Commitments from Leading Health Plans Fuel Progress and Achievements of Humata Health’s Touchless Prior Authorization Technology

WINTER PARK, Fla.: Humata Health, a leader in AI-powered touchless prior authorizations, today announced its support for AHIP’s new initiative to simplify and accelerate the prior authorization process. The effort aligns closely with Humata’s mission to ensure timely access to care, greater transparency, and better outcomes across the healthcare ecosystem.

A key goal of this initiative is to return more than 80% of prior authorization decisions in real time by 2027. Humata Health is leading the way toward that future with its end-to-end, AI-powered platform already in use at payers and providers nationwide. By combining advanced automation with seamless clinical data exchange, Humata is setting the standard for what faster, smarter prior authorization should be.

Organizations that have partnered with Humata Health are already delivering on the promise of more efficient prior authorization approvals. Most recently, Allegheny Health Network became the first health system in the U.S. to implement fully touchless prior authorization, from order to approval, using Humata’s technology. Humata’s platform determines whether authorization is required and, when needed, compiles and submits the necessary clinical documentation for rapid insurer approval.

“Automating the bulk of prior authorization approvals by 2027 and communicating decisions in real-time may be an ambitious goal for some organizations, but many are already far down that path today,” said Jeremy Friese, MD, Chairman and CEO of Humata Health. “Organizations that are further along have an opportunity to set the pace and help the industry move faster so we can make prior authorization work better for everyone within months, not years.”

Humata creates frictionless prior authorization for both payers and providers, and is among the few organizations addressing both sides of the workflow. For providers, Humata’s AI and automation technology bundles the appropriate clinical documentation to improve first pass approvals, and makes submissions to health plans seamless. For payers, its technology generates dynamic policy question sets for efficient reviews, summarizes unstructured clinical documents for faster decisions, and instantly compares submissions to guidelines for accurate approvals. This technology, and its growing use at organizations across the country, lays a foundation for payers to accelerate the commitments they’ve made to improving prior authorization.

“It’s clear that payers recognize the need for reforming prior authorization and the commitments they’ve made are giant step forward. To make this work, transparency must be a priority,” continued Friese. “We need to know exactly which services will still require prior authorization, and what policies and criteria will guide those decisions. Without that clarity, providers and patients are left to navigate a process that remains unpredictable. Just as importantly, we need visibility into the results: which payers are delivering on these commitments, and how it's impacting speed, access, and outcomes. Reform without transparency risks falling short of meaningful change. But there is great potential here, and faster access to quality care is definitely in reach.”

About Humata Health
Humata Health is the leader in delivering AI-powered touchless prior authorizations. With the industry’s largest ecosystem of integrations and proprietary technology that gathers the right clinical information required for fast approval, the Humata platform is the only truly end-to-end prior authorization solution for all services and procedures. Humata Health is a physician-led company backed by a syndicate of strategic healthcare investors including Blue Venture Fund, LRVHealth, Optum Ventures, .406 Ventures, and Highmark Ventures. For more information, visit www.humatahealth.com.

Fonte: Business Wire