Prior authorization automation platform Cohere Health and well being insurer Humana introduced they’re increasing their 2021 partnership, which centered on the prior authorization course of for musculoskeletal points, to incorporate diagnostic imaging and sleep providers.
The Cohere Unify Platform leverages AI to speed up the prior authorization course of through the use of predictive expertise and medical intelligence. The platform offers suppliers solutions earlier than submitting requests, aiming to decrease insurers’ denial charges.
In 2021, the businesses launched their partnership with a pilot program centered on musculoskeletal providers. The pilot occurred in 12 states initially and expanded to all 50 states a 12 months later after the businesses mentioned it confirmed promise.
Final 12 months, Humana deployed Cohere’s offerings nationwide and added cardiovascular and surgical providers to this system.
By the expanded partnership introduced this week, diagnostic imaging and sleep options will likely be added to the providers Humana gives its members and suppliers via the medical intelligence firm.
“We’re happy Humana will likely be using our diagnostic imaging and sleep options, additional strengthening our strategic and ongoing partnership,” Siva Namasivayam, CEO of Cohere Well being, mentioned in an announcement.
“Our options are rooted within the newest evidenced-based pointers from main medical societies and use superior expertise to align affected person providers inside care pathways via upstream moments of affect, finally enabling quicker diagnoses.”
THE LARGER TREND
In February, Cohere secured $50 million in equity funding, bringing its whole elevate to $106 million. In 2021, lower than a 12 months after the corporate formally launched, it secured $36 million in Series B funding. The 12 months earlier than, it raised $20 million over two funding rounds.
Earlier this month, Cohere announced it was built-in into Epic with the intention to allow suppliers nationwide to submit prior authorizations straight into their EHR workflows.
