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prima:Health Coalition calls on Donald Trump to fix Medicare Advantage plan payments

The group represents 33 organizations from the healthcare sector and private industry

November 19, 2025 - 6:29 PM

According to Rivera, 60% of Puerto Rico's population receives their care through the Medicare, Medicare Advantage or Medicaid programs (GFR MEDIA).
The organizations stated that benchmarks for payment to MA plans in Puerto Rico are still 41% below the U.S. average and 22% below the U.S. Virgin Islands.

The Health Coalition, made up of 33 health care and private industry organizations, on Wednesday called on President Donald Trump and his administration to address the “structural flaws” in the payment formula for Medicare Advantage (MA) plans in Puerto Rico.

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