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Health officials summarize four years of work during transition briefing

Department of Health / ASES transition hearing · December 3, 2024

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Summary

Agency leaders presented a transition briefing summarizing four years of operations, including expanded Plan Vital services, payments to providers and infrastructure steps; officials said recruitment improved but staffing gaps and audit capacity remain.

Agency officials gave a transition briefing on the health portfolio, reviewing accomplishments and outstanding operational issues as the incoming administration prepares to assume control. The session covered Plan Vital funding, provider payments, infrastructure projects and recommendations for the next administration.

The head of the agency (Speaker 1) said the visit "fluyó sumamente bien" and that the materials submitted complied with the transition law. Speaker 3 added that Plan Vital served "más de uno punto tres millones de beneficiarios" during the four‑year period and that the agency had dedicated "uno punto dos billones de dólares a pagos a proveedores" to retain providers on the island.

Officials said the agency implemented regulatory changes including a drug rebate program and revised hospital payment methods to improve fund flow to beneficiaries and providers. Speaker 3 said the agency has increased oversight and reconciliation with municipalities and reported that 56 percent of a specified debt had been addressed "en cumplimiento con el requisito de la Junta de Control Fiscal." The agency also committed to provide any outstanding information to the transition committee in the coming days.

Despite those gains, leaders acknowledged operational limits. Speaker 3 recommended the transition committee explore making auditor positions permanent within the agency, saying the office currently relies on contracted audit work but has issued sanctions and monitoring letters in the interim. Agency leaders repeatedly emphasized that formal decisions on contracts and network composition rest with the incoming administration and the agency director when the new team takes office.

The briefing concluded with officials offering to continue dialogue with the transition committee and to supply formal responses to outstanding questions.