The Problem: The cost of specialty medications continues to rise. With a growing pipeline of specialty drugs and newer therapies costing in excess of $100,000 for a single course of treatment, a handful of claims can significantly impact a plan’s financial performance and stability. At the same time, utilization of specialty drugs, particularly those treating […]
Design Articles
Introducing Assura: Abarca’s new net cost guarantee pricing solution
November 22nd, 2021 by Abarca NewsAbarca’s home delivery pharmacy solution, TripleS en Casa, selected as finalist at PBMI Innovation Challenge
November 8th, 2021 by Abarca NewsAbarca’s home delivery pharmacy solution, TripleS en Casa, was selected as one of five finalists for the 2021 PBMI Innovation Challenge. The Challenge was created to identify new and innovative concepts in pharmacy benefit management that can help stakeholders improve both clinical and economic outcomes. Abarca believes that by empowering members, we can help them […]
The potential benefits of dietary supplements for Medicare patients
November 3rd, 2021 by Abarca NewsAs of 2018, nearly 60 million Americans are enrolled in Medicare. Most beneficiaries are 65 or older, and given their age and pre-existing conditions, members of this population face unique health challenges that must be carefully managed by their healthcare providers, as individual needs will vary for every person. A person’s age, diet, family health […]
First Medical renews & expands their partnership with Abarca for pharmacy benefit services
October 16th, 2021 by Abarca NewsSan Juan, PR. — Abarca, a pharmacy benefit manager (PBM) that is revolutionizing the industry with a new approach to technology and business practices, today announced that First Medical Health Plan, a health plan in the commercial and Medicaid space, have once again renewed their relationship for PBM services for an additional three years. This time, with […]
Better Analytics & Clinical Programs.
October 15th, 2021 by Abarca NewsAbarca’s technology platform, Darwin™, provides the highest levels of business intelligence and visibility into costs and trends. Our medication therapy management, chronic disease, and other clinical programs provide members the care they need to stay adherent and healthy, while also controlling plan costs.
A “Client First” Approach.
October 15th, 2021 by Abarca NewsWe are driven to lower the cost of pharmacy for our clients without increasing the burden on their members. With our guaranteed price model, Abarca makes quarterly reconciliation payments and provides full reporting.
Total Predictability.
October 15th, 2021 by Abarca NewsBy implementing this new cost model, plans will be better positioned to budget their drug spend into the future with confidence. Abarca makes quarterly payments under the guarantee and provides full reconciliation and reporting.
A Straightforward & Understandable Financial Model.
October 14th, 2021 by Abarca NewsAbarca then goes to work and develops a new, straightforward, and understandable net cost model that protects the plan from the most common sources of cost increases, including drug mix, inflation, and other factors. This model excludes utilization changes resulting from shifts in the disease burden of the population.
How It Works: A Partnership.
October 13th, 2021 by Abarca NewsAbarca will utilize the plan’s claims history, eligibility, plan design, and utilization strategies to calculate a per script guarantee. Our pricing option continues to put the plan in control: the plan maintains the choice of plan design and utilization management rules.