Managed Care Solutions


Avalon works with traditional Medicare reimbursement as well as Medicare Advantage insurance plans.  Our partnerships with Medicare Advantage companies, managed Medicaid companies as well as employer-based insurers enables us to successfully navigate payer protocols which meet the complex care needs of the people we serve.  Avalon is proud to offer VA contracts in several of our centers.  In addition, partnerships with hospital systems, physician groups, and community providers strengthen the residents ability to remain in their home after discharge from our post-acute facilities.  Our Care Coordinators are committed to the resident’s well-being after discharge, as they follow up with calls and appointment scheduling with their Primary Care Physician to ensure a smooth, safe transition home.

Avalon’s ability to integrate acute health services with the post-acute continuum of care provides a valuable resource to our residents and their families.  In a complex healthcare landscape, Avalon Health Care will coordinate services required for a successful recovery to include:

  • • A commitment to quality care including specialized programs that focus on individual clinical case needs and disease management
  • • Benefit verification and authorization for admission to our facilities
  • • Liaison coordination for our residents and families with insurance partners to ensure our patients have the right care, in the right place and for the right amount of time
  • • Individual care plan development to meet each resident’s needs and goals for recovery developed by our team of Physicians/Nurse Practitioners, Nurses, Nursing Assistants, Social Workers, Activities Staff, and Therapists
  • • Discharge Planning and Care Coordination with residents and their families to provide services that support independent living at home and throughout the post-acute continuum
  • • Development of long-range service plans promoting health and functional independence
  • • Advocacy for residents and their families
  • • Specialty programming to serve Veterans and their families