Humana and DrFirst win KLAS award for cutting fax friction in prescribing
Humana and DrFirst received a 2026 KLAS Points of Light Award for NewRx Insights, a workflow tool that moves payer-to-provider medication recommendations into e-prescribing systems. The program has eliminated more than 70,000 faxes and lifted clinician response rates as the companies push to close care gaps faster.
Why it matters: - Humana and DrFirst are trying to make medication outreach faster and easier for clinicians. - The NewRx Insights program moves payer recommendations into the prescribing workflow instead of sending faxed requests. - That shift has already cut administrative friction and helped close care gaps more quickly.
What happened: - Humana Inc. and DrFirst received a 2026 KLAS Points of Light Award for their interoperability collaboration. - The award recognizes technology-driven efforts that improve communication between payers, providers and IT vendors. - The companies co-developed NewRx Insights to replace fax-based prescription requests with medication communications inside provider workflows. - The announcement was dated June 16, 2026, from Arlington, Virginia.
The details: - NewRx Insights enables bidirectional payer-to-provider communication at the point of prescribing. - The platform delivers prescription recommendations and medication-related care gap alerts. - The workflow operates within Gadget, DrFirst’s prescription orchestration platform. - The system aligns with NCPDP SCRIPT standards. - The design preserves the patient’s preferred pharmacy. - Clinicians can accept, modify or decline recommendations and record their reasoning in structured data that returns to the payer in real time. - Humana and DrFirst first used the program to focus on people with chronic health conditions. - The initial goal was to increase statin use among eligible patients with diabetes. - The platform reached about 160,000 clinicians across 270 connected electronic health record systems. - Early results showed a nearly 20% clinician response rate to recommendations. - Fax-based outreach had produced a 7% to 9% response rate. - The program eliminated more than 70,000 redundant faxes. - The system also gave visibility into why clinicians declined recommendations. - That feedback can improve quality-measure accuracy, reporting and future intervention design. - Early adopters reported higher-than-expected response rates from healthcare organizations and provided usability feedback to refine the integration. - Bethanie Stein, Pharm.D., president of pharmacy at Humana, said the collaboration simplifies care coordination and may improve medication adherence and patient time. - Laizer Kornwasser, CEO of DrFirst, said the program lets payers and providers collaborate in real time without adding friction for providers.
Between the lines: - The core change is operational, not just technical. - By moving interventions into the prescribing moment, Humana and DrFirst reduce the chance that recommendations get lost in fax queues or acted on too late. - The structured feedback loop also gives payers better data on why recommendations are rejected, which can improve future targeting. - The award signals that interoperability is being measured by practical workflow impact, not only by connectivity.
What's next: - Humana and DrFirst appear positioned to expand the workflow model beyond the initial diabetes and statin use case. - Early usability feedback from healthcare organizations should help refine the integration. - The companies’ prior work suggests more prescription-related workflow tools could follow. - In 2015, the two companies launched the first real-time prescription benefit tool, which showed patient-specific coverage, cost and prior authorization details at the point of prescribing.
The bottom line: - Humana and DrFirst are proving that embedding payer outreach inside prescribing workflows can replace fax-heavy processes with faster, measurable care-gap interventions.
Disclaimer: This article was produced by AGP Wire with the assistance of artificial intelligence based on original source content and has been refined to improve clarity, structure, and readability. This content is provided on an “as is” basis. While care has been taken in its preparation, it may contain inaccuracies or omissions, and readers should consult the original source and independently verify key information where appropriate. This content is for informational purposes only and does not constitute legal, financial, investment, or other professional advice.
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