How Physician—Insurance Contracting Contributes to the Medical Exodus and Access to Ophthalmic Care in Puerto Rico

Insurance/billing issues are a pervasive concern for ophthalmologists in PR. New ophthalmologists are disproportionately affected by these challenges, potentially leading some to find employment outside of PR. There is a need for targeted policies-regulation of insurance contracting and increased reimbursement from private insurance plans-to reduce insurance contracting barriers for keeping a sustainable physician workforce in PR.