The U.S. Government Accountability Office (U.S. GAO) released a report urging the Centers for Medicare & Medicaid Services (CMS) to crack down on Puerto Rico’s procurement process, as in 2018 the Commonwealth paid contractors almost all of its Medicaid spending, or 97% of its $2.5 billion budget. The GAO’s recommendation of a “risk-based oversight approach” […]
The Medicaid and Medicare Advantage Products Association of Puerto Rico (MMAPA) has turned to the federal court to challenge Law 90, which establishes fees for the payment of services under Medicare Advantage plans, claiming the bill jeopardizes benefits for thousands of insureds, and encroaches on federal law by trying to regulate MA funds or their […]
U.S. Congressman Darren Soto introduced bipartisan legislation to provide equal access to federal resources for Medicaid to American citizens living in U.S. territories, the lawmaker’s office announced. H.R. 3631, known as the Territories Health Care Improvement Act, increases the limit on Medicaid payments and the federal medical assistance percentage for the five U.S. territories: Puerto […]
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