Case Studies

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

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.

Abarca Health: Prepared for a pandemic

THE CHALLENGE As a company with offices in Puerto Rico and South Florida, Abarca has navigated more than its fair share of unforeseen events. That’s why we’ve engrained a culture of preparedness within our organization, and built a foundation that...

10-29-2020

Abarca Health: Prepared for the pandemic

Delivering real value in Medicaid

THE CHALLENGE For a Medicaid Program that receives one of the lowest federal reimbursements in the nation, specialty drug costs are an exceptional burden. To help this program navigate a challenging financial environment, Abarca partnered with pharmaceutical manufacturer Biogen Inc....

10-20-2020

Abarca delivers real value in Medicaid

Improving Medication Access in Puerto Rico

For many, having prescriptions delivered at their home is not just a convenience, it’s a necessity. Lack of mobility, access to transportation, and other social determinants impact the health of members and increase costs for health plans. To address these...

8-26-2020

Abarca Improving Medication Access in Puerto Rico

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 First: Real Value in Medicaid

Prescription drug prices are soaring in the US, particularly for specialty medications. To deal with escalating costs, forward-thinking health plans and pharmacy benefit managers (PBMs) are exploring value-based contracts as an alternative to traditional fee-for-service payment models. For one Medicaid...

1-14-2020

Abarca_How innovative contracting helped a Medicaid program reduce the burden of specialty drug costs

Microsoft highlights Abarca’s technology successes

Microsoft has published a new case study highlighting Abarca's success using its SQL and Azure technology solutions. Abarca utilizes these tools to support organizational development, data mining, disaster response, and Darwin, the company’s smarter PBM platform. “It is a privilege...

12-17-2019

Microsoft highlights Abarca’s technology successes.

Always Prepared

THE CHALLENGE The frequency and severity of natural disasters appears to be increasing. In 2017 alone, the U.S. experienced 16 separate billion-dollar disasters. These natural disasters can devastate communities and make prescription medications inaccessible to patients that rely on them....

3-6-2019

healthcare administration platform

Quality Improvement

PROGRAM DESCRIPTION  The U.S. Centers for Medicare and Medicaid Services (CMS) requires Medicare Part D sponsors to have Medication Therapy Management Programs (MTMP) to ensure that qualified beneficiaries use safe and appropriate medications for their medical conditions. Under CMS guidelines,...

3-7-2018

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