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
PRESS RELEASE: Agadia Announces New Healthcare Technology Solutions in MTM and Part D Star Ratings & Adherence
PARSIPPANY, NJ – March 10, 2016 – Agadia, a healthcare management technology company known for the leading Prior Authorization solution, PAHub, has announced the expansion of their reputable suite of utilization management solutions, RxContinuum, to include software...
Headcounts Likely Will Shift, Shrink Amid Insurers’ Strategic Reviews of Admin Costs
The AIS Health Plan Week issue dated December 21, 2015 featured the following article, Headcounts Likely Will Shift, Shrink Amid Insurers' Strategic Reviews of Admin Costs. Early December brought news that Blue Cross and Blue Shield of Michigan is preparing to cut...
CMS May Adjust Medicare Advantage Star Ratings for Demographic Characteristics
Andy Slavitt, the acting administrator of the US Centers for Medicare and Medicaid Services (CMS), told health plans at an America’s Health Insurance Plans (AHIP) conference last week that the agency may change how it calculates Medicare Advantage (MA) star ratings....
ExpressPath: Powered by Agadia’s Prior Authorization software, PAHub
Agadia 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 built by Agadia using its PAHub and integrated Doctor Portal solutions, enhanced in cooperation with...
The Act of Choosing a Treatment May Boost Its Effect on You
For people who have a need to feel in control, making a choice about health treatments strengthens their chosen treatment’s psychological component, says a team led by Andrew L. Geers of the University of Toledo in Ohio. For example, people who put a hand in ice water...
Agadia’s Solutions Enable Express Scripts to Win Innovation Award
Express Scripts is recognized for it's leading edge solution which is powered by Agadia's Doctor Portal and PAHub technologies... "Express Scripts leading-edge solution, ExpressPAth, tackles the rising costs and complex clinical challenges of specialty...
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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