Agadia Blog
Company and Industry News
Navigating Opioid and Controlled Substance Programs in Healthcare
Addressing the opioid epidemic requires more than just awareness—it demands strategic and efficient solutions. Health Plans and PBMs play a crucial role in curbing this crisis, and Agadia's RxSentinel+ is at the forefront, empowering organizations to configure and...
Empowering Health Plans and PBMs to Address the Prior Authorization Burden: Insights from Medical Groups
In response to the recent report from the Medical Group Management Association (MGMA), it's evident that the prior authorization process remains a significant challenge for medical groups, impacting patient care and straining operational efficiency. The report...
Optimizing Electronic Medical Prior Authorizations: The Transformative Power of PAHub
Efficiently processing medical prior authorizations is crucial for Health Plans and Pharmacy Benefit Managers (PBMs) seeking to enhance operational efficiency and improve patient outcomes. In this blog post, we'll explore the importance of streamlined eMPA workflows...
Democrats Express Concerns About CMS’s Prior Authorization Requirements and the Use of AI-Driven tools
As per an article published last Friday, House Democrats are pressuring the Centers for Medicare & Medicaid Services (CMS) to better evaluate how artificial intelligence is utilized by Medicare Advantage (MA) plans, hoping to prevent eye-catching rates of denial....
Agadia Announces Game Changing Solution for Grievance Management
Agadia is delighted to introduce GrievancesHub - a cutting-edge web-based resolution system engineered to redefine Grievance Management for Health Plans and Pharmacy Benefit Managers (PBMs). Live demos will begin this December. We invite you to schedule a demo and...
The Human Touch in Healthcare Technology: Navigating the AI Revolution
Technological advancements in the Healthcare industry have become synonymous with progress. The surge of AI technology in healthcare is not only revolutionizing patient care but also reshaping how healthcare operations are conducted. While AI is indeed a powerful...
Setting the Course for Success in 2024: Enhancing Medication Therapy Management Programs
As we approach 2024, it's an ideal time to set new goals and strategies for your Medication Therapy Management (MTM) programs. In this blog post, we'll explore key considerations for enhancing your MTM programs to meet the needs of your members, fulfill CMS...
Unlocking Efficiency: The Case for Bringing Utilization Management Programs in House
Health plans face the constant challenge of providing high-quality care while managing costs and ensuring regulatory compliance. One crucial area where they can make a significant impact is in the realm of utilization management programs. Traditionally, many health...
Medication Therapy Management Solution, RxMTM+: Unveiling the Agadia Advantage
Medication Therapy Management (MTM) solutions have become a crucial component of ensuring patient well-being. For Health Plans and Pharmacy Benefit Managers (PBMs), it's not just about offering MTM services; it's about delivering them effectively, efficiently, and...
Enhancing Healthcare Utilization Management: Agadia’s Suite of Comprehensive Solutions for Health Plans and PBMs
In an ever-evolving healthcare landscape, Health Plans and Pharmacy Benefit Managers (PBMs) face the intricate challenge of utilization management efficiency while ensuring optimal care for their members. Agadia, a trusted partner with a decade-long track record,...
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