Maggie Gill: The Force Behind Memorial Health

A few years ago, the board of directors in Memorial Health were looking for a professional who would become the chief executive officer and president of the organization. These officials wanted a visionary leader who was going to bring stability to the health care company. The organization had already hired three CEOs in the last four years, and they had not met their expectations.

Memorial Health wanted an executive who had expertise and skills in finance and hospital operations. The board was fortunate to have Maggie Gill, and they all voted unanimously to make her the President and CEO.

For five years, Maggie Gill has been the force behind the successful healthcare company. Memorial Health has enjoyed a lot of success under her leadership. However, Maggie has had her share of challenges. One of the greatest challenges in the organization has been the changing landscape in the industry with very many regulations and few reimbursements.

The famous Affordable Care Act has helped in bringing new ways to acquire insurance, but there are still many individuals who are not able to access adequate healthcare. According to a recent study, a large group of Georgians is still not insured. Maggie Gill believes that for a country’s health care system to advance in the current dynamic healthcare environment; then there must be a clear vision for care delivery. Maggie says that his organization must be focused on health, wellness and the prevention of diseases to survive in the harsh climate.

The commitment to improve the overall health of the community is known as population health. It’s through this campaign that patients are educated on the best ways of being responsible for their health. This is one of the ways that have proved to reduce the high cost of healthcare, and it also makes the delivery of these essential services.

At Memorial Health, Maggie Gill has introduced a team of clinicians and nurses who are known as care coordinators. These professionals are responsible for helping the individuals with chronic health issues that might put them at risk of being hospitalized. The care coordinators are supposed to educate the chronic patients and helping them manage their conditions. These individuals are also very experienced, and they help surgical parents to prepare and also recover from their surgeries. Since the introduction of this program, the company has seen significant improvements in the healthcare system.

Rick Shinto: Moving InnovaCare Health Forward Under New Management

InnovaCare Health has been providing innovative Medicare and Medicaid services to the North America population with their operational headquarters in Puerto Rico. Having hit a membership base of nearly 200,000individuals and more than 7,500 health care providers, it is understandable that the health provider would require innovative leadership and organizational models. For this reason, the company’s current President and CEO Dr. Rick Shinto, recently announced significant changes in the healthcare provider’s management team including the addition of three top executives to its senior leadership.

Factors prompting the leadership restructure
According to the firm, they have been experiencing Rick Shinto the company has been experiencing tremendous growth of late thereby prompting a more innovative administrative approach of its internal operations. Some of the affected departments include insurance that will now be handled by Jonathan Meyers, the accounting department led by Mike Sortino, and the administration department to be headed by Penelope Kokkinides. The trio was drawn from equally performing companies, and each professional has a wealth of experience in their respective areas of specialization.

Read more:
InnovaCare Health Announces Three Additions to Leadership
InnovaCare Health Announces Three Additions To Leadership Team

About Penelope Kokkinides
Penelope stands out from the rest of the group primarily due to the nature of her engagement with the company. As the head of InnovaCare’s Chief Administrative Officer, Penelope will be charged with the role of formulating and developed policies that guarantee operational efficiency. But she is not new to the Medicare or the Medicaid fields, two of InnovaCare’s areas of specialization. While serving as the Vice President and Chief Executive Officer for Centerlight Healthcare, Penelope presided over the group’s overall management and strategic planning for the managed care division.

The fact that her experience in both fields spans over two decades with the better part of it sent implementing government health care programs also makes her the perfect fit for the current role. She will also be expected to replicate her success in improving administrative efficiencies in relation to InnovaCare’s organizational infrastructure.

About InnovaCare
InnovaCare is the only healthcare provider providing NCQA accredited health plans in the entire Puerto Rican Island. Additionally, the firm is also responsible for the management of two Medicare programs within Puerto Rico’s Government Health Plan. The InnovaCare management under Rick shinto is committed to the provision of quality yet affordable healthcare to the Island residents by developing technologically coordinated business models that ensure inexpensive service administrative in all of the firm’s different branches. The health care company is still growing, and the management hopes that the new additions under the leadership of Dr. Rick Shinto will only further assist the advancement of its mission.

Follow Rick Shinto on Crunchbase.

Health Reforms and Provisions Under InnovaCare Health Medicare Advantage Plans

Medicare Advantage Plans cover all the services covered by Original Medicare covers apart from hospice care. Original Medicare will cover hospice care for individuals who are in Medicare Advantage Plan. All Medicare Advantage Plans types include emergency and urgently needed care.

The plan can opt to avoid costs of services that Medicare considers not medically necessary. To be on the safe side, individuals should check with their providers before getting the service. Your provider will give you a list of services covered by the plan.

Medicare Advantage Plan includes extra coverage like dental, vision, wellness programs and hearing. Most of them entail Medicare prescription drug coverage in part D. you will be required to pay monthly premiums on top of your Part B premium for the Medicare Advantage Plan. In 2016 individuals pay $104.90 monthly for Part B premium.

If you require services that your plan terms as medically unnecessary, consider paying for all the costs. However, you can also appeal the decision. Inquire for a written advance coverage decision that will enlighten you on services that are medically necessary that will be covered. Note that if you do not ask for the advance coverage decision you might be forced to pay for all the costs. Get contact information of your plan from a personalized search.

 

Effects of reforms in the health care sector

The rationale behind the introduction of Medicare Advantage is the expectation that there will be competition amongst health care providers that will ultimately improve the quality of health care plans. The invention aimed at making medical plans affordable. However, with time it did not meet the expectation. Partly it was because of the consolidation of local markets causing little compensation.

In 2010 there was passing of the Patients Protection and Affordable Care Act (ACA) to cut down federal payments. The act increased number of plans that receive a bonus payment. It provided bonus payments to a broad majority of Medicare Advantage plans. ACA required all plans starting in 2014 to keep a minimum medical loss ratio of 85%.

 

Leaders behind InnovaCare Health

InnovaCare Health is the leading provider of Medicare Advantage Plans and Medicaid. It has a commitment to providing quality health care through creating sustainable and cost-effective models. Their models have integrated advanced technologies. The health care provider operates MMM Healthcare and PMC Medicare Choice, which are under Medicare Advantage Plans.

The success of InnovaCare Health is attributed to the able leadership. It has board directors comprising of Joseph Mark, Daniel E. Straus, Richard Shinto, who is the managing director, Raphael Benoraya, and Stuart Altman among others. Dr. Rick Shinto is the president and CEO of InnovaCare Health. He served the company since 2008 up until 2012 during its sale. Douglas Malton is the chief financial officer; Christopher Joyce is the general counsel, and Penelope Kokkinides is the chief administrative officer.