Streamlining Prior Authorizations Process for Humana

Published:

October 30, 2020

Humana Partnership Streamlines Prior Authorizations Across 12 States

Using the CohereNext platform’s prior authorization capability grants authorizations across an entire episode of care, effectively pre-authorizing a patient’s complete treatment regimen from start to finish.

Humana is partnering with the healthcare tech company Cohere Health to grant authorizations across an entire episode of care for musculoskeletal treatment across 12 states starting January 1, 2021.

The CohereNext platform’s prior authorization capability grants authorizations across an entire episode of care, effectively pre-authorizing a patient’s complete treatment regimen from start to finish.

Humana will use the platform to streamline prior authorizations in musculoskeletal treatment in Alabama, Georgia, Indiana, Kentucky, Michigan, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia, and West Virginia.

It will initially serve approximately 2 million members and more than 3,500 physician practices.

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Cohere

Health

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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