New solutions elevate and expedite patient
care with upstream moments of influence
BOSTON and LOUISVILLE, Ky., April 23,
2024 /PRNewswire/ -- Cohere Health, a recognized
leader in clinical intelligence and prior authorization automation,
announced that Humana Inc. (NYSE: HUM) will expand
its use of Cohere's prior authorization platform for diagnostic
imaging and sleep services.
"Expanding our partnership with Cohere further supports our
commitment to improving prior authorization for our members and
providers," said Lisa Stephens,
Senior Vice President of Clinical Operations at Humana. "Diagnostic
imaging is often the start of a patient's journey, and we are
confident our collaboration will further elevate our members'
overall healthcare journey and streamline administrative tasks for
our providers."
In January 2021, Cohere and Humana
began a pilot program in 12 states to improve the prior
authorization process for musculoskeletal (MSK) services. The
program successfully reduced prior authorization approval
turnaround times, increased provider satisfaction, and enhanced
care delivery for MSK services, which resulted in an expansion
across all 50 states in 2022. In January
2023, Cohere's solutions were deployed nationwide to include
cardiovascular and surgical services.
"We're pleased Humana will be utilizing our diagnostic
imaging and sleep solutions, further strengthening our strategic
and ongoing partnership," said Siva Namasivayam, Chief Executive
Officer of Cohere Health. "Our solutions are rooted in the latest
evidenced-based guidelines from leading medical societies and use
advanced technology to align patient services within care pathways
through upstream moments of influence, ultimately enabling faster
diagnoses."
Cohere's prior authorization platform helps providers and
patients get to 'yes' more quickly. Cohere's unique blend of
real-time analytics and deep, evidence-based clinical intelligence
reduces prior authorization denial rates and leads to faster
patient access to care.
Cohere processes 5.5 million prior authorizations annually,
positively impacting more than 15 million health plan members and
420,000 healthcare providers nationwide.
About Cohere
Cohere Health is a clinical
intelligence company that provides 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 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 Fierce Healthcare's Fierce 15 and CB Insights'
Digital Health 150 lists. Cohere's investors include Flare Capital
Partners, Define Ventures, Deerfield, Polaris Partners, and Longitude
Capital.
About Humana
Humana Inc. is committed to putting
health first – for our teammates, customers, and company. Through
our Humana insurance services and our CenterWell health care
services, we make it easier for the millions of people we serve to
achieve their best health – delivering the care and service they
need when they need it. These efforts are leading to a better
quality of life for people with Medicare, Medicaid, families,
individuals, military service personnel, and communities at large.
Learn more about what we offer at Humana.com and at
CenterWell.com.
CONTACT:
Kat Long
anthonyBarnum Public Relations
kat.long@anthonybarnum.com
Justin Burkhardt
Cohere Health
Justin.Burkhardt@coherehealth.com
Jahna Lindsay-Jones
Humana Corporate Communications
JLindsayJones@humana.com
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SOURCE Cohere Health