by Karen Apwah | Nov 6, 2023 | Grievance Management
Agadia is delighted to introduce GrievancesHub – a cutting-edge web-based resolution system engineered to redefine Grievance Management for Health Plans and Pharmacy Benefit Managers (PBMs). Live demos will begin this December. We invite you to schedule a demo...
by Karen Apwah | Oct 30, 2023 | Healthcare Technology
Technological advancements in the Healthcare industry have become synonymous with progress. The surge of AI technology in healthcare is not only revolutionizing patient care but also reshaping how healthcare operations are conducted. While AI is indeed a powerful...
by Karen Apwah | Oct 24, 2023 | Medication Therapy Management
As we approach 2024, it’s an ideal time to set new goals and strategies for your Medication Therapy Management (MTM) programs. In this blog post, we’ll explore key considerations for enhancing your MTM programs to meet the needs of your members, fulfill...
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 | Oct 11, 2023 | Medication Therapy Management
Medication Therapy Management (MTM) solutions have become a crucial component of ensuring patient well-being. For Health Plans and Pharmacy Benefit Managers (PBMs), it’s not just about offering MTM services; it’s about delivering them effectively,...
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 | Sep 18, 2023 | Electronic Prior Authorization, Prior Authorization
Pharmacy Benefit Managers (PBMs) play a pivotal role in ensuring access to cost-effective, quality treatments for self-funded employers and their members. One PBM stood out for its commitment to transparency and advanced clinical management, but they faced a challenge...
by Karen Apwah | Aug 31, 2023 | Electronic Prior Authorization, Prior Authorization
In the ever-evolving landscape of healthcare, streamlining processes while ensuring compliance is crucial to delivering efficient patient care. One significant challenge that has long plagued the healthcare industry is the manual and time-consuming process of...
by Karen Apwah | Aug 8, 2023 | Electronic Prior Authorization, Prior Authorization
In the dynamic realm of healthcare, striking a balance between providing optimal care for members and maintaining operational efficiency is a constant challenge. For Health Plans and Pharmacy Benefit Managers (PBMs), the ability to exercise flexibility and control in...
by Karen Apwah | Jul 31, 2023 | Formulary Benefit Design
In today’s dynamic healthcare landscape, Health Plans and Pharmacy Benefit Managers (PBMs) play a pivotal role in ensuring that patients have access to safe, effective, and affordable medications. One of the essential tools in this process is the formulary—a...
