ASES

For two months, the Puerto Rico Health Insurance Administration has failed to provide public data, such as the number of people covered by the Vital Plan for catastrophic illnesses and special coverage, including cancer.

When I learned that an attempt had been made to intimidate my sources because they spoke out about an issue I had investigated — one that directly affects hundreds of thousands of patients in Puerto Rico — I wondered: How could a company go to such lengths to prevent discussion of its financial condition? My […]

The attorney and health care administrator, who served under the Vázquez and Pierluisi administrations, questioned the financial figures the health insurer submitted to the Office of the Commissioner of Insurance of Puerto Rico and said the company’s true financial condition must be determined urgently.

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.

San Juan – A special petition for access to public information was filed this Wednesday in the San Juan Superior Court against the Puerto Rico Health Insurance Services Administration (ASES, in Spanish) for failing to comply with a request from the Center for Investigative Journalism (CPI, in Spanish) regarding the government’s health insurance plan. On […]