Rivera named ACAP Preferred Vendor to strengthen pharmacy payment integrity for community health plans

Rivera (formerly HealthPlan Data Solutions), the leader in pharmacy payment integrity, is proud to announce its selection as a Preferred Vendor by the Association for Community Affiliated Plans (ACAP). This designation recognizes Rivera’s commitment to helping community-focused, not-for-profit health plans gain greater clarity and control over their pharmacy spend — ensuring every dollar delivers measurable value to members.

“We’re honored to join ACAP’s Preferred Vendor Program and contribute to the mission of strengthening the safety net,” said Ron Hamm, Chief Executive Officer at Rivera. “Community health plans are navigating increasing complexity and pressure to do more with less. Rivera provides the independent insight and continuous oversight they need to protect resources, strengthen compliance, and ensure pharmacy benefits perform as intended.”

As a Preferred Vendor, Rivera will collaborate with ACAP’s network of 85 health plans, offering continuous, technology-driven oversight that extends beyond traditional fraud, waste, and abuse (FWA) detection. Rivera’s platform delivers real-time visibility into PBM contract performance and plan design implementation, allowing health plans to focus internal resources where they’re needed most. The result is smarter oversight, fewer missed opportunities, and measurable savings across every line of business.

“ACAP is delighted to welcome Rivera as a Preferred Vendor,” said ACAP Chief Executive Officer Margaret Murray. “Our member Safety Net Health Plans look forward to learning more about how Rivera’s technology may support their oversight efforts in this evolving space.” 

Founded by pharmacy and technology leaders, Rivera was built on the belief that visibility and accountability shouldn’t be afterthoughts — they should be the foundation of how pharmacy benefits are managed. The company’s technology applies more than 700 proprietary algorithms and advanced clinical logic to detect inaccuracies, recover misplaced funds, and ensure plan assets are used responsibly all through an independent and unbiased lens.

Pharmacy spend remains one of the fastest-growing and most complex challenges for community health plans. With limited transparency and loosely defined PBM contract terms, payers often face unnecessary cost and operational risk. Rivera helps them regain control, enabling precise, proactive oversight that drives measurable value and lasting alignment.