Humana Teams up with Cohere Health on Prior Auth Process
Published:
October 22, 2020
Humana teams with Cohere Health to streamline prior authorization for musculoskeletal conditions in 12 states
Humana will partner with Cohere Health in an effort to streamline prior authorization for musculoskeletal treatments across 12 states.
Cohere’s platform allows for prior authorization approval for the entire episode of care, instead of requiring such approvals at each step. The member will be preapproved for services from the initial diagnosis through their return to health, which allows physicians to tailor treatment plans to the individual and avoid waits for approval during the treatment process.
Humana will use the platform in Alabama, Georgia, Indiana, Kentucky, Michigan, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia and West Virginia beginning Jan. 1. That encompasses about 2 million members and 3,500 physician practices, the insurer said in an announcement.
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Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. Cohere Health is recognized on TIME’s World’s Top HealthTech Companies 2025 list, on the 2025 Inc. 5000 list, and by numerous industry analysts.
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