Agadia Healthcare Solutions

Agadia provides an array of healthcare software solutions designed to enhance efficiency and compliance in utilization management processes for health plans and pharmacy benefit managers (PBMs). Their services include:

- PAHub™: A customizable platform that streamlines the electronic prior authorization process, improving turnaround times and reducing administrative burdens. It features automation through QuickPA, enhanced document management, and a robust auto-decision rules engine. PAHub Insights provides actionable data analysis through rich visual dashboards, enabling data-driven decision-making.

- RxMTM+™: A comprehensive medication therapy management solution that allows health plans to manage their MTM programs effectively. The platform is fully configurable, helping organizations meet CMS requirements with advanced member identification, streamlined medication reviews, and automated outreach efforts.

- RxSentinel+: Focused on improving medication adherence and managing clinical programs to enhance Medicare Part D Quality Star Ratings. This web-based platform includes tools for monitoring drug interactions and managing patient adherence. It addresses opioid overutilization and allows for the configuration of incentive campaigns.

Agadia's software solutions are HITRUST certified, emphasizing their commitment to innovation and compliance in healthcare services. The solutions are designed to streamline workflows and improve patient care, ultimately leading to increased processing speeds and higher internal rates of return for users.