by Karen Apwah | Apr 15, 2024 | Adherence, CMS, Medication Therapy Management
The recent final rule for the 2025 contract year issued by the Centers for Medicare & Medicaid Services (CMS) carries significant implications for Health Plans and Pharmacy Benefit Managers (PBMs) managing Medication Therapy Management (MTM) programs. This change...
by Karen Apwah | Apr 2, 2024 | Grievance Management, Healthcare Technology
Parsippany NJ, April 2, 2024– Agadia, a leading provider of healthcare technology solutions, is pleased to announce the launch of GrievancesHub, a web-based Grievance Management solution designed to empower Health Plans and Pharmacy Benefit Managers (PBMs) in...
by Karen Apwah | Mar 18, 2024 | Adherence, Formulary Benefit Design, Grievance Management, Healthcare Technology, Medication Therapy Management, Part D Star Ratings, Prior Authorization
As our industry continues to evolve, efficiency, security, and adaptability are non-negotiables. Health plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) need robust solutions that not only streamline operations but also ensure compliance,...
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...
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...