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At MMAPA, we support the efforts led by the Government of Puerto Rico to strengthen and provide greater stability to the Medicaid program as we approach the September 30, 2027 expiration of the curren
The presentation of the Government of Puerto Rico’s report supporting its request for continued federal Medicaid funding brought together Governor Jenniffer González-Colón, Puerto Rico’s health leadership, PRFAA, Resident Commissioner Pablo José Hernández, and representatives from healthcare and business organizations. This multisector effort underscores the importance of working together and acting early to present Congress with data and solutions that reflect the needs of P
Sep 28
Advocacy efforts intensify in Washington for the approximately 1.7 million people who rely on Medicaid and Medicare Advantage for health care
Washington, D.C. – A delegation from the Medicaid and Medicare Advantage Products Association of Puerto Rico (MMAPA), joined by other health care leaders, concluded a visit to Washington, D.C., this week to advance concrete solutions for the more than 1.7 million people who rely on both programs for access to health care, and to ensure that data and policy options that address the unique characteristics of Puerto Rico’s health care system on the federal agenda. During the vis
Sep 23
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.
Sep 22
14 House Republicans Urge Medicare Advantage Payment Action for Puerto Rico
Led by Rep. Greg Murphy (R-NC), the proposal calls on HHS and CMS to establish a minimum Medicare Advantage payment floor for Puerto Rico beginning in 2028, comparable to the U.S. Virgin Islands. The request comes as CMS develops the proposed 2028 MA rule and could impact 96% of Medicare beneficiaries on the island—the highest MA participation rate in the nation. Why it matters: Puerto Rico offers a unique Medicare Advantage case study for federal policymakers: 96% of Medicar
Aug 10
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.
Jul 21
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.
Jul 1
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
Jun 17
The Future of Medicare Advantage in Puerto Rico: Moving Toward Sustainable Funding Solutions for 2028
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 Admin
Jun 16
The Future of Medicare Advantage in Puerto Rico: Moving Toward Sustainable Funding Solutions for 2028
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
Jun 12
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