by Karen Apwah | 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...
by Karen Apwah | 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,...
by Karen Apwah | Jun 26, 2018 | Adherence, Electronic Prior Authorization, Medication Therapy Management, Opioid Overutilization, Prior Authorization
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...
by Karen Apwah | Feb 28, 2018 | Adherence, Medication Therapy Management, Part D Star Ratings
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...
by Karen Apwah | May 12, 2017 | Adherence, Opioid Overutilization, Part D Star Ratings
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...
by Karen Apwah | Apr 26, 2017 | Adherence, Part D Star Ratings
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...
