Discover how health plans and pbms optimize their

Prior Authorization Management

with Agadia’s fully customizable web-based solution, PAHub

End to End management of Electronic Prior Authorizations

Covering all healthcare services, lines of business and channels

PAHub, is a HITRUST certified solution that puts the tools at your fingertips to control all clinical, compliance and administrative aspects of Prior Authorization at the point-of-care to reduce turn-around times and increase operational and clinical efficiencies.

Addressing Medical Benefit Prior Authorizations

Drugs are often billed under the medical benefit rather than the pharmacy benefit and that can alter cost-saving utilization management programs. Agadia is working with health plans and PBM’s to improve the process of prior authorizations for the pharmacy benefit, drugs under the medical, medical procedures and durable medical equipment.

Let Agadia help assist with the importance of managing medical benefit prior authorizations in the same way as the pharmacy benefit.

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Quick Facts

Automating Prior Authorizations Since 2007

Agadia is leading the way in enabling electronic prior authorization (ePA), helping to author the NCPDP standard.

Engage Pharmacies, Members & Providers

In the Prior Authorization and Pre-Certification Process

PromptPA is a web based solution which can integrate with ePrescribing applications to bring electronic prior authorization capabilities directly to point-of-care solutions.
PAHub™’s service oriented architecture enables it to easily integrate with enterprise and vendor systems such as Eligibility, POS, Document Management etc.

Case Studies

Explore the potential benefits you can achieve with PAHub

The following case studies reveal how one Health Plan benefited from an ePA implementation, another doubled their PA volume with a reduction in staff, and one saw an IRR of 199% within the first year of using PAHub.

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