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301:, the government tried to cut back on services and eliminated many participants from the program in an effort to curtail expenditures. However, the program still requires a substantial amount of funds to cover its $ 1.4 billion annual expenditures (2005). In 2005 alone, only $ 400 million was generated from participant deductibles and charges for services to cover program expenses, while the remaining $ 1 billion in expenses was covered by a subsidy provided by the state government.
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2001. Subsequent to 1994, all government hospitals and medical centers were sold to private companies and investors, including local medical groups and companies composed of doctors. The only exception to the privatization plan was that the Rio
Piedras Medical Center would be (and still is) run by the commonwealth government.
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The privatization plan required the service population to be divided into geographical areas with each area assigned to a sole insurance carrier by means of a services contract awarded through competitive bidding and proposals. The designation and assignment of geographical areas were finalized in
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Regardless of its name, as its restructured by different governors of Puerto Rico- the plan is now called "Vital"- and is there to manage the
Medicaid of Puerto Rico. Puerto Rico's Medicaid is covered by a block grant from the United States and the program must conform to federal guidelines. The
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medical healthcare provider instead of contracting an insurance company, and the government has stated that this and other programs may be implemented and expanded in the future in order to reduce costs. However, some politicians, including former Gov. Pedro
Rosselló, are campaigning to create a
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These criticisms and fallbacks led the government to implement more stringent controls over the operations of the Reform as well as to diversify the way it provides services to beneficiaries. A pilot project began in 2003 whereby the government contracted the services of one area directly to a
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proposed and implemented the privatization of the public health system under the name "Health Reform". The privatization plan included selling the government-owned hospitals and medical centers to local and United States investors and then implementing a universal free and/or low-cost health
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in
Spanish) which is considered the largest hospital on the island and one of the largest in the Caribbean. However, this system presented substantial costs to the government while generating increasing criticism from the public and media citing a sluggish bureaucracy and poor services from
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266:. Several politicians, private investors, and government employees have been accused and/or convicted of perpetrating bribery and extortion schemes during the selling and acquisition of government medical centers. One of the most famous convictions was that of prominent
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insurance plan for poor and needy citizens. The only exception to the Reform was that mental health benefits and services were to be provided by behavioral healthcare and mental healthcare companies, and not by insurance carriers.
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companies, as opposed to the traditional system of government-owned hospitals and emergency centers. The Reform is administered by the Puerto Rico Health
Insurance Administration.
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for the fiscal year ended on June 30, 2005; pg. 38; Combining
Statement of Activities: Major Component Units; Puerto Rico Health Insurance Administration (line item)
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program in the form of a block grant, unlike how states of the United States
Medicaid programs are funded and in 2019 much of the funding was slashed.
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for the fiscal year ended on
December 31, 2005, pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934, accessed on November 4, 2006.
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The privatization plan has met subsequent criticisms from different industry and public sectors, who argue that the plan was marred with
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The three largest insurance companies operating in Puerto Rico are currently the only ones participating in "The Reform". These were
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94:(The Vital Plan) but they are all Medicaid, a government-run program which provides medical and healthcare services to indigent and
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The Reform faced criticism because of the increasing costs associated with the system. Under the administration of Gov.
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health plan which is a "subset of the larger public government healthcare delivery system" of Puerto Rico. It was
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program is, similar to other
Medicaid programs of states of the United States. The funding is by the U.S.
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407:"The Demand and Supply of Physicians in Puerto Rico: Historical trends and forecasting 2013 to 2019"
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435:"Programa Medicaid (Plan de Salud del Gobierno) | Departamento de Salud de Puerto Rico"
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system by expanding the reform program to all citizens that lack a private insurance plan.
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Please help update this article to reflect recent events or newly available information.
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As of March, 2018 Puerto Rico had 86 operational health centers accepting
Medicaid.
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525:"Health Centers in Puerto Rico: Operational Status after Hurricane Maria"
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Commonwealth of Puerto Rico 2005 Comprehensive Annual Financial Report
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507:"America's 'Shame': Medicaid Funding Slashed In U.S. Territories"
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Office of Minority Health Grant, Puerto Rico Department of Health
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Puerto Rico's indigent population has relied exclusively on the
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for their healthcare needs since the start of the island's
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Triple-S Management Corporation Annual Report (Form 10-K)
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Government health plan of Puerto Rico Official website
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37:may be compromised due to out-of-date information
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318:program is run by means of contracting private
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106:(The Reform) — for many years. Puerto Rico's
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493:"Puerto Rico's Post-Maria Medicaid Crisis"
405:Alameda Lozada, José (18 November 2013).
212:Learn how and when to remove this message
577:Puerto Rico Department of Health website
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286:with 40.4% of the Reform beneficiaries,
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102:. It was locally referred to simply as
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363:Nutrition Assistance for Puerto Rico
150:adding citations to reliable sources
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244:unprofessional government workers.
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491:Torres, Mc Nelly (June 11, 2019).
471:"Mi Salud is looking for partners"
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84:", later it was called "
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272:Edison Misla Aldarondo
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609:Health in Puerto Rico
358:Universal health care
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268:New Progressive Party
264:government corruption
288:Medical Card Systems
146:improve this article
477:. February 9, 2018.
457:www.medicaid.pr.gov
353:Health care systems
233:commonwealth status
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340:Puerto Rico portal
527:. March 16, 2018.
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453:"Medicaid"
374:References
278:The reform
172:newspapers
104:La Reforma
81:La Reforma
585:(Spanish)
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326:See also
112:Medicaid
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118:History
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