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Dr. Rick Shinto: Innovator for Managed Care

Society’s greatest concern regarding doctors used to be their bedside manner, but in the modern era it’s the ability to innovate. Rare doctors harness both traits. Dr. Rick Shinto, President and CEO of InnovaCare Health, falls into the category of this rare breed.

During his tenure as President and CEO of Aveta, Inc. from 2008 to 2012, he built provider networks and forged a Medicare Advantage program that provided sustainable, cost-effective, high quality medical treatment to patients. In 2012, he received New Jersey’s Ernst & Young Entrepreneur Of The Year award in the Service category. He’s now bringing the same key skills to InnovaCare Health, working with CAO Penelope Kokkinides to build a Medicare Advantage program that provides cutting-edge treatments and a patient-first attitude. Shinto has called “quality service” his goal for many years throughout his tenure at multiple health care providers.

The Medicare Advantage program allows Medicare-eligible persons to use private insurance companies to access medical services, opening new treatment avenues and a larger provided network to recipients. In the traditional Medicare program, recipients receive medical treatment only through Medicare approved facilities. Managed care organizations that develop Medicare Advantage programs offer an expanded range of treatments and facilities, but keep costs at Medicare-approved levels. Rather than Medicare directly paying the facility for treatment, as occurs in the traditional program, in the Medicare Advantage program, the insurance company receives reimbursement from the federal government.

Dr. Shinto transitioned from a career as an an internist and pulmonologist to administrative service in managed care. He now brings his more than 20 years of operational and clinical experience to InnovaHealth to improve patient outcomes in a cost-effective environment. He previously served as Chief Executive Officer at MMM Healthcare, Inc. and PMC Medicare Choice, Inc.; Chief Medical Officer of NAMM California; Chief Operating Officer and Chief Medical Officer for Medical Pathways Management Company, and for Cal Optima Health Plan in Orange County, California. He earned his Bachelor of Science from the University of California at Irvine, his medical degree from the State University of New York at Stony Brook, and his Master of Business Administration from the University of Redlands.

“Dr. Rick” has kept his focus on the importance of the doctor-patient relationship from his earliest days as pulmonologist. The InnovaCare Health Medicare Advantage program he’s developing with Kokkinides goes beyond treating existing illness. InnovaCare’s program also features preventative care services including health education, wellness and fitness information for participants.

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