ABSTRACT

Puerto Rico: Efforts to Improve Competition for Medicaid Procurement, Statement of Carolyn L. Yocom, Director Health Care, Testimony Before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives   [open pdf - 228KB]

From the Document: "Thank you for the opportunity to discuss the Medicaid program in Puerto Rico. Among the U.S. territories, Puerto Rico administers the largest Medicaid program, covering over 1 million beneficiaries at a total cost of $2.5 billion in 2018. Like other states and territories, Puerto Rico implements major functions of its Medicaid program by procuring a variety of administrative and other services from contractors. In calendar year 2018, states and territories paid contractors at least half of the $619 billion in total Medicaid expenditures. In that same year, Puerto Rico paid contractors at least 96 percent ($2.4 billion) of its $2.5 billion in total Medicaid expenditures, primarily to managed care organizations (MCO) for coverage of Medicaid services."

Report Number:
GAO-21-454T
Author:
Publisher:
Date:
2021-03-17
Copyright:
Public Domain
Retrieved From:
Government Accountability Office: https://www.gao.gov/
Format:
pdf
Media Type:
application/pdf
URL:
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