Cohere Health COO Duncan Reece: ‘Healthcare is too complex to tackle things in a siloed way’


How a fast-growing healthcare startup is leveraging tech and collaborative partnership to help patients, doctors, and health plans work better together

For a patient to receive many treatments and tests, a doctor first needs to receive approval from a health insurance plan before services can begin. Traditionally, the ‘prior authorization process’ involves wading through red tape and old school systems, which can delay much-needed treatments.

Founded in 2019, Cohere Health aims to streamline this process and offer a different kind of experience for patients, medical providers, and health plans to ultimately improve the quality and speed of care that patients receive. In the past year, Cohere has grown to more than 400 people and secured a $36 million Series B funding bringing their overall total raise to $56 million.

By combining artificial intelligence and machine learning with evidence-based clinical policy, Cohere’s utilization management collaboration platform supports physicians and health plans to make better care decisions for patients. “Collaboration between these entities is important, it just needs to be less burdensome.” says Duncan, COO and Cofounder.

Published On: April 20th, 2022Categories: News

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About the Author: Cohere Health

Cohere Health is a clinical intelligence company delivering AI-powered intelligent prior authorization solutions, which streamlines patients’ access to quality care by aligning their physicians and health plans for improved collaboration, transparency, and care coordination. Cohere works with nearly 600,000 providers and processes more than 12 million prior authorization requests annually, using AI to auto-approve up to 90% of requests for millions of health plan members around the country. The company was recognized twice in the Gartner® Hype Cycle™ for U.S. Healthcare Payers, is a Top 5 LinkedIn™ Startup for 2023 & 2024, and is a three-time KLAS Points of Light award recipient. Its investors include Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.