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The problem

A CEO can tell you this quarter's revenue to the dollar. They cannot tell you whether their people are okay.

Every company spends real money on mental health. They pay for an EAP. They run an engagement survey. They send out benefits emails. When you ask them whether any of it is working, the honest answer is nobody knows. Not because they do not care. Because they legally cannot see the data that would tell them.

94%

The reach gap

Less than five percent of employees actually use a traditional EAP, and most of them only because they were forced into it with an incentive. Ninety four percent go unserved. That is not a benefit. It is a gap.

1 in 5

The diagnosis gap

Twenty percent of Americans live with a mental health condition. Five percent live with a severe one. Most are undiagnosed. The last place they are going to share is with their employer.

$500K to $2.5M

The cost gap

For a company doing ten to fifty million in revenue, untreated mental health typically shows up as five hundred thousand to two and a half million per year in absenteeism, low performance, turnover, and unfilled positions.

Cost figure paraphrased from Dr. John Abrahams on the losses a mid market employer typically absorbs in absenteeism, low performance, turnover, and unfilled positions.

What we believe

Five beliefs the product is built on.

Workplace mental health does not move because nobody can see it. The instruments to see it already exist. Privacy is the architecture, not a feature. One number changes the conversation. AI does not decide.

  1. 01

    Mental health has been invisible to the people who need to act on it.

    HR cannot see it, legally they should not. Clinicians cannot see it between visits. Employees do not volunteer it until it is already bad. They are embarrassed, or they do not want to be seen as a problem. That is why nothing moves.

  2. 02

    The tools already exist. They were not operationalized.

    PHQ 9. GAD 7. PCL 5. DAST 10. AUDIT. PSQI. Work Wellness. Instruments every clinician already uses. COGAI runs them at organizational scale, on the employee's phone, every month.

  3. 03

    Privacy is not a feature. It is the architecture.

    The consent document is the precondition for every other screen. Without it, the product collapses, and so does trust. Consent is captured per user, before any data exists, and the employer is contractually committed to aggregate visibility only.

  4. 04

    One number changes the conversation.

    The R Score lets a CEO talk about workforce wellness without talking about any individual diagnosis. Zero to one, lower is better. Trended over time. Defensible to the board.

  5. 05

    AI does not replace clinical judgment. It removes the paperwork.

    AI inside COGAI is non diagnostic and non emergency. It helps structure the conversation and spot patterns. Every clinical action is initiated by a human. That line is in the consent, not just the marketing.

The R Score

One number. Lower is better. Trended over time.

The R Score rolls seven validated screeners into one composite. Zero to one. Every employee sees their own immediately after the cycle. Every department over ten people sees an aggregate. The organization sees a single number trended over time. The weights are auditable. The math is not a black box.

That is the metric your board has been asking for.

Example

0.37

Mild risk · trend down four percent month over month

  • Depression · PHQ 9
  • Anxiety · GAD 7
  • Trauma · PCL 5
  • Drug use · DAST 10
  • Alcohol use · AUDIT
  • Sleep · PSQI
  • Work wellness

Seven validated instruments

Named. Scored. Tracked.

No proprietary questionnaires stand in for them. Each instrument runs in under a minute. The full cycle is eight minutes a month. Decades of clinical research underneath each one.

  • PHQ 9

    Depression

  • GAD 7

    Anxiety

  • PCL 5

    Trauma

  • DAST 10

    Drug use

  • AUDIT

    Alcohol use

  • PSQI

    Sleep

  • WORK

    Work wellness

Three views

Three audiences. One source of truth. Zero cross contamination.

The employee, the manager, the executive. In medical tenants, add a clinician. The scope changes. The boundary does not.

  • 01

    Eight minutes a month. The employee owns their score.

    Employee view

    A private, mobile first check in. The employee sees their own score and a path to help. The record is encrypted at the individual level and is never reconstructable from the employer side. Completion runs above ninety percent in seeded tenants because the cycle is short and the score comes back immediately.
  • 02

    Aggregates only. Subject to a minimum cohort floor.

