Pharmacy benefit manager (PBM) Abarca and Molina Healthcare Puerto Rico announced today that they have entered into a two-year agreement to offer medication therapy management services to Molina’s members. This service will be powered by Abarca’s Darwin RxTarget module, which will focus on key quality measures to improve access to preventive care.
Darwin RxTarget is a predictive analytics tool that enables health plans to identify members that may need further intervention and focus their clinical strategies. This cloud-based application provides a customizable dashboard that incorporates Abarca’s proprietary clinical decision-making algorithms and a tailored view of beneficiaries and prescribers in real-time.
“When it comes to helping Molina increase medication access and adherence for its members, we are all in,” Jason Borschow, president & CEO of Abarca said in a press release. “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.”
Molina’s members must meet one of four criteria to participate in the program, including those who:
• Suffer at least two chronic medical conditions or one high-cost (HC) condition (Rheumatoid Arthritis, Multiple Sclerosis, End-Stage Renal Disease)
• Are taking more than three chronic medications simultaneously
• Are expected to spend at least $2,000 in chronic medications during the year
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 suffering from 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,” Carlos A. Carrero, president of Molina Healthcare of Puerto Rico indicted. “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.”
Molina Healthcare of Puerto Rico beneficiaries who need assistance in accessing the services offered, information on benefits, replacing ID cards, or for any additional assistance in services may contact Molina Healthcare of Puerto Rico at 1-877-335-3305 or TTY/TDD 711.