PR may avoid ‘Medicaid cliff’ with $1B in new federal aid
October 10, 2017
Puerto Rico stands to receive a $1 billion assignment from U.S. Congress under the State Children’s Health Insurance Program, which would cover the local government’s public healthcare coverage plan for the medically indigent through Sept. 30, 2018, said Health Insurance Services Administration Executive Director Ángela Ávila.
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Op-Ed: PR’s healthcare system needs urgent action
March 8, 2017
In their almost 52 years of existence, Medicaid and Medicare, jointly with the Children’s Health Insurance Program (“CHIP”), have alleviated the suffering of millions of children, low-income adults and elderly people by enabling them to access dignified health care.
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CMS pitch may usher 1.6% Medicare fund growth for PR
February 27, 2017
The Advance Notice and Draft Call Letter recently issued by the Centers for Medicare and Medicaid Services includes proposals that if finally implemented would result in a minor net increase of 1.6 percent to calendar year 2018 Medicare Advantage benchmark rates for Puerto Rico.
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Study questions Medicare Advantage benchmarks for PR
January 31, 2017
Puerto Rico's traditional Medicare population is not representative of the island's much larger Medicare Advantage membership, questioning its use as the foundation for establishing MA benchmarks on the island.
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Rosselló calls for increased Medicare Advantage funding
January 26, 2017
Gov. Ricardo Rosselló sent a letter Wednesday to Acting-Secretary of Health and Human Services, Norris Cochran, advocating for increased funding to the Medicare Advantage plans operating in Puerto Rico, which serve over 570,000 elderly island residents including some of the most vulnerable among them.
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Triple-S Advantage receives 4 stars and 5 stars in Part D
October 18, 2016
Triple-S Advantage’s HMO contract (H5774) received a 4-star rating from the Centers for Medicare and Medicaid Services (CMS) 5-star rating system as a result of the company’s close collaboration with its healthcare providers and business partners to provide quality services to the Medicare Advantage population, the insurance provider announced Monday.
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Congress must protect P.R’s ‘fragile’ health-care system
February 4, 2016
WASHINGTON — The prognosis for Puerto Rico’s health system is already critical and will only get worse if Congress doesn’t act fast, warned a panel of doctors and finance experts meeting on Capitol Hill this week.
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Medicare refund rates for P.R. hospitals to be increased
January 19, 2016
Puerto Rico hospitals will soon begin receiving the same basic reimbursement rate — known as the “base rate” — as hospitals in the U.S. mainland for treating Medicare patients, Resident Commissioner Pedro Pierluisi said Monday.
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Constellation Health announces mobile enrollment app
October 15, 2015
As part of its efforts to continue to grow its Medicare Advantage market share on the island, Constellation Health has partnered with local startup, Celero Health Solutions, to enable their enrollment agents with a mobile solution to streamline the end-to-end sales through enrollment process.
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Constellation Health pursuing islandwide service by ’16
March 17, 2015
Medicare Advantage provider Constellation Health is looking to expand its services to Puerto Rico’s 78 municipalities starting January 2016, anticipating that the move will create more jobs and usher in the acceptance of more members who will benefit from the advantages of that health plan.
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AHM, Triple-S consolidate Medicare Advantage offerings
October 1, 2014
American Health Medicare and Triple-S Salud will begin the October open enrollment period for Medicare Advantage with a line of products aligned under a single brand: Triple-S Advantage.
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Triple-S reports $584.8M in revenue for 1Q14
May 7, 2014
Triple-S Management Corp. managed care company announced Tuesday consolidated revenues of $584.8 million and consolidated operating income of $10 million for the three months ended Mar. 31, 2014.
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Gov. supports fight for fair Medicare funding for P.R.
March 7, 2014
Puerto Rico Gov. Alejandro García-Padilla, publicly expressed his full support to the Puerto Rico Medicare Coalition for Fairness’ efforts aimed at repairing disparities in Medicare funding to the island during the Puerto Rico Chamber of Commerce’s 2014 Health and Insurance conference that took place this week at the Condado Plaza Hilton hotel.
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Healthcare leaders turn to Obama to defend Medicare
February 25, 2014
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.
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Puerto Rico gov’t health plan adoption driving market
January 14, 2014
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.
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