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Cohere Health Sees Unprecedented Growth in 2025

In a groundbreaking year for healthcare technology, Cohere Health has emerged as a leading force in clinical intelligence solutions. The company reported record growth in 2025, illustrating the industry's increasing reliance on innovative technologies to enhance decision-making across health plans.

Cohere Health specializes in leveraging agentic AI to create interconnected workflows that facilitate collaboration between payers and providers. This year, the company expanded its AI capabilities from outpatient utilization management (UM) to cover acute inpatient care, payment integrity (PI), and policy management. This evolution marks a substantial shift towards improving collaboration and transparency in healthcare decisions, contributing to more efficient management of healthcare costs.

As healthcare expenses rise and regulatory pressures mount, health plans are seeking solutions that streamline administrative processes without sacrificing care quality. Cohere Health's advanced AI technology automates complex workflows and enhances decision consistency, allowing health plans to maintain high standards of care while reducing overhead costs. The company's performance metrics are impressive, boasting a 94% provider satisfaction rate and up to 85% real-time authorization approvals, which have translated into significant cost savings for inpatient medical care.

Siva Namasivayam, CEO of Cohere Health, emphasizes the company's commitment to reshaping the future of healthcare. “Health plans are actively pursuing smarter, more efficient practices. Our clinical intelligence allows them to rethink traditional processes, enabling quicker and more precise decision-making.” The company's approach involves building an AI layer over existing legacy systems, which accelerates the return on investment for health plans.

The remarkable success of Cohere Health in 2025 can be partly attributed to its $90 million Series C funding, which bolstered its clinical intelligence platform and allowed for expansion across various applications and services. These resources further enhanced the regulatory readiness of health plans and extended the operational capabilities of the company’s teams.

With the industry recognizing the limitations of isolated approaches to medical expense management, many health plans are aligning with Cohere Health to unify decision-making through a single clinical intelligence platform. This shift not only promises to meet federal and industry requirements but also aims to optimize performance metrics related to payment management.

Throughout 2025, Cohere Health introduced several new solutions aimed at alleviating administrative burdens while generating financial savings for health plans. Some key innovations included:

• - Cohere Validate™: Improved payment accuracy for pre-pay reviews by integrating clinical insights with claims validation, resulting in returns of up to 8x ROI.
• - Cohere Review Assist™: Enhanced efficiency for clinical reviewers, allowing faster decision-making for acute inpatient authorizations.
• - Cohere Policy Studio™: A centralized hub for medical policy management, promoting interoperability and agility in policy deployment.
• - Cohere Align™: An initiative that optimizes prior authorization processes, significantly improving provider satisfaction and reducing submission times.
• - Cohere Connect™: Streamlined regulatory compliance and data flow, facilitating millions of prior authorization submissions for health plans.

Cohere Health's innovation and exceptional performance in 2025 did not go unnoticed. The company received several accolades, including a spot on TIME’s “World’s Top HealthTech Companies,” recognition in the Deloitte Technology Fast 500, and various analyst mentions highlighting its impact in the industry.

As Cohere Health moves into 2026, it continues to focus on delivering innovative solutions that rethink the dynamics of healthcare operations, aiming to transform the quality and cost of care for patients across the continuum. The commitment to empowering health plans through advanced AI strategies positions Cohere Health as a transformative player in the healthcare ecosystem, ensuring that patients receive the right care when they need it most.