Design Articles

THE CHALLENGE Plan sponsors are currently experiencing a high degree of volatility in drug spend, largely driven by expensive specialty medications. These drugs often account for less than 2% of all claims¹, but can represent more than 50% of total spend². This challenge is likely to get worse:  Increasing numbers of high-cost therapies are expected […]

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The holiday season can be a challenging time for our mental health, especially as we continue to navigate the COVID-19 pandemic.  64% of people with mental illness report holidays make their conditions worse, according to a study by NAMI. Here are some expert tips to maintaining your mental health during the holiday season, and helping […]

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In our quest for a better way in healthcare, Abarca goes all in to spread the word on the importance of the flu vaccination to patients, parents, and caregivers. While getting a flu vaccine will not protect against COVID-19, there are many significant benefits, such as: reducing the risk of flu illness, hospitalization, death, and […]

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1. What do you think is broken about the PBM business model, and how is your approach different? At Abarca, we think there is a lot that is broken with the PBM model. For example, many PBMs use outdated technology which hinders innovation and contributes to a poor customer experience. A lack of transparency in […]

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World AIDS Day takes place every year on December 1st, and it is an opportunity for people worldwide to unite in the fight against HIV/AIDS, to rally support for people living with it, and to spread awareness and education on its prevention and management. The campaign’s theme this year, set by the U.S. Department of […]

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Earlier this year, the FDA approved the first new treatment for Lupus since 2011. This is a major win for the millions of patients who are impacted by this condition, and the advocacy groups, plans, and providers who serve them. Here’s what you need to know: What is Lupus? Lupus is an autoimmune disease (a […]

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The Problem: The cost of specialty medications continues to rise. With a growing pipeline of specialty drugs and newer therapies costing in excess of $100,000 for a single course of treatment, a handful of claims can significantly impact a plan’s financial performance and stability. At the same time, utilization of specialty drugs, particularly those treating […]

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Abarca’s home delivery pharmacy solution, TripleS en Casa, was selected as one of five finalists for the 2021 PBMI Innovation Challenge. The Challenge was created to identify new and innovative concepts in pharmacy benefit management that can help stakeholders improve both clinical and economic outcomes. Abarca believes that by empowering members, we can help them […]

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As of 2018, nearly 60 million Americans are enrolled in Medicare. Most beneficiaries are 65 or older, and given their age and pre-existing conditions, members of this population face unique health challenges that must be carefully managed by their healthcare providers, as individual needs will vary for every person. A person’s age, diet, family health […]

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Earlier this year, Adriana Ramirez, Abarca’s COO, was invited to moderate a panel at the Puerto Rico Health & Insurance Conference. The session, “The Use of Technology to Improve Care Delivery & Patient Outcomes,” and the conference itself, touched upon some of the principles at the core of Abarca’s mission. The Puerto Rico Health & […]

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