Streamlining Prior Authorizations Process for Humana

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.