Comprehensive Enhanced Care Management Under CalAIM for High-Risk Medi-Cal Members

Part of paid clinical trials in Los Angeles, California.

Sponsor
StratiHealth
Study ID
NCT07587073
Status
Not Yet Recruiting

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Conditions

  • Care Transitions
  • Complex Care
  • Housing Instability
  • Population Health Management
  • Post-Acute Care Utilization
  • Residential Care Transition

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Comprehensive CalAIM Care Bundle — BEHAVIORAL
    A standardized service bundle composed of Enhanced Care Management, selected Community Supports, Transitional Care Services, and residential care coordination designed to improve continuity, utilization, and community tenure.
  • Usual CalAIM Service Delivery — OTHER
    Standard local delivery of CalAIM-related services without the added structured bundle, monitoring cadence, and transition optimization workflow used in the intervention arm.

Study Details

This pragmatic, cluster-randomized trial will evaluate whether a comprehensive CalAIM-aligned care model consisting of Enhanced Care Management, selected Community Supports, Transitional Care Services, and residential care coordination improves population health outcomes among high-risk Medi-Cal managed care members in California compared with usual CalAIM service delivery. The intervention is intended to improve continuity of care after discharge, reduce potentially avoidable utilization, increase successful linkage to outpatient and social supports, and improve community tenure and patient-reported outcomes.

Key Dates

Start date
Oct 1, 2026
Status verified
May 2026
Primary completion
Sep 30, 2028
Completion
Dec 31, 2028

Study Design

Enrollment
1,200 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Arm A: Comprehensive ECM + Community Supports + Transitional/Residential Care Bundle
    A standardized service bundle composed of Enhanced Care Management, selected Community Supports, Transitional Care Services, and residential care coordination designed to improve continuity, utilization, and community tenure.
  • Other: Arm B: Usual CalAIM Services
    Participants in control clusters will receive routine services available through existing CalAIM operations, including any standard ECM, PHM, discharge planning, and Community Supports workflows already in place, without the enhanced bundled implementation protocol.

Primary Outcome Measure

30-day all-cause acute inpatient readmission rate [ Time Frame: 30 days after index discharge ]

Locations (1)

FacilityCityStateZIPSite coordinators
StratiHealthLos AngelesCalifornia90001-

Find similar trials in Los Angeles, CA

By research site
StratiHealth· Los Angeles, CA

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