A Better Experience

How to prepare for a CMS audit

CMS audits assess Medicare plan sponsors’ compliance with a number of core program requirements, chief among them is the plan’s ability to provide its members with access to medically necessary services and prescription drugs. Audit scores and enforcement actions resulting...


Abarca Health: How health plans can prepare for a CMS audit

Poison Awareness & Prevention Tips

Abarcans want to bring awareness to how we can all be more conscious of poison prevention at home, especially for our young ones. Did you know that nearly 3 million people, many of which are under the age of 5,...


Abarca Health Poison Prevention & Treatment Tips

Abarcans raise awareness for Multiple Sclerosis (MS)

Abarcans stand with the nearly 2.3 million people worldwide living with Multiple Sclerosis (MS) every day, almost one million of which live right here in the United States. We strongly believe that bringing awareness to MS is necessary for providing...


Abarca Health: Engaging pharmacies to increase adherence for Medicare members

How Abarca approaches ePA and RTBTs

Beginning January 1, U.S. Centers for Medicare & Medicaid Services (CMS) mandated certain capabilities be available for Part D plans. Here’s what you need to know: Real-Time Benefit Tool (RTBT)1 What is RTBT? Often, a member is not aware if...


How Abarca approaches ePA and RTBTs

What is a twindemic?

2020 brought a lot of firsts in healthcare and, as we enter into flu season amid the ongoing COVID-19 pandemic, we are faced with the potential of another one: a twindemic. Here’s what you need to know: What is a...


Abarca Health: What is a twindemic?

Marking Abarca’s fifteenth anniversary

Remember 2005? Nickelback and The Black Eyed Peas dominated the charts. We had only seen the first four Harry Potter films. Facebook had just been launched, but Twitter and Instagram did not exist. And no one had heard of a...


Marking Abarca’s fifteenth anniversary

Rising drug costs fuel interest in value-based contracts

Prescription drugs are on their way to eating up the biggest slice of Puerto Rico’s $3.4 billion Medicaid budget. To head off rising costs, the island turned to what is still a relatively new trend in the pharmaceutical world —...



World Diabetes Awareness Day: Nurses make the difference

World Diabetes Day is the global community's most extensive diabetes awareness campaign reaching an audience of over 1 billion people in more than 160 countries. The campaign draws attention to issues of great importance to the diabetes world and keeps...


Abarca goes all in on World Diabetes Awareness Day: Nurses make the difference

Common conditions impacting Medicare beneficiaries

As of 2018, nearly 60 million Americans are enrolled in Medicare. Most beneficiaries are age 65 or older, but younger members can qualify if they have certain disabilities or end-stage renal disease. Given their age and pre-existing conditions, members of...


Abarca Health: Common conditions impacting Medicare beneficiaries