THE CHALLENGE Plan sponsors are currently experiencing a high degree of volatility in drug spend, largely driven by expensive specialty medications. These drugs often account for less than 2% of all claims¹, but can represent more than 50% of total...
12-16-2021
TRASFONDO Para mantener la adherencia a medicamentos de los afiliados, hace falta una coordinación cuidadosa entre los planes de salud, los proveedores y los administradores de beneficios de farmacia (PBM, por sus siglas en inglés). No obstante, las farmacias suelen...
6-5-2021
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
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
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
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
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
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
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
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
