[stevekemp]

Generally "managed" means you share the login details to your host with somebody, they apply updates, they help work with you to tune your server, and they let you know of upcoming problems.

Although there are providers who both offer hosts and offer the management you might find a decent compromise is to pay for them separately.

I remotely manage a lot of servers (40-80) in exchange for an ongoing minimal fee, and I'm not alone in that I expect.