Category: Health & Business
Medicare Advantage may be classified as an insurance scheme where members are allowed to access certain medical services. The program operates through plans, which can basically be defined as packages that come with the benefits one can access for signing up to the program.
Understanding what each plan offers is necessary since it allows you to make the right decision when you want to choose a plan that best describes the needs you have. It also eliminates the possibility of spending more because the terms offered in these plans differ depending on the provider and benefits therein.
Who qualifies for Medicare Advantage?
The criterion applied in Medicare Advantage plans is simple for the basic user. For enrollment, one is required to be part of both Medicare Part A and B. There are also groups of people exempted from the program like those with end-stage renal disease. You should also ensure you live within an area where the plan you are looking to enroll is available.
Benefits of choosing Medicare Advantage plans
There is a wide range of benefits for choosing Medicare Advantage plans, one of them being that some insurance firms offer up to zero premiums for the plans. However, such availability may be affected by the state you live in. Also beyond the ordinary benefits you may receive some Medicare Advantage plans may include extra benefits like dental and vision, which are not included in Part A and Part B.
Reviewing InnovaCare Health
In the provision of Medicare and managed healthcare services, InnovaCare Health stands out in its market within Puerto Rico. The company has made bold attempts to strengthen the executive team, which has come up with strategies like adoption of latest technological features to streamline service delivery and to enhance efficiency. InnovaCare is dedicated to offering high-quality services that are driven by the need to ensure patients receive equal care and reliable services that can fully cater for their Medicare needs.
About the leadership
The leadership of InnovaCare Health is comprised of dedicated professionals like Dr. Richard Shinto and Penelope Kokkinides. Dr. Richard Shinto is the President and CEO and through his tenure, InnovaCare has grown into more than a managed healthcare services provider. Rick Shinto holds prior experience since he has worked in the healthcare industry for more than 20 year, once serving as the CEO of Aveta Inc. His close associate Penelope Kokkinides is an invaluable asset to InnovaCare Health as she boasts of similar amount years in the industry. She is the Chief Administrative Officer at InnovaCare and she also served at Aveta Inc., as a Chief Operating Officer.
Chris Lloyd, CEO of Nobilis Health says that the company sets themselves apart from the competition with some of their case volume. About 20 to 25 percent of surgeries or cases are directed to their centers by their own direct consumer marketing initiatives. By helping affiliated physicians grow their businesses they hope they will refer patients to their facilities. Chris Lloyd says they are targeting the baby boomer market who will be using a large percentage of their health dollars in the next few years. We want to try to compete in this very competitive market and gain a bigger market share, he said. Lloyd says on Linked In that Nobilis is financially healthy in 2015. The busiest times are in October, November, and December. We did well despite not taking government money at most of our facilities. One of the big expenses of the company is marketing. This is something many of their competitors do not have. They have plans to purchase a few new facilities using cash or using stock in 2016. The only way they will raise equity is when they acquire a large facility which they do not have plans to do right now. Some of their top competitors are Amsurg Corporation, Surgery Partners, and Tenet Healthcare Corp. Nobilis Health came about when Northstar purchased Athas in December 2014. Athas was a direct consumer marketing company. Northstar was founded back in 2007 by a group of physicians that owned facilities down in Houston, TX. They wanted to get into using direct marketing in healthcare because they noticed a growing need in the industry. Chris Lloyd was founder of Athas and when Northstar bought the company in 2014 they made him CEO of the combined companies. Nobilis owns and manages ambulatory and acute care facilities that delivers healthcare services. The focus of the company is to provide surgery that is non-invasive in affordable settings for patients. They use direct marketing to provide patient wth information and education. Nobilis Health owns over seven facilities located in Dallas, Houston, and Scottsdale. They have partnerships that are contractual with Arizona, Oregon, Michigan, Minnesota, Tennessee and New Jersey.