How Humana Transformed Prior Authorization to Improve Care & Collaboration

Summary of Humana Case Study:

Where others have seen only obstacles, Cohere Health has helped Humana seize the opportunity – to improve the healthcare experience for its members and providers. Humana had a goal in mind, to transform, not eliminate, utilization management, and in the process, reduce administrative burden and inefficiencies and find new ways to improve the quality of care and health outcomes.

Humana partnered with the independent technology company Cohere Health, which shares this vision to transform prior authorization and improve patient care.

Preliminary results clearly show the transformation is working. The new system has resulted in:

• Higher adoption and satisfaction rates among providers
• Faster turnaround for appropriate requests
• Reduced administrative burden and delays in care
• Less care variance and unnecessary care, and improved quality of care

Read the entire case study to learn more about the successful adoption and subsequent expansion of Cohere’s solution to all 5.5 million Humana members across all 50 states.