Cohere Unify™ connects utilization management, payment integrity, appeals, care management, quality, and risk adjustment into a shared intelligence layer—so each solution you add over time builds on the last, ROI compounds across functions, and the plan differentiates on operations, not just products.
Start with targeted projects to demonstrate rapid value, then scale innovations without disrupting existing systems. Each modular and composable solution shares clinical context, learns from adjacent workflows, and builds on the intelligence established in prior deployments.
Connect intelligence across functions to give your organization a 360-degree understanding of member needs. A 360-degree patient view is not a dashboard, but shared clinical intelligence that informs every decision.
Point solutions measure ROI per project. Connected intelligence compounds ROI across functions. When each deployment reuses the same intelligence foundation, expansion costs decrease while the platform's value increases. Strategy leaders can show the board a trajectory, not just a pilot result.
Every health plan offers the same benefits. The plans that win differentiate on how they operate—faster access to care, less friction for providers, better outcomes for members. Cohere connects the operational functions that drive those experiences, turning back-office workflows into a competitive advantage.
Discovery Session
Explore how the Cohere Unify platform supports rapid implementation and measurable ROI to help you differentiate your health plan in a competitive market.
Guide
Every new point solution adds another data model, governance process, and integration point. This guide gives health plan executives a framework to evaluate, sequence, and scale enterprise AI so ROI compounds instead of resetting.
Case study
Humana partnered with Cohere Health® to transform prior authorization and improve patient care.
Most platforms force a choice: buy the suite or stitch together point solutions. Cohere Unify is composable—each function shares clinical context across the platform as you add modular solutions. New capabilities build on existing infrastructure. Strategy leaders control the sequence, the pace, and the scope.
Health plans manage multiple cost-driving functions separately—and miss the signals between them. The largest savings opportunities exist between functions, not within them. When the clinical signal from authorization flows to claims, payment integrity, care management, quality, and risk adjustment, each function operates against the same clinical baseline. Anomalies surface earlier. Risk capture improves. Quality gaps close faster. And the system learns—each function feeds signals back to tune the engine and get measurably smarter over time.
Strategic initiatives require sustainable funding. When each deployment reduces operating costs and generates measurable ROI, strategy leaders can reinvest savings into the next phase of expansion. One client achieved $9.1M in annualized inpatient savings in six months. That is not a pilot result—it is a funding mechanism for the next strategic initiative.
Learn how Cohere Health connects health plan operations with clinical intelligence.
Most clients start with a known pain point—typically utilization management—and see measurable outcomes within the first phase. Up to 85% of prior authorizations are approved in real time, depending on specialty. Reviews are up to 50% faster. We work with you to establish value metrics and advise on best practices from dozens of successful deployments. We help you build internal confidence and business cases before expanding.
Yes. Our solutions support cost-saving initiatives and operational efficiency. By streamlining administrative workflows and connecting clinical intelligence across the enterprise, ROI compounds across functions—each deployment builds on the intelligence established in the prior phase, so the cost of expansion decreases while platform value increases. Strategy leaders can show a trajectory, not just a pilot result.
Traditional UM operates as a standalone transactional function. Cohere integrates UM with payment integrity, appeals, care management, quality, and risk adjustment on a shared intelligence layer when the client is ready for enterprise expansion. The clinical signal captured at authorization carries forward to every downstream function—turning UM from a friction point into the foundation for enterprise intelligence.
Cohere Unify is modular and composable. Each capability deploys independently but shares a common intelligence layer. You control the sequence—start with one function, prove value, and expand into adjacent workflows when the business case supports it. Each new deployment builds on existing infrastructure.
