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.
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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.”
Gartner, Hype Cycle for U.S. Healthcare Payers, 2025, 16 June 2025
Gartner, Hype Cycle for Intelligent Health, 2025, By Faith Adams, Mandi Bishop, 19 June 2025
AboutGartner's Hype Cycle
GARTNER is a registered trademark and service mark of Gartner, Inc. and/or its affiliates in the U.S. and internationally, HYPE CYCLE is a registered trademark of Gartner, Inc. and/or its affiliates and is used herein with permission. All rights reserved. Gartner does not endorse any vendor, product or service depicted in its research publications and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner's Research & Advisory organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to its research, including any warranties of merchantability or fitness for a particular purpose.
About Cohere Health Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving collaboration between physicians and health plans. Cohere Health works with over 660,000 providers and processes over 12 million prior authorization requests annually. Its AI auto-approves up to 90% of requests for millions of health plan members. Cohere Health has been named a Top 5 LinkedIn™ Startup in 2023 and 2024, and received three consecutive KLAS Points of Light awards for payer-provider collaboration.
Media ContactKat Long308.627.6897kat.long@anthonybarnum.com
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SOURCE Cohere Health
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