Extra care management support during care transitions
This study tests a program that provides extra care management and supportive services to high-risk Medi-Cal members during transitions from hospitals or other facilities, aiming to improve health outcomes and reduce avoidable hospital stays.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You are a Medi-Cal member in California.
- Your health plan has identified you as high-risk for needing extra support.
- You qualify for Enhanced Care Management and at least one service like help after a hospital stay, housing help, or moving from a nursing home.
- You have recently been discharged or are in the process of transitioning from a hospital, nursing home, rehab, or similar facility.
- You are able to give consent to participate, or a legal waiver allows your participation.
- You are NOT in hospice, expected to live less than 6 months, in long-term institutional care without plans to move to the community, or currently incarcerated.
Quick eligibility check
Answer a few plain-language questions, based on this study's own requirements, to get a preliminary sense of fit.
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