Cohere Health builds AI-powered clinical intelligence and prior authorization solutions for health plans and risk-bearing providers. Its Cohere Unify platform personalizes provider workflows, modernizes utilization management, and enables collaboration between plans and providers using real-time performance data. The company says its AI auto-approves up to 90% of requests and currently processes more than 12 million prior authorization requests annually for over 600,000 providers. The new funding will accelerate scaling the Cohere Unify platform, expand into new clinical use cases, and deepen investment in its AI-powered product portfolio. Cohere emphasizes a clinician-led, responsible AI-first approach to maintain clinical expertise, transparency, and accountability in automation. Following this round the company has raised $200 million to date and has been recognized by Gartner, LinkedIn, and KLAS for its contributions to clinical intelligence and healthcare automation. Cohere Health provides intelligent prior authorization by aligning physicians and health plans on evidence-based care paths across the patient’s entire care journey. Its platform automates prior authorization processes to reduce administrative expenses and improve patient outcomes. The company serves five health plans and processes 5.5 million intelligent prior authorizations annually for more than 15 million health plan members and 420,000 healthcare providers nationally. Cohere is led by CEO Siva Namasivayam and is based in Boston, MA. The company raised $50M in equity funding in the latest round, bringing total disclosed funding to $106M. It intends to use the funds to accelerate expansion to meet demand for its platform. Cohere Health, based in Boston, MA and led by CEO Siva Namasivayam, provides digital health plan solutions to drive collaborative care journeys. Its platform automates provider and payer preauthorization functions and generates clinical policy guidance to inform care decisions without delaying or denying care. The company uses prior authorization as a trigger to engage plans, providers and patients in episode-based care paths that merge utilization management, care management and patient engagement. Cohere works with physicians and health plans. It closed an additional $36M Series B and intends to use the funds to continue enhancement of its digital health plan solutions. Cohere Health offers an innovative technology platform that replaces legacy, siloed processes to align physicians and health plans around the entire patient care journey rather than individual service transactions. Its platform emphasizes transparent, evidence-based clinical algorithms and human-centered design to reduce administrative burden for physicians and health plans. Cohere aims to improve quality of care, lower total cost of care, and transform the patient and physician experience while facilitating the transition from fee-for-service to value-based payment arrangements. The company provides an evolutionary path that can support all payment arrangements and reduce unnecessary variation in clinical outcomes. Cohere assembled a leadership team including CEO Siva Namasivayam and Chairperson Gary Gottlieb, MD. The company announced a $10 million Series A in conjunction with its launch.

Total raised

$186M

Funding rounds

4

Latest round

Series C

Latest activity

May 2025