Agadia Blog
Company and Industry News
Doing More With Less: How Health Plans and PBMs Can Reduce Costs Without Burning Out Their Teams
Doing More With Less in Health Plan Operations 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...
Agadia’s Solution, PAHub, Takes the Pain out of Prior Authorizations
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 Relocating to Morris Plains, NJ to Support Continued Growth
Agadia Relocating to Morris Plains, NJ to Support Continued Growth We are thrilled to announce that Agadia’s corporate headquarters will be relocating to 201 Littleton Road in Morris Plains, New Jersey, with the move planned for early 2026. “This move...
Regulatory Readiness: How Case Work Automation Strengthens Oversight & Auditing
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,...
Tackling GLP-1 Medication Growth with Smarter Prior Authorization Strategies
GLP-1 medications are creating new challenges for health plans due to rising demand and costs. Originally developed for type 2 diabetes, these drugs are now widely prescribed for weight management, sleep apnea, and other clinical uses. As this surge continues,...
Streamlining Prior Authorization: The Role of Interoperability, Automation and AI in Improving Efficiency and Patient Care
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 days to several weeks,...
The Impact of Prior Authorization on Patient Care: Pros and Cons
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...
The Future of Grievance Management: Trends & Innovations
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...
Press Release: Agadia Expands Market Reach with a New ePA Portal for Specialty Drugs
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)...
Preparing for the CMS Interoperability and Prior Authorization Final Rule
Last year, the Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), a significant step toward improving healthcare efficiency, enhancing patient access to care, and reducing...
