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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.

Published On: October 30th, 2020Categories: News

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About the Author: Cohere Health

Cohere Health is a clinical intelligence company that provides intelligent prior authorization as a springboard to better quality outcomes by aligning physicians and health plans on evidence-based care paths for the patient's entire care journey. Cohere's intelligent prior authorization solutions reduce administrative expenses while improving patient outcomes. The company is a Top 5 LinkedIn™ Startup, winner of the TripleTree iAward, consecutive KLAS Research’s Points of Light recipient, and has been named to both Fierce Healthcare's Fierce 15 and CB Insights' Digital Health 150 lists. Cohere's investors include Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners.