Agadia

Agadia (PAHub / PAHub Insights) — Prior-authorization utilization-management workflow data at case level across pharmacy and medical PA programs operated on behalf of health plans, PBMs and TPAs: submission intake, routing path, clinical-review assignment, decision outcome (approve / deny / overturn on appeal), turnaround and cycle-time stamps, queue aging, auto-authorization vs manual-review routing, and issued-notice records — the full PA lifecycle from creation to sign-off. Mid-size specialized operator: ~150 employees, ~$47.5M revenue, New Jersey based, running PA adjudication as a system…

Agadia offers (Alternative, Operational, Reference) — Very large case archive: every PA case processed by Agadia's pharmacy and medical UM programs retains a full lifecycle record with per-step timestamps, routing history, decision and notice text. Estimate tens of millions of adjudicated cases accumulated across the client book, each with multiple event rows — so a hundred-million-plus event-level archive.

Denial-pattern and denial-driver analysis by therapy, payer and criteria set, payer step-therapy and quantity-limit policy effectiveness measurement, turnaround-time and administrative-burden benchmarking, manufacturer market-access and patient-friction analytics, appeal-overturn-rate modeling, criteria-automation and NLP training on decision rationale text, automation-rate benchmarking for utilization management, regulatory/audit defense analytics

The data is with 15 years of history.

Coverage spans US; Health Care Technology, Health Insurance; alternative, operational, reference; equities.