Transforming Healthcare
with Proven Innovation
Industry-leading utilization management solutions built on decades of expertise—empowering health plans, PBMs, and healthcare organizations with advanced automation, efficiency, and compliance.
Next-Gen Utilization Management Solutions:
AI-Powered, Expert-Driven
Trusted By Over
Health Plan, PBM & TPA Customers
Covering Nearly
Million Lives
Backed By
Years in Business
Why Choose Agadia?
Beyond a Vendor: Your Trusted Business Partner in Healthcare Innovation
We proudly go beyond traditional vendor relationships by continuously investing in the evolution of our solutions. We proactively implement global enhancements driven by new CMS regulations, industry requirements, and emerging technological trends, ensuring our clients stay ahead in an ever-changing healthcare landscape.
Increased Processing Speed by
133%
For Prior Authorizations Using PAHub
Explore How a Health Plan
Specializing in State Medicaid
Doubled Their Prior Authorization Volume
with an actual reduction in staff, and increased their processing speed by more than 133%
What our clients are saying
Trusted By Leading Health Plans & PBMs
“Agadia has been pivotal in our go-to-market strategy—both from a product stand-point as well as strategic leadership demonstrated by their team.” — VP, IT
First Year IRR of
199%
While Using PAHub
Learn how a Health Plan with both commercial and medicare business
Saw an Internal Rate of Return of 199%
within one year of using PAHub
OUR MISSION
Agadia is dedicated to
improving the quality of care and expediting the delivery of health care services by advancing and automating utilization management processes.
What Our Clients Are Saying
"Agadia has been a fantastic partner for several years. As MedOne has grown as a market leader in medication stewardship, we have directly benefited from the efficiencies afforded through the PAHub platform. We would not have been able to enhance the level of care we provide to our members while scaling our operations without the support of the Agadia software and team." - Dr. Nathan Harold, RPh, PharmD., MedOne
"I wanted to pass along that the CDAG portion of our CMS audit last week went well and complement Agadia on the PAHub systems display. The ease of navigation through the full report helped us display the information very smoothly and precisely which is often half the battle in a CMS audit." - Manager - PBM
"I just wanted to drop a quick note letting you know how well PAHub has worked out for us. It has been instrumental in ensuring compliance with various regulations and increased the overall productivity of the Clinical staff. This is a terrific product that has allowed CMS audit events to go very smoothly. Thank you for helping us be successful!" - A.P.; SVP PBM
"Agadia has consistently lead product development with out-of-the-box thinking focusing on a replicable feature-sets to reduce our overall cost of ownership. Their commitment to project management best practices has allowed us to prioritize tactically and avoid potential budget escalations. Agadia’s growing market foot-print clearly demonstrates their commitment to innovation in the healthcare IT space and have been phenomenal to work with." - VP, PBM
In the News
Prior Authorization Call Shows Inefficiency, Absurdity of Process
The following article, “Prior Authorization Call Shows Inefficiency, Absurdity of Process” represents a tiresome challenge confronting the Healthcare industry, while also representing the foundation behind Agadia’s core mission, to improve quality of care and...
PRESS RELEASE: Agadia Systems, Inc. Announces Agreement with Pharmacy Benefit Manager, Serve You Custom Rx Management, to Utilize Agadia’s Prior Authorization Solution, PAHub.
Parsippany, NJ and Milwaukee, WI – August 9, 2016 - Agadia Systems, Inc. (Agadia), known for its innovative utilization management solutions used by the nation’s leading Health Plans and PBMs, and Serve You Custom Rx Management (Serve You), an independent,...
Agadia’s Solutions Help in the Fight Against the Opioid Epidemic
Agadia Systems, Inc. (Agadia), a recognized leader in healthcare technology solutions for electronic prior authorization, medication therapy management, and part d star ratings & adherence, is helping Health Plans and PBMs in the continued fight against...
Press Release: Agadia Strengthens Integrations for Electronic Prior Authorization Solution, PAHub, with a Newly Established Collaboration with e-Prescribing Experts, CenterX.
Press Release: Agadia Strengthens Integrations for Electronic Prior Authorization Solution, PAHub, with a Newly Established Collaboration with e-Prescribing Experts, CenterX. PARSIPPANY, NJ and MADISON, WI – May 12, 2016 – Agadia, a healthcare technology company known...
PRESS RELEASE: Agadia Systems, Inc. and SelectHealth Announce Agreement to Assist with Prior Authorization Services for SelectHealth
PARSIPPANY, N.J. and Murray, UTAH – May 10, 2016 - Agadia Systems, Inc. (Agadia), noted for its ability to improve the quality of care and deliver innovative utilization management solutions, and SelectHealth, a not-for-profit health insurance organization serving...
Join Agadia for a Free Webinar on Electronic Prior Authorization
Agadia is pleased to participate in the following webinar presented by Surescripts on April 5th, 2016 at 11AM ET. Join us as we explore the key benefits of automated ePA management, and discover how our solution, PAHub, helps to complete the process. CompletEPA -...
Ready to Get Started?
Contact Us Today
NOTE FOR PATIENTS: We are a software company. Please contact your physician or pharmacy for any drug related questions.
Phone
877-575-2533
contact@agadia.com
Location
9 Campus Drive, Parsippany NJ 07054
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