For decades, prior authorization has been one of the most quietly expensive problems in American healthcare. Agadia, a healthcare technology company serving health plans and PBMs, positions its software explicitly as“AI-powered automation for modern utilization management,” covering electronic prior authorization, medication therapy management, formulary benefit design, and grievance management for organizations processing millions of authorization decisions a year. It’s worth noting that prior authorization is only one piece of the utilization management workload. What Responsible Adoption Looks LikeThe health plans getting this right aren’t treating AI as a black box that approves or denies care unsupervised. Health plans and PBMs looking to modernize prior authorization, formulary management, and utilization review can learn more about Agadia’s AI-powered automation platform at agadia.com.