In a major announcement, Cohere Health and health insurer Humana have expanded their partnership to include diagnostic imaging and sleep services in the prior authorization process for musculoskeletal issues. The Cohere Unify Platform utilizes AI to accelerate the prior authorization process by predicting denials from insurers and providing clinical intelligence. This platform is designed to reduce denial rates for providers by suggesting the most appropriate courses of action before submitting requests.
The partnership initially launched in 12 states and has now expanded to cover all 50 states after showing promising results. Humana has rolled out Cohere’s offerings nationwide, adding cardiovascular and surgical services to the program last year. With this latest expansion, Humana will now offer diagnostic imaging and sleep solutions as part of its services to members and providers through Cohere Health.
Cohere Health CEO Siva Namasivayam expressed his pleasure with Humana utilizing their diagnostic imaging and sleep solutions, which align patient services within care pathways to enable faster diagnoses. Cohere’s solutions are based on evidence-based guidelines from medical societies and advanced technology, making them an invaluable resource for healthcare providers looking to streamline their workflows.
In February, Cohere secured $50 million in equity funding, bringing their total raise to $106 million. The company has rapidly grown since its launch, securing funding and partnerships along the way. Their partnership with Oracle aims to develop genAI services that can automate business processes by combining Oracle’s cloud infrastructure with Cohere’s technology. Additionally, Cohere recently announced integration into Epic, allowing providers to submit prior authorizations directly into their EHR workflows.
Overall, this expansion of the partnership between Cohere Health and Humana is a significant step towards improving healthcare delivery by streamlining administrative tasks like prior authorization processes. By leveraging AI technology, healthcare providers can focus on delivering high-quality care rather than spending time navigating bureaucratic procedures.
