Agadia to Exhibit in an Upcoming Connect19 Conference

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...

Navigating Opioid and Controlled Substance Programs in Healthcare

by Karen Apwah | Dec 4, 2023 | Adherence, Opioid Overutilization

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

by Karen Apwah | Nov 21, 2023 | Electronic Prior Authorization, Healthcare Technology, Prior Authorization

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

by Karen Apwah | Nov 15, 2023 | Electronic Prior Authorization, ePrescribing, Prior Authorization

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...

Agadia to Exhibit at the Upcoming Connect19 Conference

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