If you’re not already familiar with InnovaCare Health, it is a Medicaid and Medicare Advantage enterprise that provides managed healthcare services primarily in Puerto Rico. The company has a storied history dating back to 1998 when President and CEO Richard Shinto, M.D. joined the California branch of North American Medical Management, an organization that develops and manages provider networks.
While with North American Medical Management Dr. Shinto soon realized a disparity between physician groups and payers. In response to this disparity, he implored NAMM (North American Medical Management) to work towards a solution that would allow healthcare providers to deliver the same quality care with improved efficiency. From there, NAMM partnered with the Straus Group, and later, acquired Puerto Rico-based MMA Healthcare, before establishing InnovaCare Health, in 2012.
Currently, InnovaCare Health is made up of two Medicare Advantage plans including MMM Healthcare and PMC Medicare Choice, which collectively serve over 200,000 individuals through their combined network of 7,500 providers. Also, the company has two Medicaid plans within the GHP (Government Health Plan) of Puerto Rico, which offers an array of benefits through a singular coordinated care model. According to Business Wire, a Berkshire Hathaway company, InnovaCare Health is recognized as a leading organization in the Medicaid/Medicare space.
Of course, these achievements would not have been possible without Dr. Rick (Richard) Shinto at the helm. Dr. Shinto attended the University of California at Irvine, where he earned a Bachelor of Science degree, before going on to the State University of New York at Stony Brook and earned his medical degree. Soon after, he rounded out his education with an M.B.A. from the University of Redlands.
Although Dr. Shinto has enjoyed a considerable amount of success with InnovaCare Health, it is not his first time dabbling in managed care. In fact, he has over 20 years of experience in operational healthcare, dating back to the mid-1990s. Dr. Shinto’s first corporate role in managed care began in 1996 when he joined MedPartners, serving as the company’s Vice President of Medical Management.
In 1997, he joined Orange County, California’s CalOptima Health where he served as the company’s Chief Medical Officer. In 2008, he joined Aveta, one of Puerto Rico’s leading Medicare Advantage companies. In this role, Dr. Shinto served as President and CEO. Before his success in the operational/managed care field, he was an equally accomplished physician, specializing in pulmonology and internal medicine.