by Sharniece Springs | Oct 14, 2025 | Company News, Uncategorized
Agadia Relocating to Morris Plains, NJ to Support Continued Growth We are thrilled to announce that Agadia’s corporate headquarters will be relocating to 201 Littleton Road in Morris Plains, New Jersey, with the move planned for early 2026. “This move...
by Karen Apwah | Aug 28, 2025 | Grievance Management
In healthcare, regulatory oversight is constant. Organizations must demonstrate that grievance cases are resolved within mandated timelines, tracked appropriately, and documented with accuracy. The Centers for Medicare & Medicaid Services (CMS), for example,...
by | Jul 15, 2025 | Electronic Prior Authorization, Prior Authorization
Why Smarter Prior Authorization Is Essential for Managing GLP-1 Growth GLP-1 medications are creating new challenges for health plans due to rising demand and costs. Originally developed for type 2 diabetes, these drugs are now widely prescribed for weight management,...
by Karen Apwah | May 15, 2025 | Electronic Prior Authorization, Prior Authorization
Current Industry Challenges The healthcare industry is facing unprecedented challenges in streamlining prior authorization (PA) processes effectively. According to a report by the Arthritis Foundation, the average wait time for medical procedure PAs ranges from a few...
by Karen Apwah | Mar 27, 2025 | Electronic Prior Authorization, Healthcare Technology, Prior Authorization
Prior authorization (PA) is a process used by health insurance companies to determine whether certain medications, procedures, or treatments are medically necessary before approving coverage. While the goal is to control costs and prevent unnecessary treatments, PA...
by Karen Apwah | Mar 7, 2025 | Grievance Management, Healthcare Technology
In today’s rapidly advancing healthcare industry, managing grievances has become more complex than ever. With rising regulatory scrutiny, evolving patient expectations, and a growing demand for efficiency, health plans and pharmacy benefit managers (PBMs) need...
by Karen Apwah | Feb 19, 2025 | Electronic Prior Authorization, Prior Authorization, Uncategorized
Agadia Expands Market Reach with a ePA Portal for Specialty Drugs Empowering Specialty Pharmacies, Hub Service Companies, and Drug Manufacturers to Expedite Patient Access Agadia is proud to announce the expansion of its electronic prior authorization (ePA)...
by Karen Apwah | Feb 10, 2025 | CMS, Electronic Prior Authorization, Healthcare Technology, Prior Authorization
Last year, the Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), a significant step toward improving healthcare efficiency, enhancing patient access to care, and reducing...
by Karen Apwah | Jan 23, 2025 | Electronic Prior Authorization, Prior Authorization
One of the most common and often misunderstood components of insurance plans is prior authorization (PA). While it might seem like an extra hurdle, PA plays a significant role in healthcare cost management and patient safety. What is Prior Authorization? Prior...
by Karen Apwah | Jan 8, 2025 | CMS, Medication Therapy Management
The Centers for Medicare & Medicaid Services (CMS) recently released updated guidelines for the Medication Therapy Management (MTM) program, effective January 1, 2025. These changes significantly impact how health plans and PBMs can participate and deliver...
