Cohere Health uses AI to analyze health plan member data, identify members at rising clinical risk, surface unaddressed care gaps, and generate compliant care plans within care manager workflows.

Cohere's platform includes a care management capability within Cohere Unify that surfaces rising-risk members, closes care gaps identified in unstructured clinical records, and generates compliant care plans for care managers. The platform also performs year-round clinical documentation evaluation against HEDIS and other quality measures to close gaps buried in unstructured records, with reported 20–25% closure rates for high-value measures. These capabilities use predictive analytics built on the same clinical intelligence engine that powers prior authorization, enabling insights from authorization decisions to inform downstream care management functions.