New care model aims to keep High-Risk patients out of the hospital
NCT ID NCT07587073
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a comprehensive care bundle for high-risk Medi-Cal members in California. The program includes enhanced care management, community supports, and transitional care to help patients after hospital discharge. Researchers will compare outcomes like hospital readmissions and emergency visits between those receiving the bundle and those getting usual care.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- care coordination bundle (enhanced care management, community supports, transitional care, residential care coordination)
- What this could lead to
- If successful, this could show that coordinated care helps high-risk patients avoid unnecessary hospital stays and live more stably in the community.
- What could go wrong
- This is a pragmatic trial testing a service model, not a new drug. Results may vary across different health plans and regions, and the intervention may not work for everyone.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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StratiHealth
Los Angeles, California, 90001, United States
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