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How Humana Turned Prior Authorization Into a Care Planning Advantage

How Humana Turned Prior Authorization Into a Care Planning Advantage

Prior authorization has long been one of the most persistent friction points in healthcare, slowing treatment starts, consuming provider time, and adding cost without always adding value. This video examines how Humana approached that challenge differently: partnering with Cohere Health to redesign prior authorization as a forward-looking care planning tool rather than a transactional checkpoint.

For health plan executives, utilization management leaders, and provider organizations evaluating what modern authorization workflows should look like, this story offers a grounded look at what's possible when clinical intelligence and workflow design work together. You'll see how mapping a patient's full treatment journey upfront, rather than authorizing services in isolation, changed provider sentiment, care timelines, and utilization patterns at scale.

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