Agadia to Exhibit in an Upcoming Connect19 Conference

The Rise of AI in Medical UM: Where It Works — and Where It Doesn’t

by Sharniece Springs | Jul 24, 2026 | Uncategorized

Medical Utilization Management The Rise of AI in Medical UM Where It Works and Where It Doesn’t AI is changing utilization management, but not in the way many expected. Thought Leadership AI in Healthcare Utilization Management The future of medical UM is not fully...

Build vs. Buy: The UM Software Decision Health Plans Can’t Afford to Oversimplify

by Sharniece Springs | Jul 2, 2026 | Uncategorized

Executive Insight Build vs. Buy The UM Software Decision Health Plans Can’t Afford to Oversimplify Utilization management modernization is no longer just a technology conversation. It is an operational strategy decision. UM Modernization Interoperability Health Plans...

Prior Authorization Is at a Crossroads: How AI Can Help Restore Trust, Accelerate Care, and Improve Outcomes

by Sharniece Springs | Jun 16, 2026 | Uncategorized

AI-Powered Prior Authorization Prior Authorization Is at a Crossroads: How AI Can Help Restore Trust Health plans are rethinking outsourced utilization management and embracing AI-enabled platforms that restore control, transparency, and operational efficiency....

Automation in Prior Authorization: Real Opportunities vs. False Promises

by Sharniece Springs | Jun 4, 2026 | Healthcare Technology, Prior Authorization, Uncategorized

Medical Prior Authorization Isn’t Just Under Pressure, It’s Structurally Breaking

by Sharniece Springs | May 19, 2026 | Prior Authorization

Executive Insight Medical Prior Authorization Isn’t Just Under Pressure.It’s Structurally Breaking. Why health plans need to rethink intake, clinical review, and decision workflows before outdated operating models create even greater pressure. Brandon Noffsinger...

CMS-0057-F: What’s Changing Next and What Health Plans Should Focus On Now

by Karen Apwah | Apr 23, 2026 | CMS, Prior Authorization

Unlocking Clinical Data: Introducing ClinIntel in PAHub

by Sharniece Springs | Apr 23, 2026 | Prior Authorization

In prior authorization, speed and accuracy depend heavily on one critical factor: data. But much of that data, such as faxed forms, clinical notes, attachments, and supporting documentation, arrives unstructured, incomplete, spread across multiple sources and is...

Are You Ready for CMS-0057-F: Agadia and PAHub Helps Payers Power Compliance and Readiness

by Sharniece Springs | Mar 30, 2026 | CMS, Electronic Prior Authorization, Prior Authorization

The healthcare industry is entering a new phase of interoperability and efficiency. With the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) approaching, health plans and PBMs are preparing for significant changes that will reshape how prior...

Doing More With Less: How Health Plans and PBMs Can Reduce Costs Without Burning Out Their Teams

by Sharniece Springs | Dec 10, 2025 | Electronic Prior Authorization, Prior Authorization

Health plans and PBMs are being asked to do something that feels increasingly difficult: reduce costs, improve outcomes, and keep operations moving forward while working with smaller teams and tighter budgets. At the same time, administrative workloads continue to...

Agadia’s Solution, PAHub, Takes the Pain out of Prior Authorizations

by Karen Apwah | Nov 11, 2025 | Electronic Prior Authorization, Prior Authorization

As noted in the following article posted on AMJC.com by Kelly Davio, prior authorizations are having a significant negative impact on clinical outcomes and causing a delay in care. This challenge is the driving force behind Agadia's prior authorization solution,...

Agadia to Exhibit at the Upcoming Connect19 Conference

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