Agadia to Exhibit in an Upcoming Connect19 Conference

Enhancing MTM Programs: Impact of CMS’s 2025 Final Rule for Health Plans and PBMs

by Karen Apwah | Apr 15, 2024 | Adherence, CMS, Medication Therapy Management

The recent final rule for the 2025 contract year issued by the Centers for Medicare & Medicaid Services (CMS) carries significant implications for Health Plans and Pharmacy Benefit Managers (PBMs) managing Medication Therapy Management (MTM) programs. This change...

Agadia Expands Suite of Healthcare Technology Solutions with the Launch of GrievancesHub

by Karen Apwah | Apr 2, 2024 | Grievance Management, Healthcare Technology

Parsippany NJ, April 2, 2024– Agadia, a leading provider of healthcare technology solutions, is pleased to announce the launch of GrievancesHub, a web-based Grievance Management solution designed to empower Health Plans and Pharmacy Benefit Managers (PBMs) in...

Improving Operational Efficiencies with Utilization Management Solutions

by Karen Apwah | Mar 18, 2024 | Adherence, Formulary Benefit Design, Grievance Management, Healthcare Technology, Medication Therapy Management, Part D Star Ratings, Prior Authorization

As our industry continues to evolve, efficiency, security, and adaptability are non-negotiables. Health plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) need robust solutions that not only streamline operations but also ensure compliance,...

Unleash the Power of Prior Authorization Data with PAHub Insights

by Karen Apwah | Mar 8, 2024 | Electronic Prior Authorization, Prior Authorization

The need for effective Prior Authorization (PA) management for health plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) continues to evolve. To propel your organization to new heights, it's not just about managing authorizations but...

Planning for the Future of Healthcare Legislation: Agadia’s Response to Colorado Revised Statutes

by Karen Apwah | Feb 26, 2024 | Healthcare Technology, Prior Authorization

Planning for the Future of Healthcare Legislation: Agadia's Response to Colorado Revised Statutes When it comes to healthcare legislation, staying ahead is not just a necessity; it's our commitment at Agadia. As of February 20, 2024, the Colorado Revised Statutes...

Navigating Prior Authorization Reforms Across Multiple States: A State of Change

by Karen Apwah | Feb 13, 2024 | Electronic Prior Authorization, Prior Authorization

In response to escalating concerns voiced by providers and patients regarding delayed and denied care, an increasing number of states are taking decisive steps to impose limitations on prior authorization (PA) requirements. These legislative efforts, reaching beyond...

Navigating the CMS Interoperability & Prior Authorization Final Rule

by Karen Apwah | Jan 31, 2024 | CMS, Electronic Prior Authorization, Healthcare Technology, Prior Authorization

The healthcare landscape is undergoing a transformative shift with the introduction of the Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule (CMS-0057-F). This comprehensive regulation sets forth a series of...

Biden-Harris Administration Propels Transparency in Medicare Advantage: What Health Plans and PBMs Need to Know

by Karen Apwah | Jan 29, 2024 | Healthcare Technology, Prior Authorization

The Biden-Harris Administration's recent announcement on promoting competition in healthcare includes a significant focus on increasing transparency in the Medicare Advantage (MA) insurance market. The U.S. Department of Health and Human Services (HHS) and the Centers...

Elevating Security Standards: The Significance of HITRUST Certification in Healthcare Vendors

by Karen Apwah | Jan 4, 2024 | Healthcare Technology, HITRUST & Security

Ensuring the security and confidentiality of patient data is paramount. Healthcare vendors play a crucial role in maintaining the integrity of sensitive information. One key aspect that highlights a commitment to robust security practices is achieving HITRUST...

ChatGPT Produces Unreliable Results in Recent Pharmacy Studies

by Karen Apwah | Dec 8, 2023 | Electronic Prior Authorization, Healthcare Technology, Prior Authorization

Per a recent article posted by MedPage Today, researchers revealed that "ChatGPT provided incorrect or incomplete information when asked about drugs, and in some cases invented references to support its answers, two evaluative studies found. In the first, 39 questions...

Agadia to Exhibit at the Upcoming Connect19 Conference

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