Friday, August 2, 2013

HEALTH: More can be done to access Obamacare funding

The Department of Health and Human Services posted yesterday a progress report for the implementation of the Affordable Care Act that specified funding disbursed to comply with the law in Puerto Rico.

      Much of the funding made available through the Affordable Care Act (ACA) is non-entitlement funding (funding that is not from Medicare, Medicaid or other programs to which the residents of Puerto Rico are "entitled") which means that organizations in Puerto Rico must request and compete for this funding.  The Federally Qualified Health Centers on the Island, most of which are non-profit organizations, have been the most proactive in accessing this type of funding and have been extremely successful in accessing $72,481,344 to expand care and provide high quality services for our residents.

A significant amount of the non-entitlement funding made available through the ACA is provided through  the CMS Centers for Innovation (CMMI) which was designed to support the development and testing of innovative health care payment and service delivery models.  From 2010 to present, CMMI has already spent close to $5 billion of the $10 billion in appropriations which they have to spend before 2019.  According to the data made available yesterday, Puerto Rico has only received $9,617,205 from this fund, leaving the Island behind the curve on much needed service delivery reform to address the Island's significant health disparities.  Government, corporations, non-profits, universities and other types of organizations are eligible to apply.


Affordable Care Act Statistics for Puerto Rico:
  • In Puerto Rico, people with Medicare saved over $138.9 million on prescription drugs since the law’s enactment.  In 2012 alone, 85,781 individuals in Puerto Rico saved over $56.1 million, or an average of $655 per beneficiary.
  • In Puerto Rico, 58,993 individuals with traditional Medicare used one or more free preventive service in 2012.  This means that 58,648 Puerto Rico residents with private insurance coverage will benefit from $5,508,831 in rebates from insurance companies this year, for an average rebate of $225 per family covered by a policy.
  • Puerto Rico has received $3,000,000 under the new law to help fight unreasonable premium increases.
  • Puerto Rico has received $917,205 in grants for research, planning, information technology development, and implementation of Affordable Insurance Exchanges.
  • Since 2010, Puerto Rico has received $3,200,000 in grants from the Prevention and Public Health Fund created by the Affordable Care Act. This new fund was created to support effective policies in Puerto Rico, its communities, and nationwide so that all Americans can lead longer, more productive lives.
  • In Puerto Rico, 20 health centers operate 73 sites, providing preventive and primary health care services to 362,271 people.  Health Center grantees in Puerto Rico have received $72,481,344 under the Affordable Care Act to support ongoing health center operations and to establish new health center sites, expand services, and/or support major capital improvement projects.
  • $1,095,081 for school-based health centers to help clinics expand their capacity to provide more health care services and modernize their facilities. 
  •  $2,500,000 for Maternal, Infant, and Early Childhood Home Visiting Programs.

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