Company Overview
Cohere Health is an AI-powered prior authorization platform that automates clinical review for post-acute care, specialty procedures, and durable medical equipment. Founded in 2019 and having raised approximately $160 million, Cohere addresses one of the most friction-intensive workflows in healthcare: the prior authorization process that gates patient access to skilled nursing, home health, physical therapy, and other post-acute services.
The platform works with health plans and providers simultaneously — using AI to analyze clinical documentation and recommend authorization decisions in real time, reducing manual review burden while surfacing clinically appropriate care pathways. As Medicare Advantage plans increasingly require prior authorization for post-acute services — and CMS implements new prior authorization transparency requirements — Cohere's position in the authorization workflow becomes increasingly strategic.
Products & Platform
Market Position
Cohere Health positions at the intersection of payer and provider workflows — strategically valuable as CMS's new prior authorization transparency rules (effective 2026) increase payer incentives to streamline authorization. For families navigating post-acute care, Cohere's platform affects whether and how quickly a loved one receives approval for skilled nursing, home health, or therapy services.
Key Data & Metrics
| Metric | Detail |
|---|---|
| Total Funding | ~$160M raised |
| Founded | 2019 |
| Headquarters | Boston, MA |
| Regulatory Driver | CMS prior authorization transparency rules (2026) |
Recent News & Developments
How Dorthea Uses This Technology Category
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