Medicare Advantage Plans in North America

Medicare Advantage is Medicare program that serves as a substitute for Original Medicare. Private organizations provide Medicare Advantage Plans. The plans, sometimes referred to as Part C, are offered under Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO). Unlike in Original Medicare where the government settles the benefits, Medicare Advantage Plans are paid for by the Medicare through the private companies.

Medicare benefits constitute parts that are offered by different Medicare Plans. Part A covers for in-patient medical services. However, it does not include services from surgeons and physicians. They are part of Part B of the Medicare benefits, which also covers outpatient hospital services such as diagnostics tests and X-ray.

Original Medicare constitute of Parts A and B. Most of the Medicare Advantage Plans, as sometimes may be referred to as Part C, extend the covers to Part D. The part of the Medicare includes the prescription drug benefit plan. These plans that have Part D are known as Medicare Advantage Prescription Drug Plan (MAPD). It is worth noting that Medicare makes separate payments to MAPD.

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InnovaCare Health is a leading Medicare Advantage provider in North America. Both PMC and MMM plans have over 230,000 in membership. There are over 7,500 service providers who serve the members of InnovaCare Health. PMC and MMM are among the fastest growing health plans in U.S. In 2011, they earned accreditation from National Committee for Quality Assurance (NCQA) in Puerto Rico. MMM is the first Medicare Advantage Plan to be offered in Puerto Rico, and both plans have gained an excellent reputation with CMS granting each plan a four-star rating. InnovaCare depicted success in outcomes, expectations, and patient experience.

InnovaCare Health Leadership

Dr. Rick Shinto heads InnovaCare, who is the President and Chief Executive Officer. He previously served as the CEO of Aveta Inc. from 2008. Avent Inc. was later sold in 2012. With 20 years of clinical experience in managed health care, Dr. Shinto was the Chief Medical Officer of NAMM California before taking over as the President of Aveta Inc. Before joining NAMM, he served as Chief Medical Officer and Chief Operating Officer in Medical Pathways Management Company.

The Chief Administrative Officer, Penelope Kokkinides acceded to the organization in June 2015. She was previously the Chief Operating Officer of InnovaCare Inc. She also acted as the Chief Operating Officer at Aveta Inc. before the selling out of the company and Vice President of Clinical Operations as well.

Penelope has more than 20 years of experience in government health care programs. She is a bachelor’s degree in biological sciences and classical languages graduate from Binghamton University. Penelope two masters degrees in social work and public health from New York University and Columbia University School of Public Health respectively.

Learn more about InnovaCare Health: http://www.bloomberg.com/research/stocks/private/person.asp?personId=46734954&privcapId=225431891

Dr. Jennifer Walden works at a balanced life

Dr. Jennifer Walden has accomplished many things in her medical career, including being a peer honored esthetic plastic surgeon and consultant to leading aesthetic companies. But perhaps the most notable achievement of her career is creating a wonderful balance between her work and family.

Originally from Austin, Texas, Dr. Walden graduated from the University of Texas at Austin with degree in science before graduating salutatorian in earning her therapeutic doctorate from the University of Texas Medical Branch at Galveston. Dr. Walden was then chosen for a fellowship at the prestigious Manhattan Eye, Ear and Throat Hospital in New York. She stayed in New York for eight years, working alongside noted aesthetic plastic surgeon Dr. Sherrell Aston.

But the pull of motherhood was tugging at Dr. Walden. It was at this point in 2011 that she chose to return to Texas to continue her career in plastic surgery and begin a family. Blessed with fraternal twin sons Houston and Rex, Dr. Walden has made many of her decisions with a family first mentality. For example, she has situated her office and home close to the children’s school to simplify things as much as possible for the family. The move to Texas has worked out sensationally for both her family and career. She is one of the top plastic specialists in Texas, having been featured in the publications American Way, Harper’s Bazaar and Texas Monthly.

It is Dr. Walden’s dedication to innovation and technology that continues to keep her at the forefront of her profession. She utilizes an industry-driving, 3-D imaging innovation called Vectra that can help a patient see the potential results before surgeries like rhinoplasties or breast augmentations. With 92 percent of cosmetic surgery patients being women, Dr. Walden uses her family balance and life experience to create a bond with potential clients, putting nervous patients at ease before their life improving procedure.

 

Find out more about Dr. Jennifer Walden:

https://www.linkedin.com/in/drjenniferwalden

InnovaCare: An Innovation in Healthcare

InnovaCare Health is a leading provider of Medicare Advantage plans and physician practice services. Medicare advantage plans, also known as Medicare private health plans, contract with the federal government. They are paid a fixed amount per person to provide their clients with Medicare benefits. The three most common types of Medicare Advantage Plans are: Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Private-For-Fee-Service (PFFS).

Health Maintenance Organizations are private companies that are paid by the federal government to provide individuals with Medicare-covered health benefits. Some of them provide additional benefits like vision and hearing care. Medicare Preferred Provider Organizations are Medicare Advantage Plans. The client is responsible for paying a set copay for in-network providers. In addition to providing Medicare benefits, some PPOs may provide additional benefits that Original Medicare doesn’t cover like dental and vision care. Private-For-Fee-Service plans are Medicare Advantage Plans that a person can enroll in a different way to obtain their Medicare benefits. These plans have to all services that a person would get under Original Medicare. Inpatient services is Part A and outpatient services is Part B. There are certain physicians practice services that are covered by Medicare Advantage Plans.

