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

The release of the 2027 Medicare Advantage rates marked an important step forward, but the decisions that will shape Puerto Rico's healthcare future are already being developed for 2028. Recognizing this critical moment, MMAPA recently submitted a letter to CMS leadership reinforcing the need for permanent solutions to the structural funding disparities that continue to impact Puerto Rico's Medicare Advantage program. Building on the ongoing collaboration among CMS, the A

The final Medicare Advantage rates for 2027 represent an important step forward by preventing additional cuts and protecting a program that serves more than 679,000 beneficiaries in Puerto Rico. This outcome reflects the impact of sustained engagement among federal leaders, the Puerto Rico government, and key stakeholders who have elevated the urgency of addressing the island’s Medicare Advantage funding challenges. However, continued collaboration with federal leadership wil

This week, a MMAPA delegation is in Washington, D.C. participating in the MHPA Policy & Leadership Forum, representing the interests of patients and Puerto Rico’s healthcare system. As part of the agenda, we met with congressional leaders to continue advancing discussions on the importance of Congress addressing Medicaid funding for the Island—an essential issue to ensure an adequate and accessible healthcare system. Among these meetings, we engaged with Jonathan Kupperman of

That is why each year’s Medicare Advantage payment policies are so important for the stability of healthcare on the Island. The Medicaid and Medicare Advantage Products Association of Puerto Rico (MMAPA) submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding the 2027 Medicare Advantage Advance Notice. In our letter, we highlight the importance of ensuring that payment methodologies accurately reflect markets where Medicare Advantage is the prim

MMAPA urged the Centers for Medicare & Medicaid Services (CMS) to keep Puerto Rico excluded from the policy that would limit dual-eligible beneficiaries—known as D-SNPs—to only one plan option. These Medicare Advantage plans are a vital lifeline for thousands of older adults who qualify for both Medicare and Medicaid, as they allow them to receive coordinated care, lower out-of-pocket costs, and access benefits that truly make a difference in their daily lives. In an island w

They fear that the federal government will reduce payments to health providers. A new cut to the payment of traditional Medicare home...

The cuts proposed for 2025 will further exacerbate the disparity for thousands of elderly patients on the island Medicare es un programa...

MMAPA and Healthcare Coalition will continue to seek fair solutions for US senior citizens living on the island San Juan (April 4, 2024)...

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For Immediate Release Contact: Melisa Diaz 202.285.0785 /melisa@melisadiaz.com March 20, 2024, San Juan, Puerto Rico – The Puerto Rico...

The historically underfunding of the Medicare Advantage program in Puerto Rico seriously affects our elderly, especially those who suffer...

by Robert King, POLITICO February 9, 2024 https://subscriber.politicopro.com/article/2024/02/this-is-it-puerto-rico-hopes-time-is-now-for...

warned that payments to Puerto Rico plans are 39% below the average at the United States level. “It is very clear that Additional...

San Juan, November 14, 2023 – A group of 20 health-related entities and associations joined the Puerto Rico Medicaid and Medicare...

(San Juan, August 24, 2023) Official financial reports filed by Puerto Rico Medicare Advantage (MA) organizations as of and for the six...

MMAPA is grateful for the experts at HHS who helped lead these town halls and provided information and answers to questions on healthcare...

The series of virtual town halls, which ran last week and is continuing this week, is focused on vaccination and healthcare on the island...

“MMAPA and the healthcare community in Puerto Rico will continue to work with the Biden Administration on a path forward that advances...

New report from Milliman shows Puerto Rico will face a significantly higher MA payment reduction than the national average. MMAPA...