    Manager and executive view

    Department and organization level R Score trends, participation, and engagement. No individual scores. No reconstruction of any single employee is possible. This is the dashboard a CHRO opens on Monday morning. This is the slide a CFO takes to the board.
  • 03

    For medical tenants. Identified panel inside the boundary.

    Clinician view

    When the same product runs in a clinical tenant, a Medical Provider role gets a fourth view: identified panel, R Score sort, twelve month trend, clinical thresholds pre wired. That view never crosses into the workforce tenant. Three audiences, one source of truth, zero cross contamination.

Cadence options

QuarterlyMonthlyWeeklyCustom

Privacy architecture

The employer never sees an individual score.

Not once. The consent document commits the employer contractually to aggregate, de identified visibility only. These three lines live in the contract. They are not a feature in a settings panel. They are a boundary the architecture enforces.

  • Consent captured per user, before any data exists. Timestamped. Revocable at any time.
  • HIPAA aligned posture. BAA available on request.
  • Crisis escalation runs through the COGAI clinical team. Not HR.
  • 01

    No PHI leaves the clinical boundary.

  • 02

    No therapy notes are ever accessible to the employer.

  • 03

    No individual symptom scores are ever accessible to the employer.

AI posture

People hear AI in healthcare and tense up. They should. We do too.

AI in COGAI helps structure the conversation and spot patterns across instruments and across time. It does not diagnose. It does not treat. It does not decide.

Every clinical action is initiated by a human. That line is written into the consent document, not just the marketing.

AI in COGAI is non diagnostic and non emergency. Non negotiable.

When someone is at risk

The clinical team handles it. Not the employer.

The employer is not the first responder. The employer is not even in the loop. A licensed counselor is, around the clock.

  1. 01

    Real time clinical alert

    When a response clears a clinical threshold, our clinical team is paged in real time. Not the employer. Not HR.

  2. 02

    Live licensed counselor

    A licensed counselor is available inside the app, around the clock. Chat or phone. The employee chooses.

  3. 03

    Warm handoff to 988

    When appropriate, the counselor facilitates the handoff to 988 or local emergency services on the line.

  4. 04

    Loved one outreach

    If the employee names a friend or family member, we can intervene with that contact. The employer is not in the loop.

  5. 05

    Twelve week check in

    A templated twelve week high risk check in runs after the acute moment. The clinical team owns the loop.

From the founder

Built for an altruistic reason.

Dr. John Abrahams, founder. Practicing neurosurgeon. Built COGAI inside the clinical practice he runs day to day in New York.

“The current EAPs are not penetrating. There is no reason for an employee to use it. They do not trust it. With our application, we are proactive. We are going at the employee. And we are doing it in the privacy of that employee’s personal space. They do not have to share it with their employer.”

Dr. John Abrahams · Founder

Your free trial

Six months. Real data. Your decision.

Try COGAI Workforce free for six months. One full measurement cycle every month. Readout sessions at Day 1, month 3, and month 6. If the number does not move and your people do not tell you it was worth doing, you walk away. There is no commitment to convert.

Completion in seeded tenants runs above ninety percent because the cycle is eight minutes and the employee gets their own score back immediately.

  • 01

    Stand up in days

    Tenant configured, consent captured, roster loaded. No EHR integration. No IT lift.
  • 02

    First cycle inside a month

    The eight minute monthly check in goes out. Employees see their own R Score immediately. The aggregate begins to populate.
  • 03

    Readout sessions at Day 1, month 3, and month 6

    Organization R Score, department aggregates, completion, trend. A COGAI team member walks you through each readout.
  • 04

    Month 6 decision

    You have seen six full cycles on your own workforce. The number, the participation, and the employee feedback drive the conversation. No commitment to convert.

Pricing

Seat based. Free for six months.

Per seat pricing is set with you near the end of your free trial, sized to your headcount and cadence. Nothing is owed during the six months. No credit card. The first pricing conversation happens after you have seen six cycles of data on your own workforce.

