Agadia Blog

Company and Industry News

Setting the Course for Success in 2024: Enhancing Medication Therapy Management Programs

Oct 24, 2023 | Medication Therapy Management

As we approach 2024, it's an ideal time to set new goals and strategies for your Medication Therapy Management (MTM) programs. In this blog post, we'll explore key considerations for enhancing your MTM programs to meet the needs of your members, fulfill CMS...

Unlocking Efficiency: The Case for Bringing Utilization Management Programs in House

Oct 18, 2023 | Adherence, Formulary Benefit Design, Medication Therapy Management, Part D Star Ratings, Prior Authorization

Health plans face the constant challenge of providing high-quality care while managing costs and ensuring regulatory compliance. One crucial area where they can make a significant impact is in the realm of utilization management programs. Traditionally, many health...

Medication Therapy Management Solution, RxMTM+: Unveiling the Agadia Advantage

Oct 11, 2023 | Medication Therapy Management

Medication Therapy Management (MTM) solutions have become a crucial component of ensuring patient well-being. For Health Plans and Pharmacy Benefit Managers (PBMs), it's not just about offering MTM services; it's about delivering them effectively, efficiently, and...

Enhancing Healthcare Utilization Management: Agadia’s Suite of Comprehensive Solutions for Health Plans and PBMs

Sep 26, 2023 | Adherence, Formulary Benefit Design, Medication Therapy Management, Part D Star Ratings, Prior Authorization

In an ever-evolving healthcare landscape, Health Plans and Pharmacy Benefit Managers (PBMs) face the intricate challenge of utilization management efficiency while ensuring optimal care for their members. Agadia, a trusted partner with a decade-long track record,...

How a Prior Authorization Solution Supercharged This PBM’s Efficiency

Sep 18, 2023 | Electronic Prior Authorization, Prior Authorization

Pharmacy Benefit Managers (PBMs) play a pivotal role in ensuring access to cost-effective, quality treatments for self-funded employers and their members. One PBM stood out for its commitment to transparency and advanced clinical management, but they faced a challenge...

Transforming Electronic Prior Authorization for Drugs Under the Medical Benefit with Agadia’s eMPA Solution: PAHub

Aug 31, 2023 | Electronic Prior Authorization, Prior Authorization

In the ever-evolving landscape of healthcare, streamlining processes while ensuring compliance is crucial to delivering efficient patient care. One significant challenge that has long plagued the healthcare industry is the manual and time-consuming process of...

The Vital Role of Flexibility and Control in Prior Authorization Management

Aug 8, 2023 | Electronic Prior Authorization, Prior Authorization

In the dynamic realm of healthcare, striking a balance between providing optimal care for members and maintaining operational efficiency is a constant challenge. For Health Plans and Pharmacy Benefit Managers (PBMs), the ability to exercise flexibility and control in...

Streamlining the Formulary Management Process for Health Plans & PBMs

Jul 31, 2023 | Formulary Benefit Design

In today's dynamic healthcare landscape, Health Plans and Pharmacy Benefit Managers (PBMs) play a pivotal role in ensuring that patients have access to safe, effective, and affordable medications. One of the essential tools in this process is the formulary—a list of...

Ensuring CMS Compliance for Medication Therapy Management Programs: How RxMTM+ Can Help

Jul 24, 2023 | Medication Therapy Management

For Health Plans and Pharmacy Benefit Managers (PBMs), ensuring CMS compliance is essential to the success and effectiveness of their Medication Therapy Management (MTM) programs. Meeting these guidelines not only guarantees the provision of quality care but also...

Streamlining Medication Therapy Management for Health Plans and PBMs

Jul 18, 2023 | Medication Therapy Management

The Importance of Streamlining Medication Therapy Management: In today's complex healthcare landscape, operating an efficient and effective Medication Therapy Management program is a critical aspect of ensuring optimal patient outcomes and reducing healthcare costs....