Insights shaping the future of prior authorization, utilization management, and healthcare technology.
Explore expert perspectives, industry trends, product innovations, interoperability developments, AI advancements, and operational best practices from the teams helping modernize healthcare workflows across Health Plans, PBMs, and healthcare organizations.
How AI is reshaping prior authorization workflows.
Learn how AI-powered automation, OCR, NLP, and intelligent clinical review capabilities are helping organizations reduce manual work and improve operational efficiency.
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CAQH CORE Urges Industry Collaboration on Prior Authorizations
As validated in the following article, the healthcare industry's approach to prior authorization is evolving. In parallel, such rapid change results in the need for advanced technology to streamline workflows. Agadia, an innovator in healthcare technology, is...
House Passes Medicare Part D Electronic Prior Authorization Bill
Last Tuesday, the House of Representatives unanimously passed legislation requiring healthcare professionals to submit prior authorization requests electronically for drugs covered under Medicare Part D. “This change highlights the importance of maintaining a...
PRESS RELEASE: Agadia Systems, Inc. Announces Agreement with MaxorPlus to Utilize Agadia’s Prior Authorization Solution, PAHub
PARSIPPANY, N.J. and Amarillo, TX – June 25,2018 - Agadia Systems, Inc. (Agadia), an innovator in electronic prior authorization and MTM solutions, and MaxorPlus, a full service PBM pioneering the use of mobile technology to improve clinical outcomes, have announced...
Addressing the Importance of Medication Adherence and Patient Safety
The importance of Medication Adherence in today's marketplace has grown significantly. The following article substantiates the need to address the challenges around patient safety and appropriate medication use. At Agadia, we are working to help the nation's leading...
Agadia’s Solution, RxSentinel+, is Paving the Path to Managing Opioid Misuse/Abuse
The Pharmacy Quality Alliance (PQA) recently released a press release titled, PQA Receives NQF Endorsement of Three Performance Measures to Address Opioid Misuse/Abuse. This press release emphasizes the drastic increase in overdose mortality from 2014 to 2015 and the...
Addressing the Opioid Epidemic with RxSentinel+
Wolters Kluwer published an insightful podcast regarding how morphine equivalent dosing standards and new decision support technology can help professionals screen, spot and prevent opioid overutilization. Health Plans and PBMs are starting to leverage Agadia’s Star...
Agadia’s Solution, RxSentinel+ Helps Health Plans and PBMs Manage Non-Adherence
Agadia Systems, Inc. (Agadia), a recognized innovator in healthcare technology solutions for utilization management, is helping Health Plans and PBMs to address non-adherence to prescription drugs through RxSentinel+. RxSentinel+ is a Part D Star Ratings and Adherence...
Agadia Achieves HITRUST CSF Certification for its PAHub™ Solution
HITRUST Certification validates Agadia is committed to meeting key healthcare regulations and protecting sensitive private healthcare information PARSIPPANY, N.J., April 12, 2017 /PRNewswire/ -- Agadia Systems, Inc. (Agadia), a leader in utilization management...
Agadia Becomes a 2016 National Corporate Sponsor of Toys for Tots
For over 10 years, Agadia has been committed to improving the quality of care and the delivery of health care services. This holiday season, we are gearing our efforts towards delivering joy to local children in need by becoming a 2016 National Corporate Donor of Toys...
Medication Therapy Management: Benefits and Cost Savings
The following article, “ Medication Therapy Management : Benefits and Cost Savings ” talks to the potential benefits and importance of implementing a Medication Therapy Management, or MTM program to provide better patient care. With the growing concern and downfalls...