The most underfunded Medicaid program in the nation delivers the lowest net PMPM spending on pharmacy benefits
The most underfunded Medicaid program in the nation delivers the lowest net PMPM spending on pharmacy benefits
1 PagesCASE STUDY SEEING OPPORTUNITY The most underfunded Medicaid program in the nation delivers the lowest net PMPM spending on pharmacy benefits THE CHALLENGE Even in the best of times, state health and welfare programs face increasing demands and tight budgets. In this case, the pressure was extreme. Abarca was approached by a state Medicaid program that had the unfortunate distinction of being the recipient of the lowest federal reimbursements in the nation. It also had among the highest rates of diabetes and other costly chronic conditions. The agency was in search of a new pharmacy benefits partner who could help it become financially sustainable, without compromising member services or the quality of care. After a competitive process, it selected Abarca. THE APPROACH After gaining a
