Abarca Health

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Simplify's Rating
Why Abarca Health is rated
C
Rated D+ on Competitive Edge
Rated B on Growth Potential
Rated C on Rating Differentiation

Industries

Healthcare

Company Size

501-1,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Aventura, Florida

Founded

2005

Overview

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health stands out by managing over $5.3 billion in drug spend and processing 100 million prescription claims annually, along with offering innovative services like home delivery for prescriptions in Puerto Rico. The company's goal is to deliver exceptional service, as shown by its clients achieving high ratings, including a 5-star Part D rating.

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Simplify's Take

What believers are saying

  • Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.
  • Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.
  • Recognition as a top IT workplace attracts top talent, driving innovation.

What critics are saying

  • Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.
  • Growing focus on specialty drugs may require platform adaptation.
  • Shift towards price transparency could pressure Abarca's pricing models.

What makes Abarca Health unique

  • Abarca Health's Darwin platform is highly adaptable and user-friendly.
  • The company offers innovative programs like Triple S en Casa for home delivery.
  • Abarca Health ensures compliance with ever-changing healthcare regulations.

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Benefits

PTO

Parental leave

Work flexibility

Health insurance

Wellness stipend

401k

Tuition reimbursement

Leadership development programs

Company News

PR Newswire
Mar 27th, 2024
Abarca Forward Conference Forges Strategies For Adopting Ai And Transformative Models In Healthcare

Healthcare and technology leaders discussed and debated necessary changes for industry evolution, including the role of pharmacies, GLP-1s, and price transparency.SAN JUAN, Puerto Rico, March 27, 2024 /PRNewswire/ -- Abarca, a pharmacy benefit manager (PBM) transforming the industry with a new approach to technology and business practices, brought healthcare and technology leaders together at the third annual Abarca Forward Conference to discuss, co-create, and debate how to create a better care experience for everyone. Jason Borschow welcomes healthcare and technology leaders to the third annual Abarca Forward. "The healthcare landscape is undergoing a transformation," said Jason Borschow, president and CEO at Abarca. "The industry needs to find ways to accelerate this progress and make healthcare more seamless, personalized, and convenient for everyone. And that's what we're solving for at Abarca Forward."This year, Abarca Forward offered an in-depth exploration of AI in pharmacy benefit management. This included a co-creation session led by Microsoft and Xtillion that enabled attendees to experience the capabilities of AI in real time

PR Newswire
Nov 28th, 2023
Abarca Named To Computerworld 2024 List Of Best Places To Work In It

Pharmacy benefit manager and healthcare technologycompany recognized for its people-first workplace.SAN JUAN, Puerto Rico, Nov. 28, 2023 /PRNewswire/ -- Abarca, a pharmacy benefit manager (PBM) transforming the industry with a new approach to technology and business practices, announced that Foundry's Computerworld has named it one of the 2024 Best Places to Work in IT."Abarca has built, grown, and evolved our organization upon our advanced technology and powerfully positive corporate culture," said Serge Perras, Chief Information Officer at Abarca. "Everything we do is rooted in our core values that encourage us to think boldly and treat each other like family."Abarca was founded in 2005 with the belief that there is a better way for people and companies to work together, connect with each other, and make healthcare seamless and personalized for everyone.Since then, the company has built the industry's most advanced PBM platform, Darwin. This technology has empowered Abarca to introduce award-winning clinical programs, forge innovative partnerships, serve large clients with complex needs, and grow its team to more than 600 employees."Technology is playing an increasingly important role in modern business. IT professionals continue to benefit from this trend, as this year's winning organizations increase staffing and offer a variety of pathways to upskill, reskill, and diversify their teams," said Rob O'Regan, global director at Foundry. "These companies provide a model for IT and HR leaders who are looking for new ways to attract, engage, and retain talent in an increasingly competitive IT environment."For nearly 30 years, the Computerworld Best Places to Work in IT award has ranked the top environments for technology professionals based on a comprehensive questionnaire regarding company offerings, including benefits, career development, and DEI, among other human resources best practices

Drug Store News
Aug 18th, 2023
Blue Shield of California drops CVS Caremark, collaborates with Amazon Pharmacy, Mark Cuban Cost Plus Drug Company

Additionally, Blue Shield of California announced its collaboration with Abarca, who "will pay prescription drug claims quickly and accurately while continuing to evolve its technology platform, Darwin, to support new, simplified payment models.

Forbes
Aug 17th, 2023
Major Insurer Blue Shield Of California Drops Cvs For Amazon, Cuban’S Cost Plus Drugs In Cost-Cutting Move

Topline. Blue Shield of California said it hopes to save $500 million a year by dropping its affiliation with CVS Health's Caremark and splitting the majority of its pharmacy benefits across three partner companies—Amazon, the Mark Cuban-owned Cost Plus Drugs and Abarca—the Wall Street Journal reported Thursday. American retail and health care company CVS Pharmacy logo seen at one of their stores. SOPA Images/LightRocket via Getty Images Key Facts

Forbes
Aug 17th, 2023
Cvs Retains Blue Plan’S Specialty Pharmacy Business And That’S Where The Money And Costs Are

CVS Caremark will “provide specialty pharmacy services for (Blue Shield of California) members with . [+] complex conditions, including education and high-touch patient support,” the drugstore chain said Thursday, Aug. 17, 2023. In this photo is a CVS Pharmacy logo seen at one of their stores in San Francisco on January 23, 2020. (Photo by Alex Tai/SOPA Images/LightRocket via Getty Images) SOPA Images/LightRocket via Getty ImagesNews CVS Health is losing a regional health plan’s pharmacy benefit account to Amazon and Mark Cuban’s Cost Plus Drugs isn’t all that bad for the large drugstore chain and its Caremark PBM.Blue Shield of California Thursday said it was working with several companies to manage the prescriptions of its nearly 5 million health plan members, including Amazon Pharmacy, Cuban’s company and a fast-growing PBM known as Abarca, which will “pay prescription drug claims.” Financial terms of the arrangement were not disclosed.But CVS Caremark will “provide specialty pharmacy services for members with complex conditions, including education and high-touch patient support,” Blue Shield said.As more expensive specialty drugs from Alzheimer treatments to new drugs for cancer hit the U.S. market, those handling prescriptions and their claims are bracing for an even larger focus on these costly medicines.Health plans and pharmacy benefit managers (PBMs) that manage drug costs say specialty drugs now account for 50% or greater of the total prescription spending they manage

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