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MMAPA steps up call on CMS to match Puerto Rico’s Medicare Advantage benchmark to the USVI
The conversation must go beyond how much funding is provided and for how long. Puerto Rico needs adequate, stable, and predictable Medicare Advantage funding that reflects the needs of its patients and health care system. With CMS currently developing its 2028 payment policies, the window to address this funding gap is now. This is not a five-year fight. It's about ensuring access to care and preserving a strong network of doctors and providers for the people of Puerto Rico.
Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P)
MMAPA is asking CMS not to apply the new Medicaid payment restrictions to Puerto Rico in the same way as the states. Puerto Rico already has limited Medicaid funding and ongoing provider shortages. MMAPA is concerned that additional restrictions on State Directed Payments could make it harder to retain providers, maintain adequate healthcare networks, and ensure Medicaid patients have access to care.
Congressional Meetings Highlight Progress on Medicaid Legislation and Effortsto Reduce Medicare Advantage Payment Disparities in Puerto Rico
San Juan, Puerto Rico – Representatives of Puerto Rico's healthcare sector concluded a series of meetings this week with Members of Congress and federal agencies, where policymakers expressed growing interest in identifying solutions to strengthen Medicaid and Medicare Advantage, two programs that are the backbone of Puerto Rico's healthcare system.
Puerto Rico’s healthcare system is strongest when we work together.
On June 3, healthcare leaders representing diverse sectors of Puerto Rico’s healthcare community came together to discuss the current landscape of Medicaid and Medicare Advantage and explore opportunities to further strengthen both programs. At a time when critical decisions are being made regarding the future funding of these programs, collaboration, information-sharing, and stakeholder engagement are more important than ever. Puerto Rico has a proven track record of deliver
Puerto Rico Hospital Association and MMAPA Continue Efforts to Improve Traditional Medicare Payments for Puerto Rico Hospitals
San Juan, PR (July 23, 2024) The Medicaid and Medicare Advantage Products Association of Puerto Rico (MMAPA) and the Puerto Rico Hospital Association (PRHA) are continuing their efforts to achieve pay equity in Medicare formulas. They recently submitted letters with recommendations to the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) at the end of June to advocate for fair payment rates to hospitals. The letters include
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