After heavy flooding in Xerém, Brazil a little over a year ago, Health Secretary Sergio Cortes did a careful survey in the heaviest hit, the city of Duque de Caxias, in Xerém. His investigation after the flooding of the city’s infrastructure, especially around clean drinking water was thorough. He had all the water supplies to the city’s emergency shelters tested. The results were alarming to Dr. Cortes. Tests had found the dangerous water-borne bacteria, leptospirosis, in the taps! After Sergio Cortes recommended that more safe bottled drinking water be brought to the shelters, he issued a public message requiring everyone to only drink bottled water.
Dr. Cortes caused even more bottles of water to be trucked in. This was the great result of his advice to Health Minister Camillo Junqueira. The Minister ordered several more loads to be distributed to all the shelters to cover all needs for hygiene and cooking. Warnings were issued to the public to be careful to disinfect any water, other than bottled water, for the limited future.
The flooding was quite heavy after torrential rains brought the city to a stand-still. As he spoke with flood victims and learned of their immediate needs, he took notes which he later relayed to the health authorities on the scene. He also toured the areas around all of Xerém, which is in the Brazilian state of Rio de Janeiro.
With Cortes’ advisement, the Health Minister upped the number of instant antibiotic injects to over 3,000 units. The good doctor’s main concern with the flood waters causing such biological chaos is contractions of the diseases dengue fever and hepatitis A. He is lesser concerned with, but still planned to educate people, about the possibility of cases of chicken pox and meningitis. These Centers can rehydrate up to 300 flood victims per day. You can read more about Dr. Sergio Cortes during the flood. You can also read Dr. Cortes LinkedIn Shares, and be sure to follow Dr. Sergio Cortes on Twitter.
Most individuals who have Medicare receive medical coverage from something that’s referred to as “Original Medicare.” There are some individuals, however, who make the decision to get their coverage from a special Medicare Advantage Plan. This type of plan is frequently referred to as being a Medicare private health plan. Medicare Advantage Plans work with the government. Examples of Medicare Advantage Plans that exist include Preferred Provider Organization, Health Maintenance Organization and Private Fee-For-Service plans. There are other plans beyond those as well.
People who sign up for Medicare Advantage Plans don’t lose their standard Medicare coverage in any way. Since they don’t lose this coverage, they’re required to cover their Part B premiums every month. People who possess Part A premiums are required to cover those monthly as well.
Medicare Advantage Plans are all equipped with their own specific requirements, rules and guidelines. No two Medicare Advantage Plans operate in the same exact way. People who are interested in signing up for these plans should research specific options before making any important decisions about coverage. Medicare Advantage Plans, in short, are organized by private insurance firms. Although these plans are given out by private insurance agencies, they offer Medicare benefits.
InnovaCare Health is a company that specializes in the world of healthcare management. The firm provides people with Medicare Advantage and Medicaid plans alike. It also creates contemporary provider network models. The aim at InnovaCare Health is to give people all over North America access to modern, reliable and first-rate medical care no matter what. Patients are the top priority for the InnovaCare Health team.
The company is equipped with a strong and experienced leadership team. Rick Shinto M.D., M.B.A. serves as the Chief Executive Officer (CEO) and president of InnovaCare Health.
Penelope Kokkinides is another important figure on InnovaCare Health’s leadership team. She serves as the company’s Chief Administrative Officer. Kokkinides has been working in the health care universe for two decades plus now. Government programs are her area of strength. She’s equipped with a lot of experience and background that pertains to both Medicaid and Medicare. She’s a graduate of the Columbia University School of Public Health, New York University and Binghamton University. Other professionals who are part of InnovaCare Health’s leadership team are Chief Accounting Officer Michael J. Sortino, Chief Information Officer S. Bhasker, General Counsel Christopher Joyce, Chief Financial Officer Douglas Malton and Chief Actuary Officer Jonathan A. Meyers. The company’s board of directors includes both Joseph Mark and Daniel E. Straus.
Learn more about InnovaCare Health: http://innovacarehealth.com/
Medicare Advantage plans
Medicare Advantage plan is medical insurance plan which advanced from the original American Medicare , which is in two parts. Part A, where Medicare, provides for payments for inpatient hospital bills other than the physicians and surgeon bills and Part B, for both surgeon and physician bills in addition to the outpatient hospital charges and some medical equipment and supplies with long life span according to Rick Shinto. However, in the case of Medicare Advantage Plan scheme, individuals enter into an agreement with government through either the Preferred Provider Organizations (PPOs) or Health maintenance organization (HMOs) and get predetermined sums payment per capita to cater for their Medicare benefits which are wider than the original plan. The benefits include all part A and part B benefits and an additional part D plan commonly referred to as Medicare Advantage Prescription Drug Plan (MAPD) that provides for drug prescription. Further advantage still, the Medicare Advantage plan has is, the individual claims payment get processed by commercial insurance firms who after processing the application, get subsidies from the government.
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In spite of the fact that under Medicare Advantage Plan the coverage is widened, the plan has not to pay for excess $6,700, which is the limit for out-of-pocket cost per year for part A and part B benefits. However, once the out-of-pocket limit is reached by the individual, the plan provides for 100% of hospital services for the remaining period in of the year according to Penelope Kokkinides. These commercial insurance firms providing for Medicare Advantage plan are in three types; Health Maintenance Organizations (HMOs), Private Fee-For-Service (PFFS), and Preferred Provider Organizations (PPOs). The advantage of using the three Medicare types is that they provide for more hospital services which include Part A, part B and Part D, which provides for prescription drug benefits. It is because of these advantages that the Medicare Advantage Plan in InnovaCare Health has had an increase in the enrollment. In the recent 2005, the enrollment stood at 5.4 million but in 2014 the enrollment grew to 15.7 million (CMS, 2014)
Physicians’ services practice
In InnovaCare Health, the physician’s services practice requires that persons who have Medicare Advantage plan enrolled with Health Maintenance Organization should not be allowed to use some specialist physicians or even get medical services out –of- network providers without permission from the Health maintenance organization unless it is emergency. This restriction makes the patients who need a special attention to face payment challenges. To cater for such cases, however, The Medicare Advantage Plan has put in place The Preferred Provider Organization, which allows enrollees to access any physician or health facilities even without having permission from the organization.
^ CMS (April 7, 2014). “Announcement of Calendar Year (CY) Twenty Fifteen Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter” (PDF). cms.gov. Retrieved 11 March 2015.
• ^ Medicare: Medicare Advantage – Kaiser Family Foundation
Learn more about InnovaCare Health: http://innovacarehealth.com/leadership/