At InnovaCare Health, quality is our top priority. In 2011, both of our Medicare Advantage plans earned Commendable Accreditation from the National Committee for Quality Assurance (NCQA), becoming the first and, to this date, the only health plans in Puerto Rico to obtain such accreditation. This distinction is awarded only to plans whose service and clinical quality meet or exceed NCQA’s rigorous requirements for consumer protection and quality improvement, and we are proud to serve our patients at such high standards.
As the oldest and largest Medicare Advantage plans in Puerto Rico, MMM Healthcare, Inc. (MMM) and PMC Medicare Choice, Inc. (PMC) combine for a membership base of nearly 250,000 members, served by a network of 7,500 providers. Each plan has received the government’s distinction of a four-star rating, signifying excellence in a range of factors, including outcomes, patient experience and access. They are among the fastest growing in the United States, with satisfaction rates consistently in the 90th percentile. Learn more.
Physician Practice Services
Since 2007, MSO of Puerto Rico, LLC has improved the health and wellbeing of the people of Puerto Rico through innovation and true change. The company achieves this goal by creating lasting partnerships that yield high rewards, both financially and professionally. The key to its success lies in a committed service mentality to develop and implement key solutions for the benefit of the client and the patients they serve. Learn more.
MMM Multi Health serves two regions of Puerto Rico, North East and South East. All of its services comply with the strictest quality and cost-effective standards required by federal and Commonwealth regulations. GHP beneficiaries have access to specialists, subspecialists, laboratories, x-ray centers and other health care providers within a Preferred Network. Thanks to InnovaCare’s proprietary technology solutions, providers are able to maintain complete clinical records on each beneficiary’s health conditions, allergies, medications and treatments. Learn more.
Population Health Management
Through its full set of offerings, InnovaCare Solutions works with large health systems, physician practices and other providers, as well as insurance payers to build and maintain population health models that are sustainable, cost-effective and fully integrated with today’s technologies. As the healthcare industry continues the shift to a value-based system, the company works collaboratively across a number of key stakeholders to ensure partners’ contracts, data measures and incentives are working together to achieve the quality, cost and utilization performance today’s market demands.
Caribbean Accountable Care, LLC was selected in 2016 as one of 99 new Shared Savings Program accountable care organizations (ACOs) by the Centers for Medicare and Medicaid Services. The announcement came after three years of operating one of the United States’ most successful Track 1 ACOs by improving quality scores, maintaining member engagement and encouraging physician collaboration.
Vita Care provides a one-stop treatment program for members seeking to improve and control their chronic conditions. Through personalized attention and coordinated care, healthcare professionals provide patients the education and treatment they need to improve your health condition.
The mission of Fundacion Dorada is to help support basic wellness, safety and hygiene needs in the homes of the elderly to improve their overall quality of life. Launched by MMM Healthcare employees in 2004, the non-profit organization provides sensitivity training, as well as affection and companionship, to underserved aging populations.