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.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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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

  • StratiHealth

    Los Angeles, California, 90001, United States