Sentara Care Alliance

About Us

Sentara Care Alliance is a Florida-based Provider Services Network (PSN): a partnership between Universal Health Services, Inc. (UHS) and Sentara Health Plans. Sentara Care Alliance combines Sentara Health Plans’ experience managing Medicaid managed care programs for nearly four decades with UHS’s network of subsidiary facilities delivering behavioral healthcare to communities across Florida. Sentara and UHS have demonstrated a proven ability to align healthcare providers and health plans, making them a highly reliable and trusted resource for those seeking to improve their healthcare operations.

As Sentara Care Alliance, we ensure better health outcomes for underserved populations throughout Florida. Sentara Health Plans and UHS are both recognized leaders in the healthcare industry with a shared and lasting commitment to the communities we serve.

Our Operating Model

We are a PSN, powered by the Sentara Health Plan division, with a wealth of experience, a track record of successful partnerships, innovative solutions, and best-in-class technologies. For nearly 40-years, we have achieved operational excellence, enabling our health plan division to grow from a regional health plan into a formidable alternative to national carriers in the markets we serve. Sentara Health Plans is member-driven, community-based organization that is built to last. A high degree of provider engagement between Sentara and other community providers allows us to align with the needs of our members and the goals of our customers and state partners. In this way, we advance health improvement though the integration of care delivery and care management with meaningful and actionable data insights.

Community Impact

As an organization, Sentara is driven to improve health every day. And while Sentara meets that mission through the healthcare services provided to our patients and the coverage provided to our health plan members, Sentara knows that truly improving health every day requires a much deeper commitment within our communities. In 2022, Sentara invested $260 million in communities it serves including, $54M in community investments and grants, $48M in expanding the supply of healthcare professionals through teaching and training, and $177M in uncompensated patient care.

Sentara and UHS are both recognized leaders in the healthcare industry with a shared and lasting commitment to the communities we serve.

About Universal Health Services

Across the state of Florida, UHS owns and operates three Acute Care Hospitals, six Ambulatory Care Access Points (Freestanding Emergency Rooms and Ambulatory Surgery Centers) and 16 Behavioral Health Facilities. Through its subsidiaries, UHS admitted over 86,000 patients in 2022. Further, in March 2023, UHS broke ground on a de novo 150-bed, full-service hospital in Palm Beach Gardens, which is expected to open in 2025.

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues during 2023 were approximately $14.4 billion. In 2023, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and in 2022, ranked #311 on the Fortune 500; and ranked #434 among U.S. companies on Forbes Global 2000 World's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 64,700 employees and operates 27 inpatient acute care hospitals, 333 inpatient behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

UHS owns Prominence Health Plan, which was established in Reno, Nevada, in 1993, as a Health Maintenance Organization (HMO) and was originally known as St. Mary's Health Plans. In 2014, UHS acquired the company and renamed it Prominence Health Plan. In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator. In addition, Prominence Health Plan owns the Preferred Health Care Network (PHCN), a local provider network. Prominence Health Plan's HealthFirst HMO/POS is accredited by the National Committee for Quality Assurance (NCQA), which involves a rigorous review of Prominence Health Plan consumer protection and quality improvement systems. Prominence Health Plan's access to network providers includes 34 hospitals and over 3,500 providers statewide, in addition to providers outside of Nevada through network lease arrangements. Prominence Health Plan operates eight Accountable Care Organizations (ACOs) in California, Florida, Nevada, South Carolina, Texas, and Washington D.C., which are managed care systems that benefit communities by providing coordinated, high-quality care to Medicare patients. For additional information, visit www.prominencehealthplan.com.

About Sentara Health Plans

Sentara Health Plans is the health plan division of Sentara Health. We have successfully operated provider-aligned Medicaid health plans for more than three decades, as well as Medicare and commercial health plan products. We strongly believe Provider Sponsored Networks (PSNs) are essential in delivering high-quality care to all consumers. Sentara Health Plans was founded in 1984 and is a full-service health plan with products for, individuals, families, and employers, as well as Medicare, and Medicaid including Dual-eligible Special Needs (D-SNP) plans. We cover nearly one million members through all of our products, more than 700,000 of which are Medicaid members.

Sentara also owns AvMed, a Florida-based health plan headquartered in Miami with regional offices in Fort Lauderdale and Gainesville. Nearly 200,000 members count on AvMed for group, individual and Medicare Advantage coverage. For additional information, visit www.sentara.com/aboutus/about-sentara/sentara-health-plans.

About Sentara Health

Sentara Health, an integrated, not-for-profit healthcare delivery system, celebrates more than 130 years in pursuit of its mission – “we improve health every day.” Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and North Carolina, and the Sentara Health Plans division which serves nearly one million members. Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary healthcare experience for our patients and members. Sentara was named to IBM Watson Health’s “Top 15 Health Systems” (2021, 2018), and was recognized by Forbes as a “Best Employer for New Grads” (2022), “Best Employer for Veterans” (2022), and “Best Employer for Women” (2020). For additional information, visit www.sentara.com.