Managed care refers to a type of healthcare delivery system that emphasizes active coordination and arrangement of health services. Managed care usually involves three key components: oversight of the medical care giver; contractual relationships with the organization of the providers giving care; and the covered benefits tied to managed care regulations. Today the objectives of Managed Care Health Plans and the Center for Medicare and Medicaid Services (CMS) are synonymous: Achieving quality outcomes; Having highly satisfied beneficiaries or members receiving care; and Having that care delivered in a cost efficient manner.
Diversicare is a participating provider for many Commercial, Medicaid, and Medicare Advantage health plans. While the benefits and out of pocket cost will vary, many plans will cover at least a portion of the care provided by a Skilled Nursing Facility.
While Diversicare contracts with many of these plans, please call the facility directly or your Health Plan’s member services department to confirm facility participation.