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...
For Health Plans and Pharmacy Benefit Managers (PBMs), ensuring CMS compliance is essential to the success and effectiveness of their Medication Therapy Management (MTM) programs. Meeting these guidelines not only guarantees the provision of quality care but also...
The Importance of Streamlining Medication Therapy Management: In today’s complex healthcare landscape, operating an efficient and effective Medication Therapy Management program is a critical aspect of ensuring optimal patient outcomes and reducing healthcare...
Introduction: In today’s complex healthcare landscape, Health Plans and Pharmacy Benefit Managers (PBMs) face significant challenges in managing their prior authorization (PA) programs efficiently and ensuring compliance with regulatory requirements. The...
Introduction: As the healthcare landscape evolves, it’s crucial for Health Plans and Pharmacy Benefit Managers (PBMs) to adapt to changing regulations and optimize their processes. A recent article published in the Federal Register sheds light on the Medicare...
Agadia Systems, Inc. Announces Integration with CQ fluency within Prior Authorization Solution, PAHub. PARSIPPANY, N.J. – Sept 7, 2022- Agadia Systems, Inc. (Agadia), a recognized healthcare technology solution provider for over 50 of the nation’s leading...
Electronic Prior Authorization for Drugs Covered Under the Medical Benefit From Agadia’s White Paper Collection Discover How Agadia is Continually Innovating to Meet Industry Needs Electronic Prior Authorization for Drugs Covered Under the Medical Benefit PAHub...
PARSIPPANY, N.J. – Feb 18, 2021- Agadia Systems, Inc. (Agadia), a recognized healthcare technology solution provider for Health Plans & PBMs is announcing an agreement with Blue Cross and Blue Shield of Kansas City (Blue KC), to utilize PAHub, Agadia’s HITRUST...
PARSIPPANY, NJ – July 15, 2020 – Agadia, a healthcare management technology company widely known for innovations in Utilization Management software, has announced the expansion of their suite of solutions to include FormularyHub, an RxContinuum SolutionTM, a fully...
Agadia Systems, Inc. Announces Agreement with WellDyne for use of Agadia’s Prior Authorization Solution, PAHub. PARSIPPANY, N.J. – May 4, 2020- Agadia Systems, Inc. (Agadia), a well-recognized innovator and provider of the utilization management suite of solutions,...
