InnovaCare Health is a Medicare and Medicaid Advantage organization that provides healthcare in Puerto Rico. Richard Shinto, M.D. has been the President and CEO or InnovaCare Health since 2002. Before that he was the CEO’s of MMM Healthcare, Inc. and Aveta Inc. and PMC Medicare Choice. With his long history of guiding large healthcare organizations, he is the right person to lead InnovaCare into employing its latest changes.
In 2016, InnovaCare Health joined the movement to transition to alternative payment methods. The organization joined the Health Care Payment Learning and Action Network (LAN). Essentially, InnovaCare is now a part of a public-private partnership, which seeks to move its members toward payment for quality care instead of the quantity of care. InnovaCare seeks to give their patients access to quality, innovative, cost-efficient and well-coordinated care as their healthcare is managed within their network.
Initiating payment reform is InnovaCare’s step toward building stronger patient-provider relationships. By seeking an alignment of public and private healthcare costs, InnovaCare is working to eliminate the assumptions about care based on whether it is covered by private or public insurance. To date, there are 100 leading healthcare organizations that have joined LAN. Eventually, it should become obvious that U.S. Healthcare is undergoing changes in its payment systems as more and more organizations join LAN and work toward reforming the system.
InnovaCare is striving for alternative payment Models (APMs) and so are many other large healthcare providers. Penelope Kokkinides, the chief administrative officer at InnovaCare believes the collaboration of so many influential Healthcare organizations insures there will be new APMs in the near future. She believes with so many supporters of LAN, it’s only a matter of time before reform will begin to spread across the entire industry.
InnovaCare operates two health plans, MMM Healthcare, Inc. and PMC Medicare Choice, Inc. The 7,500 providers of care for the 200,000 members InnovaCare services work with two Medicaid plans and Puerto Rico’s Government Health Plan (GHP). InnovaCare offers Puerto Ricans the only NCQA-accredited health plans available on the island. Making these steps toward payment reform will help InnovaCare Health deliver the best managed care, which is sustainable quality healthcare that’s integrated with advanced technologies, coordinated, cost-effective and innovative.
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