Industry
Humana Launches Oncology Model Easing Prior Authorization
Humana has launched a cancer care model designed to ease prior authorization for oncology providers, developed with the American Oncology Network and specialty care management company Evolent, according to a Nov. 10 Humana news release. The American Oncology Network, which spans more than 350 providers across 21 states, has rolled out the model at its clinics in eight states. Practices meeting quality and evidence-based treatment standards can bypass traditional prior authorization for most anticancer drugs. Participating practices also gain access to an analytics platform using real-time EHR data to inform individualized treatment plans.
Why it mattersOncology providers and health plans tracking prior authorization reform may look to this model as a template for reducing administrative burden while tying approvals to quality standards.