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 →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...
The Act of Choosing a Treatment May Boost Its Effect on You
For people who have a need to feel in control, making a choice about health treatments strengthens their chosen treatment’s psychological component, says a team led by Andrew L. Geers of the University of Toledo in Ohio. For example, people who put a hand in ice water...
Agadia’s Solutions Enable Express Scripts to Win Innovation Award
Express Scripts is recognized for it's leading edge solution which is powered by Agadia's Doctor Portal and PAHub technologies... "Express Scripts leading-edge solution, ExpressPAth, tackles the rising costs and complex clinical challenges of specialty...