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Healthcare Utilization Management Solutions

WebMedication Therapy Management. RxMTM+™ is a web-based solution leveraged by Health Plans & PBMs to streamline their workflow and clinical modules, increase staff productivity, consult …

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URL: https://www.agadia.com/

Electronic Prior Authorization Under Medical Benefit

WebCurrently, a comprehensive electronic prior authorization standard does not exist in the industry for drugs covered under the member’s medical benefit. The …

Category:  Medical Go Health

Navigating Opioid and Controlled Substance Programs in Healthcare

WebAddressing the opioid epidemic requires more than just awareness—it demands strategic and efficient solutions. Health Plans and PBMs play a crucial role in curbing this crisis, …

Category:  Health Go Health

Unlocking Efficiency: Bringing Utilization Management Programs In

WebHealth 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 …

Category:  Health Go Health

Enhancing Utilization Management for Health Plans & PBMs

WebThe recent final rule for the 2025 contract year issued by the Centers for Medicare & Medicaid Services (CMS) carries significant implications for Health Plans and Pharmacy …

Category:  Health Go Health

Electronic Medical Prior Authorization Solution

WebHealth Plans and PBMs: Agadia’s eMPA solution optimizes the prior authorization channel for health plans and pharmacy benefit managers (PBMs). The …

Category:  Health Go Health

Streamlining Medication Therapy Management with MTM Solutions

WebThe Importance of Streamlining Medication Therapy Management: In today’s complex healthcare landscape, operating an efficient and effective Medication Therapy …

Category:  Health Go Health

Enhancing MTM Programs: Impact of the CMS Final Rule

WebEnhancing MTM Programs: Impact of CMS’s 2025 Final Rule for Health Plans and PBMs. The recent final rule for the 2025 contract year issued by the Centers …

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Medication Therapy Management (MTM) Software & Solutions

WebA Fully-Configurable Software Leveraged to Automate Your MTM Process. With evolving CMS requirement complexities around Medication Therapy Management Programs …

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Navigating AI Technology in Healthcare with Human Touch

WebParsippany NJ, April 2, 2024– Agadia, a leading provider of healthcare technology solutions, is pleased to announce the launch of GrievancesHub, a web-based Grievance …

Category:  Health Go Health

ExpressPath: Powered by Agadia’s Prior Authorization software, …

WebAgadia is garnering recognition through the work done with its clients on the leading edge of healthcare IT. The platform described in this award announcement, was …

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Formulary Benefit Design (FBD) Management Software

WebHealth Plans & PBMs can ensure compliance by leveraging FormularyHub’s built-in workflow engine for quality control measures, as well as the Formulary Reference File to …

Category:  Health Go Health

Electronic Prior Authorization Process & Automation Software

WebPromptPA is a self-service, web based solution that enables our customers’ pharmacies, members and providers to request prior authorizations electronically, initiate renewals …

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Agadia Expands Suite of Healthcare Technology Solutions

WebFor media inquiries, contact: Karen Apwah. Sr. Manager of Marketing & Business Development. Agadia. 973-540-8400. [email protected]. www.agadia.com. …

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CMS Prior Authorization Requirements & the Use of AI-Driven tools

WebAs per an article published last Friday, House Democrats are pressuring the Centers for Medicare & Medicaid Services (CMS) to better evaluate how artificial …

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Navigating Prior Authorization Reforms Across Multiple States

WebThe recent final rule for the 2025 contract year issued by the Centers for Medicare & Medicaid Services (CMS) carries significant implications for Health Plans and Pharmacy …

Category:  Health Go Health

Addressing the Prior Authorization Burden

WebIn response to the recent report from the Medical Group Management Association (MGMA), it’s evident that the prior authorization process remains a significant challenge for …

Category:  Medical Go Health

Press Release: Agadia Systems, Inc. Announces Agreement with …

WebPARSIPPANY, N.J., and Dubuque, I.A.– May 6th, 2019– Agadia Systems, Inc. (Agadia), noted for its ability to improve the quality of care and deliver innovative …

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