learn more about how AI and prior authorization data are reshaping healthcare today.

Does your team struggle with the complexity and time required for reviews? Imagine reducing review times by up to 50% while improving accuracy with insights powered by clinically trained AI... 💡 Review Assist is changing the game, simplifying workflows and empowering your team with precise, timely decision-making. This new article shows how Review Assist streamlines the review process, uncovers buried clinical insights, and boosts both efficiency and compliance. 👉 See how it works and what it means for your plan: https://lnkd.in/e4YFJhN4

@Medscape’s recent piece on gold carding underscores states’ continued efforts to improve the prior auth (PA) process and its many associated burdens. And while many states have implemented gold card programs, limitations–and questions about their impact–remain. It’s encouraging to see states taking action, but gold carding is just a patch. PA as a whole requires broader change and smarter, more tailored solutions that truly help providers better care for their patients. I’ve seen firsthand that meaningful reform requires more than one-size-fits-all PA waivers (which also come with long evaluation periods)... We’re tackling this head on. Cohere Align™ boosts PA efficiency and provider satisfaction with guided workflows, smart nudges, and tailored messaging to gain behavior insights and meet health plan goals without raising costs. The numbers speak for themselves: the approach has a 98% provider satisfaction rate. 🤝 Especially in the wake of AHIP, HHS, and CMS announcing industry-wide commitments to reform PA through efficiency, transparency, and communication, health plans need to focus on investing in a smarter, data-driven approach without the provider abrasion inherent to rigid legacy efforts. Full article here 👉https://lnkd.in/eHB8pkMZ.

McKinsey & Company's recent report on AI transformation shows just how much value is on the table for payers–and how easily it’s lost without the right execution. One of the top areas they highlight to drive momentum and quick wins? Utilization management. High value, high feasibility (if done right). The real challenge isn’t the tech itself–it’s designing AI that fits how clinicians think and work. At Cohere Health, physicians are central to how we build and train our models, ensuring our solutions support real-world practice and clinical decision-making. 🤝 Tech doesn’t transform anything on its own. You need clinical alignment, you need trust, and you need to build with the people on the ground. That’s what enables real impact at scale. Read the full guide: https://lnkd.in/gu5Xfw7v

A big win for bold leadership: Siva Namasivayam, co-founder and CEO of Cohere Health, was recently named an Entrepreneur Of The Year 2025 New England Award winner by EY. 🎉 Siva shared that this recognition is "first and foremost a testament to the Cohere team. I’m a stronger leader because of the talented, driven people around me–and together, we remain focused on using clinical intelligence to solve real problems in healthcare.” 🤝 Entrepreneur Of The Year is the preeminent competitive awards program for entrepreneurs and leaders of high-growth companies. For 40 years, Ernst & Young has celebrated the ambitious entrepreneurs transforming industries, impacting communities, and creating long-term value. We're proud to see Siva recognized for his leadership journey. Learn more about Entrepreneur Of The Year here: https://lnkd.in/du_HZY9S.

✍ MedCity News recently covered the launch of Review Assist, a breakthrough agentic AI solution that speeds up medical necessity reviews for health plans. Cohere Health's Chief Product Officer, Matt Parker, spoke with Marissa Plescia at AHIP 2025 to discuss the co-pilot solution and how it can help health plans ensure patients get the right care at the right time. 👉 Find out more: https://lnkd.in/gCbzwSDB

Cohere Health delivers 80% faster care approvals and 30% more accurate decisions. Experience the difference with our clinical-grade AI. See how it works here 👉 https://lnkd.in/eb3TtiBP.

"Many of us who entered medicine to help patients now face the frustrating reality of being pulled away from care to navigate manual, time-consuming processes. But a new chapter is unfolding..." 👉 In a new piece for MedCity News, Dr. Paul Johnson, who serves on Cohere Health's Medical Advisory Board, shares how Cohere takes a different approach to prior authorization by putting physicians at the heart of AI innovation to improve clinical productivity. This physician-led shift reimagines how prior authorization should work–and how AI can support better care delivery. Dr. Johnson adds, "We’re now seeing what it looks like when prior authorization becomes a collaborative effort that works with providers to support care delivery. By involving physicians in shaping our AI systems, we can turn utilization management into a benefit for all–patients, providers, and health plans." 🤝 Read the full article here: https://lnkd.in/ge69G-zQ.