A Smarter Platform

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

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

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...

11-4-2020

Abarca Health: Common conditions impacting Medicare beneficiaries

Care Management in the times of COVID-19

In today's new healthcare environment transformed by the COVID-19 outbreak, the patient's needs have inherently changed, making care management more critical than ever before. At present, it's estimated that 1 in 4 Americans live with multiple chronic conditions, making the...

9-2-2020

Abarca Health: Care Management in the times of Covid-19

How we’re helping plans improve adherence amid COVID-19

Over the past year, we have seen adherence numbers trending upwards for one of our Medicare clients in Puerto Rico. Under normal circumstances, these numbers are impressive but, seeing this year-over-year growth amid a worldwide pandemic when people have been...

8-3-2020

Abarca Health_How we’re helping plans improve adherence amid COVID-19

Addressing social determinants of health

As healthcare evolves, the industry is starting to take a closer look at how a person’s environment and lifestyle contribute to his or her health. These factors, called social determinants of health (SDOH), include all of the most significant components...

4-9-2020

Abarca_Addressing Social Detriments of Health

Bold Move. Big Payoff.

PerformRx, one of the nation’s 10 largest PBMs, had a long tradition of innovation. 80% of the company’s staff are pharmacists or pharmacy technicians, so its bold approach has been particularly notable in clinical care. Then, the company decided to...

3-4-2020

Abarca Health_ How PerformRx transformed itself with a new technology platform and a seamless transition.

A Look Back at 2019

While there is never a bad time to be an Abarcan, 2019 was our best year yet. Here’s a look back at a few of our proudest moments: Employee-led initiatives. Abarca team members took the reins in creating exciting new...

1-17-2020

A Look Back at 2019: Abarca's Proudest Moments