Abarca and Molina Healthcare Partner To Offer Preventive Care Program For Members

The partnership will offer Medication Therapy Management services to improve access to preventive care.

SAN JUAN, PRAbarca, a pharmacy benefit manager (PBM) that is disrupting the industry with an entirely new approach to technology and business practices, and Molina Healthcare Puerto Rico, a locally operated subsidiary of Molina Healthcare, Inc. (NYSE: MOH), announced today that they have entered into a two-year agreement to offer Medication Therapy Management (MTM) services to Molina’s Members. This service will be powered by Abarca’s Darwin RxTarget™ clinical module, which will focus on key quality measures to improve access to preventive care.

“When it comes to helping Molina increase medication access and adherence for its members, we are all in,” said Jason Borschow, president & CEO of Abarca. “The newly enhanced RxTarget™ is just one of the advanced clinical modules that can be licensed individually from Darwin, our smarter PBM platform. By leveraging this industry-leading technology, and a strong collaboration with our partners, we are finding new, highly targeted, and effective approaches to improving health outcomes.”

The program will allow Molina’s members to comply with higher generic dispensing rates; increase adherence to formulary drugs; and improve medication adherence for people who have diabetes, high cholesterol, hypertension, depression, rheumatoid arthritis, and other chronic conditions. Additionally, the program includes targeted safeguards to reduce opioid overutilization. 

“Molina is always exploring ways to improve the overall health and well-being of our members, and this partnership allows us to accomplish that by increasing access to care and educating those we serve,” said Carlos A. Carrero, president of Molina Healthcare of Puerto Rico. “We are committed to improving the health of our members across the Island and are equally focused on ensuring each one has an appropriate care plan and the support they need to improve their health. We are thrilled to work alongside Abarca to empower our members with chronic conditions to feel comfortable managing their health.”

Enhanced RxTarget™ Program

Abarca officially announced earlier this week some additional enhancements to the RxTarget™ program, including a reward-for-performance component for pharmacies. This initiative is powered by Darwin, Abarca’s more innovative PBM platform, and managed through a clinical module of the same name. 

While traditional direct and indirect remuneration (DIR) programs often penalize pharmacies, RxTarget™ is built on a bonus-for-performance approach and focuses on quality measures that impact patient outcomes. Through one year of pilot testing, the RxTarget™ bonus-for-performance component has been proven to extend the adherence curve across all conditions, and it’s showing an increase in adherence by four points in some cases. 

Based on CMS Star Ratings and executed using Darwin’s industry-leading reporting capabilities, this program allows pharmacies to contribute more meaningfully to health plans’ performance. By giving pharmacies access to a sophisticated online platform and the ability to prioritize and track members, the RxTarget™ program empowers and incentivizes pharmacies to make interventions, improve adherence, and deliver benefits for all parties involved. 

“Improving outcomes for members requires buy-in from every level of care,” added Borschow. “By leveraging Darwin’s advanced analytic capabilities and giving pharmacies new tools, RxTarget™ is a new way to achieve better member health.”

Darwin RxTarget™ module is a predictive analytics tool that enables health plans to identify members that may need further intervention quickly and more efficiently focus their clinical strategies. This cloud-based application provides a customizable dashboard that incorporatesAbarca’ss proprietary clinical decision-making algorithms and a tailored view of beneficiaries and prescribers in real-time.


About Abarca

Abarca is igniting a revolution in healthcare. It started by redefining pharmacy benefits, but this is just the beginning. It is built on the belief that there is a better way for people and companies to work together, connect with each other, and make healthcare awesome for everyone. With more innovative technology and a straightforward approach to business, Abarca provides a much better experience and greater value for payers and consumers. They have challenged many industry conventions for nearly a decade and trampled on a few. So, call them a PBM for discussion purposes, but they are unlike any other company out there. Join the revolution at abarcahealth.com.

About Molina Healthcare of Puerto Rico

Since 2015, Molina Healthcare of Puerto Rico has provided government-funded care for low-income individuals. The Company serves members through the government’s health program. Molina’s service areas span island-wide across Puerto Rico, with regional offices in Humacao, Ponce, and Yauco. For more information, visit molinahealthcare.com and connect with us on FacebookTwitterInstagram, and YouTube.