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Updated July 2, 2026Cohere Health is a healthcare-AI company focused on prior authorization and utilization management — the approval process that sits between a physician's treatment plan and an insurer's payment. Prior authorization is one of the most-criticized frictions in US healthcare: slow, manual, and a frequent cause of care delays and denials. Cohere applies AI and clinical-pathway data to automate and streamline these decisions for health plans and providers, aiming to speed approvals for appropriate care while flagging genuine outliers. (It is unrelated to Cohere, the enterprise large-language-model company.) The company positions prior-authorization automation as a way to cut administrative burden and improve the patient experience — with the important caveat that automating coverage decisions carries real fairness and transparency stakes.
🛠️Products & Tools (1)
AI prior-authorization and utilization-management automation for health plans and providers — speeding approvals for appropriate care and cutting denials and delays.
