Our History

Rolling out a new Clinical Criteria Automation feature in PAHub by the end of Q2

• Covering nearly 100 million lives, approximately one-third of the US population
• Integrated with nearly all claims adjudication systems
• Used by over 50 health plans, PBMs, and healthcare organizations across all lines of business and all 50 states.

Launched first of its kind ePA portal for drugs under both the pharmacy and medical benefit for Hubs, Specialty Pharmacies and Drug Manufacturers.

• Processed around 12 million prior authorizations annually under both the pharmacy and medical benefit.

Launched Formulary Benefit Solution, FormularyHub & Grievance Management Solution, GrievancesHub

• Rolled out QuickPA, an enhancement to streamline the PA process, and PAHub Insights, a reporting tool powered by Microsoft Power BI.
• Processed 11.5 million prior authorizations including 6.5 million ePAs and 1.5 million for drugs under the medical benefit.
• Used by 45+ health plans and PBMs

Processed 800,000 prior authorizations for drugs and procedures under the medical benefit

Built the industry’s first electronic medical prior authorization (eMPA) API

• Began processing prior authorizations for drugs and procedures under the medical benefit.
• Processed over 9 million prior authorizations, with 5 million completed electronically.
• Covered 80 million lives.

Case Study conducted where Agadia helped a health plan client achieve:

• 44% reduction in fax volume.
• 50% decrease in phone volume.
• 20% increase in case volume with fewer FTEs
• 1.43 ROI on implementation

Covering 64 Million Lives

• Processed 5.5 million prior authorizations and completing 2 million ePAs.

Achieved HITRUST Certification for Agadia’s Solutions

Implemented the Automation of Non-formulary PAs

• Case study conducted where Agadia delivered a 199% IRR in the first year of PAHub implementation for a health plan client.

Launched RxMTM+ and RxSentinel+

• Processed over 3 million prior authorizations annually, with nearly 2,000 ePAs processed daily.

Implemented our first ePA integration with a customer (need confirmation from Sri on the actual year for this)

Processed 1 million PAs annually (confirm year with Sri)

• Case study conducted where Agadia helped a health plan client achieve 133% productivity gains with PAHub.

Launched the PromptPA Portal for Providers, Prescribers & Members

Sri Swarna contributed to the draft for the electronic prior authorization (ePA) workflow as part of the NCPDP task group.

Implemented PAHub with the first two customers, laying the foundation for future growth.

Agadia Founded in Parsippany, NJ by Sri Swarna, following his time at Medco, with a mission to drive efficiency for health plans and PBMs in their prior authorization process.

• Introduced PAHub, Agadia’s flagship solution for automating prior authorization workflows.