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...
by Karen Apwah | Jul 24, 2023 | Medication Therapy Management
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...
by Karen Apwah | Jul 18, 2023 | Medication Therapy Management
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...
by Karen Apwah | Jul 10, 2023 | Electronic Prior Authorization, Prior Authorization
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...
by Karen Apwah | Jun 27, 2023 | Electronic Prior Authorization, Prior Authorization
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...
by Karen Apwah | Sep 7, 2022 | Electronic Prior Authorization, Prior Authorization
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...
