In 2015, InnovaCare Health formally announced that Penelope Kokkinides would rejoin the company as Chief Administrative Officer. With more than 20 years in the managed care field, Ms. Kokkinides positioned herself with the company at a pivotal time.
Ms. Kokkinides remains committed to providing her expertise in the managed care industry. As an authority in the area of Medicare Advantage and Medicaid programs, the decision for Ms. Kokkinides re-establishing her role within InnovaCare Health has been an enormous benefit to the company.
Prior to her tenure with InnovaCare Health, Penelope Kokkinides’s role in leadership was as Chief Operating Officer of Touchstone Health and Corporate Vice President for Care Management and Disease Management at AmeriChoice, a subsidiary within UnitedHealth Group. Those roles put Ms. Kokkinides in the best position for leading InnovaCare Health into the next phase for building their managed care infrastructure. Read more about her interview on Ideamensch.com
Ms. Kokkinides’s extensive knowledge and skills are highly beneficial for creating an infrastructure within InnovaCare Health as the company further advances with supporting the California Association of Physician Groups (CAPG). InnovaCare Health is currently working in alliance with the organization to combat government waste and abuse within Medicare Advantage plans.
Medicare Advantage plans are designed to provide an alternative benefit to beneficiaries apart from their Part B benefits. Those benefits are based upon a provider fee for service (FFS) which is dissimilar to traditional medical coverage by providing payment directly, rather than through a managed care plan. In addition, some plans include Part D benefits which are capitated by CMS, therefore making the benefits a separate capitated fee-payment for the beneficiary. InnovaCare Health is strictly a Medicare Advantage Plan.
Because those payments are a FFS, there is a great need for plans such as InnovaCare Health to assure the Centers for Medicare Services (CMS) processes for preventing waste and abuse are high-priority.
In 2016, InnovaCare Health contributed its efforts to the Health Care Payment Learning and Action Network (LAN). They were successful in their goal to assist the organization with pursuing payment methods based on quality of care rather than quantity. This effort by InnovaCare Health goes to the core of assuring reimbursements are directly related to a patient’s health care.
Ms. Kokkinides has committed her team to the development of technology-based methods to assure that InnovaCare Health uses cost-effective business models.
InnovaCare Health remains the leading Medicare Advantage plan in North America and Puerto Rico, serving more than 200,000 members.