What You Ought to Know:
– Well being insurer Humana has expanded its partnership with Cohere Well being to streamline the prior authorization course of for cardiovascular care and surgical specialties. Each these care pathways are clinically advanced, involving a number of exchanges between main care physicians and specialists, which might contribute to pricey and pointless variations in care.
– For surgical providers, Humana employees will use the Cohere Unify™ platform to speed up affected person entry to care by facilitating the overview and approval of surgical process prior authorization requests. By guaranteeing requests are reviewed expeditiously, the platform helps suppliers and sufferers keep away from the issues that may come up from delayed care. By automating and bundling the prior authorization processes for cardiovascular and surgical providers, Humana expects to scale back care variation, drive larger high quality care, and decrease administrative burden.
– The enlargement of the partnership comes after Cohere Well being and Humana teamed as much as bundle and speed up prior authorization processes for musculoskeletal care. That work spans throughout the nation and has yielded diminished administrative burden, sooner turnaround occasions, and improved high quality of care.