PAHub

PAHub is an electronic prior authorization process and automation software developed by Agadia Systems, Inc. This web-based solution aims to streamline and control various aspects of the prior authorization process for health plans, pharmacy benefit managers (PBMs), and third-party administrators (TPAs). According to the vendor, PAHub caters to professionals and industries such as healthcare, insurance, pharmacy, medical administration, and healthcare IT.

Key Features

Fully Customizable Solution: PAHub offers a web-based platform that can be customized to meet specific needs and requirements, according to the vendor.

Streamlined Prior Authorization Process: PAHub aims to streamline and control the prior authorization process, including clinical, compliance, and administrative tasks, potentially resulting in improved efficiency and reduced turn-around times, according to the vendor.

Cost and Time Savings: By automating the entire prior authorization process, PAHub may help reduce costs and save time for healthcare professionals, insurance professionals, and medical administrators, according to the vendor.

HITRUST Certified: PAHub is a HITRUST certified solution, which the vendor claims ensures high standards of security and compliance for electronic prior authorization processes.

End-to-End Management: PAHub provides end-to-end management of electronic prior authorizations, leveraging advanced technologies such as data mining, data analytics, content management, and advanced decision support trees, according to the vendor.

Support for All Lines of Business: PAHub is designed to support various lines of business, including commercial, Medicare, Medicaid, and more, potentially making it suitable for a wide range of health plans and benefit managers, according to the vendor.

Multi-Channel Accessibility: PAHub is accessible through channels such as electronic prior authorization (ePA), phone, fax, web, and e-prescribing, potentially enabling seamless integration with existing workflows, according to the vendor.

Centralized Solution for Drugs Under the Medical Benefit: PAHub addresses electronic prior authorization for drugs under the medical benefit, aiming to provide efficient management and reduce administrative burden through eMPA capabilities, according to the vendor.

Auto-Decision Rules Engine: PAHub incorporates an auto-decision rules engine that aims to increase automation by electronically adjudicating prior authorization requests, potentially allowing staff to focus on high-touch requests and allocate resources effectively, according to the vendor.

Engagement of Pharmacies, Members & Providers: PAHub offers a self-service web-based solution called PromptPA, which enables pharmacies, members, and providers to electronically request prior authorizations, initiate renewals, and check the status of requests, potentially reducing operational costs and call volume for health plans and benefit managers, according to the vendor.