FAQ

What we are usually asked

We already have an EAP. Why pay for another vendor?

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Less than five percent of employees actually use a traditional EAP, and most of them only because they were forced into it with an incentive. COGAI Workforce is proactive. We go to the employee, every month, with validated instruments. The reach is the difference. The two can run together, or COGAI Workforce can replace an EAP that is not earning its line item.

If we deploy this, what do we see about our people?

+

Aggregates. Nothing else. Department and organization level R Score trends, participation, engagement. The employer never sees an individual score. Not once. Consent is captured per user, timestamped, revocable. The consent document commits the employer contractually to aggregate visibility only. That is what makes employees actually use it. That is what makes your general counsel sign off.

What is the R Score, exactly?

+

A composite drawn from seven validated screeners. Zero to one, lower is better. Every employee sees their own immediately after the cycle. Every department over ten people sees an aggregate. The organization sees a single number trended over time. It is the metric your board has been asking for, computed transparently from instruments your clinical advisors already trust.

Why these seven instruments?

+

PHQ 9 for depression, GAD 7 for anxiety, PCL 5 for trauma, DAST 10 for drug use, AUDIT for alcohol use, PSQI for sleep, plus a work wellness scale. They are the same instruments every clinician in this field already uses. Each runs in under a minute. The full cycle is eight minutes a month. Validated means they survived peer review and are accepted in clinical practice.

How does the AI inside COGAI actually work?

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AI in COGAI helps structure the conversation and spot patterns across instruments. It does not diagnose. It does not treat. It does not decide. Every clinical action is initiated by a human. That line is written into the consent document, not just the marketing.

What if we do not want to see any data at all?

+

Employers can opt out of seeing any data, including aggregate reports. Some tenants prefer this posture, sponsoring the benefit without receiving population level reporting. The architecture supports it.

What happens if an employee reports self harm or harm to others?

+

Crisis escalation runs through the COGAI clinical team, not HR. A designated crisis counselor is engaged, live chat is available around the clock, a warm handoff to 988 is available, and a templated twelve week high risk check in runs after the acute moment.

What does the free trial look like?

+

Six months of COGAI Workforce, free, for organizations with 50 to 2,200 employees. No credit card. No commitment to convert. One full measurement cycle every month, readout sessions with a COGAI team member at Day 1, month 3, and month 6, and a board ready dashboard at every readout. At month six you have seen the data on your own workforce, and you decide.

Mental health is not really our problem.

+

It is the dominant cost driver employers do not measure. Most large employers are too busy to quantify it, so they assume it is not happening. COGAI Workforce is designed to quantify it, address it, and report the return on investment back to the people writing the checks.

We cannot afford another vendor.

+

Start with the free six month trial. There is no license fee and no credit card. If six cycles on your own workforce do not show movement and your employees do not tell you it was worth doing, you walk away. The trial is built to surface the offset on your own panel, not against a marketing figure.

Start your free trial

Free 6-month trial of COGAI Workforce.

For organizations with 50 to 2,200 employees. No credit card. No commitment to convert. You see the data on your own workforce. At month six, you decide. We are opening a first cohort of trial organizations now.

  • Full COGAI Workforce dashboard for HR leadership
  • Monthly 8-minute opt-in screening for all enrolled employees
  • Seven validated instruments: PHQ 9, GAD 7, PCL 5, DAST 10, AUDIT, PSQI, and Work Wellness
  • R Score reporting at the workforce level
  • Day 1, month 3, and month 6 readout sessions with a COGAI team member
  • Built and used inside the founder's own clinical practice

    COGAI runs every day inside Cognifica Health, the New York practice Dr. John Abrahams operates. He is the first customer.

  • Completion above ninety percent in seeded tenants

    The cycle is eight minutes and the employee gets their own score back immediately.

  • Crisis escalation through a licensed clinical team

    A licensed counselor is available around the clock. The employer is never the first responder.

  • HIPAA aligned posture

    Consent captured per user before any data exists. BAA available on request.

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