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.
Read Article →Prior Authorization Call Shows Inefficiency, Absurdity of Process
The following article, “Prior Authorization Call Shows Inefficiency, Absurdity of Process” represents a tiresome challenge confronting the Healthcare industry, while also representing the foundation behind Agadia’s core mission, to improve quality of care and...
PRESS RELEASE: Agadia Systems, Inc. Announces Agreement with Pharmacy Benefit Manager, Serve You Custom Rx Management, to Utilize Agadia’s Prior Authorization Solution, PAHub.
Parsippany, NJ and Milwaukee, WI – August 9, 2016 - Agadia Systems, Inc. (Agadia), known for its innovative utilization management solutions used by the nation’s leading Health Plans and PBMs, and Serve You Custom Rx Management (Serve You), an independent,...
Agadia’s Solutions Help in the Fight Against the Opioid Epidemic
Agadia Systems, Inc. (Agadia), a recognized leader in healthcare technology solutions for electronic prior authorization, medication therapy management, and part d star ratings & adherence, is helping Health Plans and PBMs in the continued fight against...
Press Release: Agadia Strengthens Integrations for Electronic Prior Authorization Solution, PAHub, with a Newly Established Collaboration with e-Prescribing Experts, CenterX.
Press Release: Agadia Strengthens Integrations for Electronic Prior Authorization Solution, PAHub, with a Newly Established Collaboration with e-Prescribing Experts, CenterX. PARSIPPANY, NJ and MADISON, WI – May 12, 2016 – Agadia, a healthcare technology company known...
PRESS RELEASE: Agadia Systems, Inc. and SelectHealth Announce Agreement to Assist with Prior Authorization Services for SelectHealth
PARSIPPANY, N.J. and Murray, UTAH – May 10, 2016 - Agadia Systems, Inc. (Agadia), noted for its ability to improve the quality of care and deliver innovative utilization management solutions, and SelectHealth, a not-for-profit health insurance organization serving...
Join Agadia for a Free Webinar on Electronic Prior Authorization
Agadia is pleased to participate in the following webinar presented by Surescripts on April 5th, 2016 at 11AM ET. Join us as we explore the key benefits of automated ePA management, and discover how our solution, PAHub, helps to complete the process. CompletEPA -...
PRESS RELEASE: Agadia Announces New Healthcare Technology Solutions in MTM and Part D Star Ratings & Adherence
PARSIPPANY, NJ – March 10, 2016 – Agadia, a healthcare management technology company known for the leading Prior Authorization solution, PAHub, has announced the expansion of their reputable suite of utilization management solutions, RxContinuum, to include software...
Headcounts Likely Will Shift, Shrink Amid Insurers’ Strategic Reviews of Admin Costs
The AIS Health Plan Week issue dated December 21, 2015 featured the following article, Headcounts Likely Will Shift, Shrink Amid Insurers' Strategic Reviews of Admin Costs. Early December brought news that Blue Cross and Blue Shield of Michigan is preparing to cut...
CMS May Adjust Medicare Advantage Star Ratings for Demographic Characteristics
Andy Slavitt, the acting administrator of the US Centers for Medicare and Medicaid Services (CMS), told health plans at an America’s Health Insurance Plans (AHIP) conference last week that the agency may change how it calculates Medicare Advantage (MA) star ratings....
ExpressPath: Powered by Agadia’s Prior Authorization software, PAHub
Agadia is garnering recognition through the work done with its clients on the leading edge of healthcare IT. The platform described in this award announcement, was built by Agadia using its PAHub and integrated Doctor Portal solutions, enhanced in cooperation with...