Fourteen Republican members of the U.S. House are urging the Trump Administration to take administrative action on Medicare Advantage payments in Puerto Rico, where more than 681,000 beneficiaries rely on the program and enrollment is the highest in the nation. Led by Rep. Greg Murphy, Chairman of the House Republican Doctors Caucus, the lawmakers are asking HHS and CMS to establish a minimum payment floor beg inning in 2028, bringing Puerto Rico to the level currently provid

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.

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

Representing Medicaid & Medicare Advantage Products Association of Puerto Rico (MMAPA), I participated in the first meeting of the Multisector Health Committee convened by Governor Jenniffer González Colón. We welcome this initiative with enthusiasm and a strong sense of commitment, confident that it can make a meaningful difference for the more than 1.3 million people—including thousands of children—who rely on the Medicaid program to access healthcare and essential services

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