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The Coalition is Preparing for the New Cycle of Regulations for Medicare Advantage (MA) and Part D Payments
POLICY BRIEF #2
CMS is entering the cycle of regulations for payments of Medicare Advantage (MA) and Part D 2016. Funding for MA &
Part D has been reduced by $ 1 billion annually for the past four years...
Creating Balance & Objectivity When Starting From an Uneven Statutory Platform: What Can be Done? The Coalition’s Response.
POLICY BRIEF #1
The Coalition submitted a special report to CMS regarding the differences in MA and Part D STAR rating quality measurements for dual eligible
vs. non dual eligible beneficiaries...
The Medicare Platino Program for Dual Eligible in Puerto Rico and Projected Additional Reductions in MA
POLICY BRIEF #5
Without MA, covering the dual population could cost $500M to $800M more to PR Government, which is already operating
with a deficit in the Medicaid program....
Incongruence in ACA Provisions on PR Calls for Suspension of the Health Insurance Provider’s Fee (HIT)
POLICY BRIEF #3
Puerto Rico is exempted from the ACA’s exchange mandates and subsidies, but it’s still being assessed for the ACA
fee intended to fund them. Puerto Rico and the rest of the...
MMAPA is a non-for-profit association comprised of the leading Medicaid and Medicare Advantage organizations in Puerto Rico: Humana, MCS, MMM/PMC and Triple-S Advantage. This association was born in 2009 to evaluate and act about the implications of new government policy on funding for Puerto Rico’s healthcare system.
The Proposed MA & Part D Regulation Presents a Worrisome Scenario for Puerto Rico's Healthcare Delivery System
POLICY BRIEF #4
The Medicare Advantage (MA) & Part D funding for Puerto Rico (PR) could suffer an estimated reduction of up to 14% for its payments in 2016 compared with 2011 rates, based on the revision of the proposed MA ...