by Hargun Ghai | Aug 28, 2025 | Grievance Management
In healthcare, regulatory oversight is constant. Organizations must demonstrate that grievance cases are resolved within mandated timelines, tracked appropriately, and documented with accuracy. The Centers for Medicare & Medicaid Services (CMS), for example,...
by Hargun Ghai | May 15, 2025 | Electronic Prior Authorization, Prior Authorization
Current Industry Challenges The healthcare industry is facing unprecedented challenges in streamlining prior authorization (PA) processes effectively. According to a report by the Arthritis Foundation, the average wait time for medical procedure PAs ranges from a few...
by Hargun Ghai | Mar 27, 2025 | Electronic Prior Authorization, Healthcare Technology, Prior Authorization
Prior authorization (PA) is a process used by health insurance companies to determine whether certain medications, procedures, or treatments are medically necessary before approving coverage. While the goal is to control costs and prevent unnecessary treatments, PA...
by Hargun Ghai | Mar 7, 2025 | Grievance Management, Healthcare Technology
In today’s rapidly advancing healthcare industry, managing grievances has become more complex than ever. With rising regulatory scrutiny, evolving patient expectations, and a growing demand for efficiency, health plans and pharmacy benefit managers (PBMs) need...
by Hargun Ghai | Feb 19, 2025 | Electronic Prior Authorization, Prior Authorization, Uncategorized
Agadia Expands Market Reach with a ePA Portal for Specialty Drugs Empowering Specialty Pharmacies, Hub Service Companies, and Drug Manufacturers to Expedite Patient Access Agadia is proud to announce the expansion of its electronic prior authorization (ePA)...
