Weighing the Effects of the Mass Exodus of Puerto Ricans to the U.S. on Health System Funding

UPDATED CALL TO ACTION: Weighing the Effects of the Mass Exodus of Puerto Ricans to the U.S. on Health System Funding – How economic, social service and political trends and repercussions justify increased investments. 

Since 2010, Impactivo has published various reports explaining how Federal Medicaid Funding Caps, the reduced Federal Medicaid Assistance Percentage (FMAP) and unequal treatment in Medicare Advantage for Puerto Rico, which were probably implemented by Congress as cost containment measures, have cost Federal and State governments more to cover those who have left the Island than it would have cost them to provide for Puerto Rico the same level of funding provided to States due to the externalities produced by migration1. The purpose of this article is to provide an update to our September 2017 Issue Brief and explain how costs to Federal and State Governments are significantly greater due to the increased migration of Puerto Ricans accelerated by Hurricanes Irma and Maria and justify why providing Puerto Rico with equal treatment for federal health and human service programs is not only the right thing to do, it is also the fiscally responsible option.

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