Agadia
↗Morris Plains, New Jersey, USA
Agadia is a healthcare technology company that provides a comprehensive suite of utilization management solutions for health plans, pharmacy benefit managers (PBMs), and third-party administrators. Their flagship platform, PAHub, is a HITRUST-certified, cloud-based solution designed to automate and streamline prior authorization workflows for both pharmacy and medical benefits.
The company focuses on improving operational efficiency, ensuring regulatory compliance (particularly with CMS mandates), and enhancing member satisfaction through AI-powered automation. Their product portfolio includes solutions for electronic prior authorization (ePA), medication therapy management (MTM), formulary benefit design, grievance management, and adherence monitoring.
CLASSIFICATION
Company Type:Digital Health
Therapeutic Areas:-
Industry:Digital Health
Sub-Industry:Healthcare Utilization Management Software
SIZE & FINANCIALS
Employees:51-200
Revenue:$50M-$100M
Founded:2007
Ownership:subsidiary
Status:operating
FUNDING
Total Raised:$0.35M
0
CORPORATE STRUCTURE
Parent Company:Prithvi Information Solutions
Acquired By:Prithvi Information Solutions (2007-10-01)
Key Partnerships:WellDyne (collaboration on utilization management solutions)
COMPETITION
Position:Leader
Competitors:Innovaccer, Change Healthcare, HealthEdge, Judi Health, Cohere Health, Appriss, Inc., PerformRX
LEADERSHIP
Key Executives:
Sri Swarna - CEO
Ross Loomis - SVP of Sales
Scot Lovejoy - Chief Pharmacy Officer & Chief Compliance Officer
Bala Nagarathnam - Chief Technology Officer
LINKS
Website:agadia.com
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