Cohere Well being expands partnership with Humana

Prior authorization automation platform Cohere Well being 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 companies.

The Cohere Unify Platform leverages AI to speed up the prior authorization course of through the use of predictive know-how and scientific intelligence. The platform offers suppliers recommendations earlier than submitting requests, aiming to decrease insurers’ denial charges. 

In 2021, the businesses launched their partnership with a pilot program centered on musculoskeletal companies. 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 choices nationwide and added cardiovascular and surgical companies to this system. 

By the expanded partnership introduced this week, diagnostic imaging and sleep options shall be added to the companies Humana gives its members and suppliers by the scientific intelligence firm. 

“We’re happy Humana shall be using our diagnostic imaging and sleep options, additional strengthening our strategic and ongoing partnership,” Siva Namasivayam, CEO of Cohere Well being, mentioned in a press release. 

“Our options are rooted within the newest evidenced-based tips from main medical societies and use superior know-how to align affected person companies inside care pathways by upstream moments of affect, finally enabling quicker diagnoses.”

THE LARGER TREND

In February, Cohere secured $50 million in fairness funding, bringing its complete increase to $106 million. In 2021, lower than a 12 months after the corporate formally launched, it secured $36 million in Collection B funding. The 12 months earlier than, it raised $20 million over two funding rounds.

Earlier this month, Cohere introduced it was built-in into Epic as a way to allow suppliers nationwide to submit prior authorizations straight into their EHR workflows.