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Government Programs

abarca health works closely with various government programs and agencies in developing customized solutions to fit their pharmacy benefit management and healthcare information technology needs. Solutions range from providing transparent PBM services to implementing information management strategies that improve the effectiveness and accountability of public health policy.

Sample Client: Government of Puerto Rico
Puerto Rico Health Insurance Administration (ASES)
Description: Medicaid Managed Care Program Administrator
Solution: Pharmacy Program Administrator

abarca health has been contracted since 2006 as Pharmacy Program Administrator (PPA) for the Puerto Rico Health Insurance Administration (ASES). As PPA, abarca health is responsible for designing and implementing the pricing strategy for branded and generic pharmaceuticals for a program that covers approximately 1.5 million beneficiaries. Services provided include rebate negotiation, billing and collections as well as maximum allowable cost (MAC) development and maintenance. Our partnership with ASES has resulted in savings and increased revenues of tens of millions of dollars per year for the program.