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Things You Should Understand About Medicare Advantage Programs

Medicare Advantage is a health insurance program that serves as an alternative to Original Medicare. The program includes Parts A and B, whereby Medicare Part A offers payments for in-patient services, except those involving physicians and surgeons. Part B offers payments for procedures that are handled by physicians and surgeons and some outpatient services and medical supplies and equipment. Since 1970, people have been able to access their Medicare benefits through private plans.

The healthcare reform and its effects
Medicare Advantage was introduced to offer competition among health providers in a bid to trigger improvement in care quality. However, this expectation was not materializing, partly due to local markets consolidation, thereby leading to less competition in healthcare jurisdictions. This saw an increase in the cost of administering care through the program, something that motivated the government to come up with regulations.

Therefore, the 2010 Patient Protections Act (Obamacare) was drafted and passed. It helped to reduce federal payments to the Medicare Advantage program so as to bring the costs down to the traditional levels. The Obamacare program also introduced additional bonus payments for plans rated 4 out of 5 stars. The size of the bonus was further increased in 2012 during the launch of the $8.35 billion demonstration project. This would also mean an increase in the number of plans receiving the bonus.

Read more: Aveta Inc. President & CEO Rick Shinto, M.D. Receives Ernst & Young Entrepreneur Of The Year® Award

InnovaCare
InnovaCare, which is headed by President Richard Shinto, M.D., MBA, and Penelope Kokkinides (Chief Administrative Officer), is a renowned provider of Medicare Advantage. They also offer physician practice services with utmost commitment to providing top quality healthcare in a cost-effective and sustainable manner. InnovaCare uses fully-integrated models that are compatible with modern technology to enhance faster processing of services. The company offers two Medicare Advantage plans: MMM Healthcare in Puerto Rico and PMC Medicare Choice, with as many as 200,000 members.

InnovaCare holds patients as their biggest asset and this motivates them into offering useful services. Quality coordination and innovation are key priorities addressed by the company to help patients receive the best care. InnovaCare Health works as a team to provide solutions to most problems presented by clients and through this commitment they have recorded a satisfaction rate of 99 percent and a lower disenrollment rate. Additionally, InnovaCare has been working on cementing the patient-provider relationship and their activities are driven by efficiency, sustainability and leading physicians according to Penelope Kokkinides. Their models are sustainable and coordinated to cut on costs on the part of clients.

Unnessasary Deaths in Top Children’s Unit in Venezuela

 

JM de Los Rios Children’s Hospital in Caracas is known for being the Top Children’s Unit for Pediatric Healthcare in Venezuela, but these days that name is being sabotaged by Venezuela’s socialist government. Inside this hospital that should be well-supplied with everything needed patients are dying due to shortages in common medical supplies and drugs. Many patients are also not receiving the proper care according to a report from Open Corporaters for their disease or condition and therefore are suffering or even dying due to poor treatment. One doctor named Dr Huniades Urbina is doing his best to stand up for what’s right and in doing so he has been fired from his position as Director of Intensive Care at the hospital. All of these shortages are due to the recent economic catastrophe in Venezuela who is known for it’s more than decade long contingency upon oil to raise foreign currency levels. Venezula is predicted by Adrian Jose to possibly have the fastest declining economy excluding Syria. Doctors and healthcare workers alike are pushing and looking for the government to announce a State of Medical Emergency. But, at the moment nothing seems to be happening. The healthcare industry is suffering but, it’s not alone as many people cannot even afford food at local grocery stores. Sadly, this crisis in the healthcare field and food suppply is likely to continue until someone within the government is willing to take a stand against it.