- Associated Press - Wednesday, July 13, 2011

SAN JUAN, PUERTO RICO (AP) - Doctors in Puerto Rico are threatening to cut off service to nearly a million patients as a result of a standoff between the government and an insurance company over reimbursements for treating poor people.

The standoff began shortly after the government launched a revamped Medicaid program in October. Complaints about delayed payments have increased in recent months.

As a result, the government is terminating an $810 million contract with Medical Card System Inc. It is the largest health insurance provider under the revamped program.

Sen. Margarita Nolasco said Wednesday that legislators also are debating a proposal that would make a state agency the sole payer to medical providers.

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