Company profile: Cohere Health
1.1 - Company Overview
Company description
- Provider of SaaS platforms for healthcare prior authorization and utilization management, including the CohereNext digital platform that aligns patients, physicians, and health plans on evidence-based care paths. Solutions use AI and machine learning to automate prior authorization, ensure complete and clinically appropriate requests, deliver immediate determinations in most cases, and improve outcomes while reducing costs.
Products and services
- Intelligent Prior Authorization Solutions: AI-driven system that automates and streamlines prior authorization using machine learning, minimizing administrative burden and accelerating patient access to care across physicians and health plans
- CohereNext SaaS Platform: SaaS-based digital platform that orchestrates prior authorization, aligning patients, physicians, and health plans with evidence-based care paths to guide unified, evidence-led authorization decisions
- Utilization Management Platform: Evidence-based platform that architects utilization management to improve clinical outcomes and reduce medical costs by aligning healthcare delivery with guideline-backed care
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Cohere Health
TC3 Health
HQ: United States
Website
- Description: Provider of healthcare revenue and payment cycle management for health care payers, delivering a total claims management solution that seamlessly and electronically integrates internal claim management systems with external loss control programs. Nashville-based.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
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- Total funding raised: $●●●m
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High Line Health
HQ: United States
Website
- Description: Provider of web-based applications for health insurers, Accountable Care Organizations, and large employer groups to facilitate measurement and tracking of healthcare quality and efficiency.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
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Citizens Rx
HQ: United States
Website
- Description: Provider of pharmacy benefit management services to public and private companies and health plans in the United States, offering claims processing and real-time adjudication, formulary and Rx network management, clinical programs (MTM, disease and utilization management, prior authorization), rebate administration, and advanced analytics, predictive modeling, ad hoc reporting and decision support tools.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Adaptive Software
HQ: United States
Website
- Description: Provider of software and services for pharmacy benefit plan design and health plan management, including Payer Insights Suite for centralized formulary management integrated with claims adjudication; RxFlex for creating and automating formularies and utilization edits; RxDesigner for drug lists, formularies, and compliance; Health Plan Analysis; Market Overviews; and Fingertip Formulary Suite with coverage, policy, and brand comparison tools.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
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Change Healthcare
HQ: United States
Website
- Description: Provider of healthcare technology and data and analytics-driven solutions for the U.S. healthcare system, including revenue cycle management and payment accuracy, pharmacy and pharmacy benefit solutions, healthcare data and analytics, and clinical decision support, to improve clinical, financial, administrative, and patient engagement outcomes.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Change Healthcare company profile →
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for Cohere Health
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to Cohere Health
2.2 - Growth funds investing in similar companies to Cohere Health
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4 - Top valuation comps for Cohere Health
4.2 - Public trading comparable groups for Cohere Health
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