As with many health care organization these days, Innovage has a hard time staying out of Innovage's own way, and often fails to listen to their employees on the ground doing the heavy lifting day in and out, who may have ideas on how best to do things. Innovage has grown rapidly in the last few years - and the emphasis is on growth rather than quality, which is an upsetting thing to see in a managed care health care company who is well situated to be a leader in novel approaches to providing care.