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
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
This week, Adriana Ramirez, Esq, Abarca’s Chief Operating Officer, will lead a panel of experts in a discussion about how technology can be used to improve care delivery and patient outcomes at the Puerto Rico Health and Insurance Conference. In...
3-24-2021
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
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
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
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
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
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
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
