How Innovacare Health Sets The Standard For Quality Care In PR

Innovacare Health is led by President and CEO Richard Shinto, M.D. His two decades of experience with managed care and his clinical experience as a pulmonologist and internist ensure that he is amply qualified to run the managed healthcare services company. Prior to accepting his position at Innovacare, Shinto served as CEO and president of Aveta Inc. He’s also served as the CMO for North American Medical Management California, Medical Pathways Management Company and Cal Optima Health Plan earlier in his career.

Penelope Kokkinides is also part of the leadership team at Innovacare Health. She serves as the chief administrative officer. Her experience includes serving as the COO of Aveta Inc., Centerlight HealthCare and Touchstone Health. In her IdeaMensch interview, Kokkinides stressed that it is important to her to keep up with what is happening in the managed healthcare industry. She especially enjoys STAT News, which reports on healthcare from a data-driven perspective.

Both Shinto and Kokkinides have a results-oriented focus; they want their approximately 20,000 customers in Puerto Rico to receive the best care. Innovacare Health’s value-based model strives for an improved quality of care from their physician partners. Shinto laid the foundation for Innovacare when he worked for North American Medical Management and saw how the lack of operational management skills among physicians led in inefficiency. In 2003, NAMM partnered with The Straus Group, The partnership acquired MMM Healthcare in Puerto Rico, sold off NAMM and in 2012, and then officially formed InnovaCare Health. The new company grew as Medicare recipients in Puerto Rico realized the company’s patient-first model made a difference in the quality of care they received.

Innovacare Health offers two managed healthcare plans, including the popular PMC Medicare Choice and MMM Healthcare, in Puerto Rico. As a Medicaid and Medicare Advantage organization, Innovacare Health officially supports the Health Care Payment Learning and Action Network’s alternative payment models as a Committed Partner. The new payment models base a provider’s payment on the quality of care that they provide, not the number of patients that they treat. Hospitals would be paid more for improved health, not for providing more services that didn’t necessarily help the patient.

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