Medicare Advantage Plans have to cover all of the services that Original Medicare must cover except for care people receive when they are dying. Original Medicare will cover the expense of this care even if a person has a Medicare Advantage Plan. No matter what Medicare Advantage Plan a person has, a client is covered for emergency and urgent care. The plan can choose not to cover the expense of services that are not medically necessary A Medicare Advantage Plan might provide other services such as vision, hearing, dental, and/other health and wellness programs. As I mentioned, InnovaCare is a leading provider of Medicare Advantage plans and physician practice services.

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InnovaCare Health is a leading provider of managed health care services in North America. They have two key avenues of care, Provider Networks and Medicare Advantage. They are committed to providing quality healthcare that is sustainable, affordable, and providing the latest technology in medical care. They have a staff that is very dedicated to their clients. Two of these staff members are Dr. Richard Shinto (InnovaCare’s President and Chief Executive Officer) and Penelope Kokkinides the Chief Administrator of InnovaCare.

Dr. Richard Shinto is presently the President and Chief Executive Officer of InnovaCare. For over twenty years, he has worked in clinical and operational managed care. Other positions he has held are: Chief Medical Officer of NAMM California, CEO of Aveta, and Chief Medical Officer for Medical Pathways Management Company. Rick Shinto also was the Corporate Vice President of Medical Management for MedPartners and Chief Medical Officer of Cal Optima Health Plan in California. He started out his medical career as an internist and pulmonologist in Southern California. He has also written a lot of articles about health care and clinical medicine. He got his Bachelor of Science from the University of California at Irvine, his medical degree from the State University of New York, and an M.B.A. from the University of Redlands.

Penelope Kokkinides is the current Chief Administrative Officer for InnovaCare Inc. In the past, she has also of Aveta Inc. as well as Vice President of Clinical Operations. Penelope Kokkinides has been working in the healthcare field with a specialty in government programs (Medicare and Medicaid) and the managed care industry. She has a vast knowledge and expertise in developing clinical programs and managing health care processes and operations with a focus on making efficiencies better and organizational infrastructure.

Before coming back to InnovaCare in 2015, she was the Executive Vice President and Chief Operating Officer for Centerlight HealthCare, Chief Operating Officer for Touchstone Health, and Corporate Vice President for Care Management and Disease Management at AmeriChoice. She has a Bachelor’s Degree in biological sciences and classical languages from Binghamton University. Her Master’s Degree in Social Work came from New York University and a post-master’s advanced degree in alcohol and substance abuse. Her final degree is a master’s degree in public health from Columbia University School of Public Health.

With great physicians and other wonderful staff members, a goal of excellent customer service, and the desire to get their customers the best in medical care, InnovaCare is a true innovation in health care.

Learn more about InnovaCare Health:
http://innovacarehealth.com/about-us/

Keeping Your Cool Under Reputational Fire

In a recent article on Entrepreneur, author and business owner Kimanzi Constable gave brief and helpful tips to those undergoing reputational attacks in their professional and personal life. He cautions those receiving the negative reviews that attacks against your person happen often and can be dealt with in a manner that ultimately boosts your business. The trick is in consistent self control coupled with services, like SearchCleanup.com, that work for you to clean up bad reviews online.

He first advises to react in a way that sets you above those who are distorting your name and person. Many times, the attackers will use rude or passionate language and terms in effort to discredit your character and integrity. It is important not to react by using the same language. Instead, if it is essential to address specific claims, do so in a dignified manner with research and testimony behind you.

Your customers will also want reassurance that you won’t be abandoning your business or practice. It is important to show up both mentally and physically to work just as you have before. Speak to your customers or clients with confidence, meet with them, and continue working and building professional relationships. It would be even better to go the extra mile by offering higher quality solutions or services than you had before the negative allegations. This shows your clientele that you are not only staying in business, but also producing incredible results.

Constable also offers a word of advice to professionals by stating that reaching out for help and support can be of great value. When undergoing this kind of professional stress, self control can seem like a far-fetched standard to hold without fail. It’s important to create for yourself a safe place to release frustration and stress as well as confide in someone who is qualified to mentor and support you. Your personal life and those around you will benefit as well, as this can decrease stress and tension between you and your loved ones.

The final advice is to stay focused on your reason behind owning your business. When trials come, remind yourself of the bigger motive and dream behind your decisions, and press on. Websites, like SearchCleanup, can be of great assistance in finding and getting rid of negative reviews and ad that smear your name and your business.

Wengie Youtube

In this seven-minute video titled “Ombre Pink Hair” from the hair adventures of the wonderful world of Wengie, the bubbly Wengie reports from her living room to show us how to get temporary ombre pink hair.

Wengie uses an inexpensive product called Schwarzkopf Live Color Ultra Brights on her dark blonde locks and warns the audience that their individual results may vary based on the color of their hair. She also mentions that the dye is meant for those with blonde to light brown hair. Before opening and mixing the product, Wengie notes that the color is temporary and is meant to last around eight shampoos. While mixing the product ingredients, our host notes that the dye is a deep magenta-pink.

As Wengie is attempting an ombre effect with her color, she only uses one box of dye to color two long sections of hair, and then blends the product upward to reduce the look of a stark contrast. She notes that those with longer or thicker hair may wish to use two boxes of color. Though the directions on the box recommends leaving the product on for around 15 minutes, Wengie leaves it on for a full half-hour in order to deepen the color.

Wengie’s result was bright, cheerful pink hair with a gorgeous ombre effect. Wengie reports that she rates the product as a nine on a scale of one to ten and recommends it over hair chalk. She announces that she plans to try the Schwarzkopf Live Color Ultra Brights in Electric Blue once the pink washes out, and urges the audience to “Make life beautiful.”

 

Find out more about Wengie:

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