A Higher Standard

Engaging pharmacies to increase adherence for Medicare members

BACKGROUND Maintaining member adherence requires careful coordination between health plans, providers, and PBMs. Too often, however, pharmacies are left without the resources they need to make a meaningful impact. As COVID-19 brings new challenges to adherence, engaging pharmacies in member...

4-12-2021

Abarca Health: ENGAGING PHARMACIES TO INCREASE ADHERENCE FOR MEDICARE MEMBERS

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...

4-8-2021

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

Abarca celebrates 15 years of growth and innovation

SAN JUAN, PR -  When they set out to start what they call “a revolution” in the healthcare industry in 2006, the Puerto Rican company, Abarca, knew that the journey ahead would be full of challenges and learning. 15 years...

3-17-2021

Abarca celebrates 15 years of growth and innovation

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...

3-10-2021

Abarca Health: Engaging pharmacies to increase adherence for Medicare members

A better way starts with us

THE CHALLENGE Abarca is a different kind of PBM and a different kind of company. Our organization was built upon six unique core values that guide every aspect of our business, from the solutions we offer to the way we...

2-12-2021

Abarca is a different kind of PBM and a different kind of company.

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...

2-9-2021

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...

2-1-2021

Abarca Health: What is a twindemic?

The Impact of Better Care

2020 was challenging year for people around the world. But, in times like these, our company has discovered that we can actually lift ourselves up by serving others in need. For the past few years, our company, Abarca, has had...

12-20-2020

Abarca Health: The Impact of Better Care

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...

12-10-2020

Marking Abarca’s fifteenth anniversary