Along with low capital investment in replacing obsolete pipes, the Puerto Rico Aqueduct and Sewer Authority is grappling with water loss after losing 13% of the workforce responsible for detecting and repairing leaks over the past decade.
Truenorth has been the biggest beneficiary over the past two decades, receiving more than $34.9 million in contracts aimed at reducing water loss in Puerto Rico, while the public corporation’s rate of unaccounted-for water has remained at 60%.
This year, ASES has issued two fines against First Medical: one for $1.8 million for failing to pay providers and another for $1.4 million for failing to submit metrics for its call center. In 2024, the insurer was fined three times, for a total of more than $1.5 million, for failing to pay provider claims.
Monthly premiums have risen by an average of 100% over the past decade — and by more than 1,400% for retired government employees — while patients face higher copays, shrinking benefits and fewer doctors.
A sister company of Puerto Rico’s prison health care provider maintains multimillion-dollar contracts with the city of St. Louis and a Virginia county.
The Department of Corrections fails to provide basic mental health care to its prison population while spending $80 million on a psychiatric hospital with no clear plan for staffing, operations, or funding.
The Office of the Inspector General has flagged unusual procurement practices at the Department of Corrections and Rehabilitation, which hired professional services through purchase orders — sometimes without withholding taxes — and paid invoices that lacked detailed descriptions of the work performed.
Despite not being confirmed for the position and facing numerous corruption allegations, the nominated Secretary of Health has already hired a close group of doctors who have been publicly defending him.
In response to a Centro de Periodismo Investigativo lawsuit, the agency acknowledged it has "no report" from the company owned by New Progressive Party communications consultant Ramón Alejandro Pabón García. The contractor has secured over $5 million in government contracts individually and through several companies.
The Super PAC spent $2.3 million primarily on services provided by DEP Publicidad, an advertising agency exclusively used for business with this corporate committee. However, the corporation behind the advertising strategy is Guardarraya Communications, a company founded by the creator of ARCO Publicidad.
The Department of Natural and Environmental Resources discovered the fishing of this animal by chance and banned it, but did not carry out the investigations recommended by experts on this important marine species, despite having federal funds available to do so.
Meanwhile, eight Corrections employees face possible dismissal over the release of femicide convict Hermes Ávila Vázquez, following a misdiagnosis endorsed by the health services provider.
Physician Correctional, a company known for wrongly authorizing the release of femicide Hermes Ávila Vázquez, has been facing serious accusations for years but refuses to answer questions.