AGP Executive Report
Last update: 9 hours agoRegulatory Pressure on Insurers: Puerto Rico’s Health Insurance Administration (ASES) confirmed it issued two multimillion-dollar fines to First Medical after audit irregularities—$1.8M tied to provider claims handling and $1.4M tied to missing call-center performance metrics—while warning it can cancel contracts for noncompliance. Hospital Payment Crunch: A separate Puerto Rico Senate investigation says insurers collectively owe major hospitals, including $16M to the Puerto Rico Medical Center in Río Piedras, and points to gaps between what private hospitals get paid versus public facilities. Public Health Watch: New CDC-linked reporting highlights a sharp U.S. dengue jump in 2024 driven mostly by travel, with Puerto Rico and the U.S. Virgin Islands among the biggest sources of imported cases. Food Access Boost: Northwest Tennessee’s Local Food Network won a $500,000 USDA Farm to School grant to expand local food into schools—an example of how nutrition programs can connect kids, farmers, and healthier choices.
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