BOSTON, Aug. 6, 2025 /PRNewswire/ — Cohere Health®, the leader in clinical intelligence solutions for health plans, today announced that it has been included for a fourth consecutive year in the Gartner Hype Cycle for U.S. Healthcare Payers, 2025 (June 2025) in the Intelligent Prior Authorization (iPA) category. The category received a “Transformational” Benefit Rating, with Gartner citing iPA’s impact to “improve clinical and financial outcomes significantly by transforming one of healthcare’s most manual processes.” Cohere Health was also recognized in the Gartner Hype Cycle for Intelligent Health, 2025.
According to Gartner, “Intelligent prior authorizations (iPAs) leverage APIs, NLP and AI to automate and streamline medical service approvals between providers and payers, keeping consumers updated. This includes automating decision making, API-enabled data exchange and workflows, reducing administrative workload through workflow automation for treatment notifications, predictive payer approvals and AI-driven medical necessity determinations.”
Cohere Health approaches iPA with a responsible AI framework that emphasizes clinician involvement, precision, auditability, and robust safeguards. Cohere Health’s AI is designed to support and accelerate decision-making, never to deny care.
“We are honored to be included again by Gartner in the Hype Cycle for Payers,” said Siva Namasivayam, co-founder and CEO of Cohere Health. “The Cohere Unify™ platform reflects years of work to unite clinical intelligence, AI-powered automation, and seamless data exchange into a single solution. By simplifying the prior authorization process, and in turn payer-provider collaboration, we’re helping improve the speed, precision, and quality of care, while reducing frustration on all sides.”
Cohere Health has continued to invest in solutions that drive innovation in iPA and other complex healthcare workflows, grounded in responsible AI principles that prioritize transparency, safety, and clinician oversight. Recent platform expansions include: Cohere Connect™, built to support and scale payers’ regulatory compliance efforts with proven APIs; Cohere Align™, which personalizes providers’ prior authorization experiences to improve efficiency, satisfaction, and costs; and Review Assist for faster, more accurate medical necessity reviews.
“We remain committed to making intelligent prior authorization simpler, faster, and more transparent,” added Namasivayam. “As prior authorization reform continues to evolve, we believe clinical-grade AI solutions like Unify can play a key role in helping payers reduce friction, ease provider burden, and improve care delivery.”
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