InnovaCare – Innovator in Medicare Payment Models

InnovaCare Health is a company which provides medicare advantage plans and is also a company which helps physicians manage their practices, especially in Puerto Rico. In doing so, they have assisted many physicians practices as well as patients in reducing their medicare costs. The department of Health and Human Services has recently created an initiative to research medical costs, and InnovaCare has recently announced their partnership with the organization in order to provide better healthcare and participate in next-generation healthcare delivery research.

In addition to the participation in this research group, InnovaCare is also innovating in adding highly experienced leaders to their practice. They have added 3 new leaders: Jonathan Meyers as Chief Actuary Officer; Penelope Kokkinides as Chief Administrative Officer; and Mike Sortino as Chief Accounting Officer. Jonathan was previously a actuarial director for employers and has experience with SEIU, AXA, and Johnson & Johnson in the employee benefit plan space. This experience will prove to be invaluable in the desire to add business acumen to the needs of this healthcare firm. Penelope was a managed care executive in the past and has 20 years of experience in the healthcare industry on

Penelope Kokkinides has a background in Public Health as well as substance abuse. In the past, she was responsible for management at another healthcare firm, CenterLight Healthcare in addition to much time which was spent at InnovaCare. She is an expert on government programs and managed care, with 20 years of experience in both areas. AmeriChoice is where she began originally and developed an entire business model for InnovaCare Health which was successful in it’s implementation of managed care reform.

In the Learning and Action Network according to Rick Shinto, the company will be a committed partner of the HHS. This will be in effort to reach the goals which were set for medicare as well as ensure that affected individuals will have better access to coverage. Quality is also emphasized and work will be done to ensure that the model changes to quality of service rather than quantity. Many physicians’ practices bill based on the quantity of services provided, so the company is looking to incentivize quality care rather than more of it.

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