Amidst a long lasting recession, Medicare program benefits in Puerto Rico re suffering the largest funding cuts in the United States, estimated at $700 million since the Affordable Care Act began to be implemented in 2011, healthcare leaders from the Puerto Rico Medicare Coalition for Fairness said Monday.
The market dominance of government-based healthcare coverage in Puerto Rico is driving managed care organizations to cover more generic drugs as fewer residents can afford more expensive plans, according to a recent report released by Mass.-based healthcare industry analyst firm Decision Resources Group.
On June 28, 2010, the U.S. Supreme Court ruled that the HC Reform is largely constitutional, upholding the individual mandate provision. The individual mandate is the provision that requires Americans to maintain health coverage. While it is still uncertain if this provision would apply to Puerto Rico, or what impact it would have on the HC Reform come January 2013, we are certain that employers will continue to face challenging decisions regarding healthcare.