By THE STAR STAFF Gov. Jenniffer González Colón sent a letter this week to U.S. Secretary of Health and Human Services Robert F. Kennedy Jr. in response to the notice of methodological changes for calendar year 2027 to Medicare Advantage capitation rates and payment policies for Parts C and D. “Puerto Rico cannot continue operating under a formula that does not reflect our reality,” the governor said in a written statement. “We are working directly with federal agencies and our PRFAA [Puerto…