Puerto Rico Resources

CMS Needs to Implement Risk-Based Oversight of Puerto Rico's Procurement Process
Report details the lack of oversight by Centers for Medicare and Medicaid Services (CMS) of contractors hired to facilitate Puerto Rico's Medicaid program. Discusses Puerto Rico's Medicaid procurement process and outlines the risk of fraud, waste, and abuse of funds due to lack oversight.
Additional links: Full Report
Date: 02/2021
Type: Document
Sponsoring organization: Government Accountability Office
view details

Cervical Cancer Screening Among Medicaid Patients During Natural Disasters and the COVID-19 Pandemic in Puerto Rico, 2016 to 2020
Evaluates the ability of healthcare providers to conduct cervical cancer screenings in Puerto Rico during the aftermath of a natural disaster. Compares rates of screening from January of 2016 to June of 2020 and correlates those rates with hurricanes Irma and Maria, the 2019-2020 earthquakes, and the 2020 COVID-19 lockdown.
Author(s): Ana Patricia Ortiz, Axel Gierbolini-Bermúdez, Jeslie M. Ramos-Cartagena, et al.
Citation: JAMA Network Open, 4(10), e2128806
Date: 2021
Type: Document
view details

Puerto Rico Electricity: FEMA and HUD Have Not Approved Long-Term Projects and Need to Implement Recommendations to Address Uncertainties and Enhance Resilience
Report evaluates the response by the Federal Emergency Management Agency (FEMA) and the Department of Housing and Urban Development (HUD) to the damage to Puerto Rico's infrastructure in the three years since hurricanes Harvey, Irma, and Maria hit the island. Bases evaluation on the agencies' response to previous recommendations made by GAO. Discusses the current state of Puerto Rico's electrical grid across the island, including in rural areas.
Additional links: Full Report
Date: 11/2020
Type: Document
Sponsoring organization: Government Accountability Office
view details

Supporting Puerto Rico's Disaster Recovery Planning
Examines the conditions in Puerto Rico before and after Hurricanes Maria and Irma in 2017. Presents a cross-sectional analysis of the disaster in rural and urban areas. Explores the state of healthcare, infrastructure, economy, ecology, and communication in Puerto Rico and discusses plans for recovery.
Date: 09/2020
Type: Document
Sponsoring organization: RAND Corporation
view details

Health and Social Services in Puerto Rico Before and After Hurricane Maria
Report details the conditions of health and social services in Puerto Rico before and after Hurricane Maria. Discusses the challenges faced in providing healthcare and social services across the island before the hurricane, the effect of the hurricane on services and infrastructure, and potential plans for recovery. Highlights the specific challenges faced by rural communities with regards to access.
Date: 09/2020
Type: Document
Sponsoring organization: RAND Corporation
view details

Medicaid and CHIP in Puerto Rico
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Puerto Rico. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Puerto Rico spending.
Date: 08/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details

Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details

After Hurricane Maria - Predisaster Conditions, Hurricane Damage, and Recovery Needs in Puerto Rico
Report details the state of Puerto Rico's economy, environment, education, and healthcare both before and after hurricane Maria. Discusses the barriers to rebuilding various infrastructures across the commonwealth, including in rural communities.
Author(s): Jordan R. Fischbach, Linnea Warren May, Katie Whipkey, et al.
Date: 2020
Type: Document
Sponsoring organization: RAND Corporation
view details

Migration to the US among Rural Puerto Ricans Who Inject Drugs: Influential Factors, Sources of Support, and Challenges for Harm Reduction Interventions
Details a study of the migration patterns of rural people who inject drugs (PWID) from Puerto Rico to the United States. Breaks down data by age, gender, and HIV and HCV status among other measures.
Author(s): R. Abadie, P. Habecker, C. Gelpi-Acosta, K. Dombrowski
Citation: BMC Public Health, 19, 1710
Date: 12/2019
Type: Document
view details

A Shrinking Primary Care Workforce in Puerto Rico
Discusses Puerto Rico's aging primary care workforce and concerns about the number of healthcare professionals who have left the island following the 2017 hurricane and the relatively low recruitment and retention rate for graduates of Puerto Rico's residency programs. Features statistics showing primary care physician age distribution in Puerto Rico compared with the rest of the United States in 2018.
Author(s): Elizabeth Wilkinson, David Killeen, Gabriel José Pérez-López, Yalda Jabbarpour
Date: 12/2019
Type: Document
Sponsoring organization: Robert Graham Center
view details