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.

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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).

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.

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