who we serve.

Abarca has deep experience serving public and private sector organizations, including: Medicare and Commercial Health Plans, Self Insured Employers, State Medicaid Programs, and Large Insurers and PBMs.

Medicare and Commercial Health Plans

Achieving 5-stars in Part D requires the right clinical programs, formulary, and rebate management, finely tuned quality measurement, and worry-free CMS compliance and audit support. Our award-winning track record in Part D plans speaks for itself.

Medicaid Plans and State Government

Medicaid and state government programs are drowning in a sea of red tape, budget cuts, and policy uncertainty and upheaval. Regulations to prevent fraud, maintain quality, and control costs add paperwork and risk to plan sponsors. We understand. We have helped programs successfully navigate some of the most significant regulatory, financial, and demographic challenges in the nation.

Large Insurers and PBMs

Many legacy PBMs developed their platforms a decade or more ago, and they have stuck with them. This means that for large insurers and PBMs looking for a platform to utilize, the options are limited and generally outdated, inflexible, and unfriendly. We don’t think like a legacy PBM and, in many ways, Darwin, our smarter platform shows it. We designed Darwin from scratch and built it in-house. It is modern, flexible, intuitive, and powerful.

Self-Insured Employer Groups

We designed our PBM carve-out services to be convenient and uncomplicated while providing employers with greater control over plan design, costs, and the member experience.

Our Core Values 03

off road

be bold.

Expand your comfort zone and explore bold new paths every day.

OUR JOURNEY

JOIN THE REVOLUTION.

Why can’t healthcare be awesome? We say it can. And we are making it awesome for millions of consumers across America and the plan sponsors that serve them. Contact us to learn more.