Humana Teams up with Cohere Health on Prior Auth Process

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.