Key Highlights
- Enhanced Care Management (ECM) offers personalized support for individuals with complex health and social needs.
- ECM is a free service for eligible Medi-Cal members.
- Care teams work closely with members to develop tailored care plans, ensuring their unique needs are met.
- ECM goes beyond traditional healthcare by addressing social determinants of health, such as housing, transportation, and food security.
- By providing comprehensive support through ECM, Presidium Health empowers members to achieve better health outcomes, enhance their quality of life, and navigate the complexities of the healthcare system.
Introduction
Enhanced Care Management is changing the way we look at comprehensive care management in California. This special program is designed for people with complex needs. These individuals need detailed support to manage their health and well-being. ECM takes a full approach to health. It understands that health is not just about medical care, it also includes social factors that affect health.
The 10 Prime Benefits of Enhanced Care Management for Members in California
ECM aims to offer many benefits to its populations of focus. It goes beyond regular healthcare by focusing on both medical and social needs in an intensive coordination of health. This all-around approach helps boost health results. It also encourages people to take part in their care, ultimately leading to better quality of life. ECM sees how physical health, mental well-being, and social factors all connect to shape overall health. Here are ten great ECM services that members enjoy:
Personalized Care Plans Tailored to Each Member
ECM creates personalized care plans based on detailed assessments. They know that healthcare should not be the same for everyone. That’s why they focus on each member’s needs and goals.
Each member has a single lead care manager. This person is a main contact and helps guide them throughout their healthcare journey. This close relationship builds trust between the member and their care team. Together, they make decisions and keep chatting. This way, ECM helps members take charge of their health, which leads to sticking to care plans and better health results.
Coordination of Care Among Multiple Providers
Many people with complex needs struggle to move through a tricky system of healthcare providers and specialists. This divided care can cause confusion, mixed-up treatment plans, and worse health results. ECM helps solve this problem. It provides smooth coordination of care between different providers in a member’s healthcare journey.
The lead care manager acts as a middleman. The lead care manager helps with communication and teamwork among primary care doctors, specialists, hospitals, and other healthcare providers. This team-focused approach makes sure that everyone involved in the care process understands each other. They work together to give patients the best care possible.
Direct Support and Advocacy for Members
Navigating the healthcare system can be tough, especially for people with complex needs. It can bring extra challenges. ECM knows how important it is to offer caring support and strong advocacy. They want to help members during their healthcare journey.
Care managers serve as trusted guides. They give members and their families help, facts, and emotional support. They explain health conditions, treatment options, and rights in the healthcare system.
Improved Access to Healthcare Services and Resources
Access to timely and right healthcare is very important for your health. Yet, people with complex needs often face problems that make it hard for them to get the care they need. ECM works to remove these problems by linking members to many healthcare services and resources.
ECM also understands that social determinants of health play a big role in getting good care. That’s why care managers work hard to connect members with community supports. These could be things like help with transportation, housing programs, and food banks.
Enhanced Support for Managing Chronic Conditions
Chronic health problems need regular care and support to avoid issues and keep people healthy. ECM is important in helping individuals manage their chronic conditions and live better lives.
With regular check-ins, help with managing medications, and teaching self-care skills, ECM gives members the tools they need to take charge of their health. By tackling problems that might stop them from getting care and offering personalized help, ECM supports members in gaining better control over their conditions. This reduces the chances of complications and hospital stays.
Assistance with Navigating Health and Social Services
Navigating the world of health and social services can be very hard. This is especially true for people with complex needs. ECM helps members find the support they need to use these important services well. They understand that social needs affect health. So, ECM goes further than just healthcare. They also focus on social factors that can really impact a person’s well-being.
Care managers help members connect with local organizations. These groups offer support in areas like housing, work, and transportation. By focusing on these key needs, ECM helps members live healthier and more satisfying lives.
Proactive Outreach to Promote Preventative Care
Prevention is better than treatment. ECM focuses on reaching out to help its members with proactive care. Regular health checks, vaccines, and early treatment plans are important to stay healthy and stop diseases from starting or getting worse.
Care managers contact members to help them book appointments. They also provide useful information about preventive care and discuss any worries or challenges members might face. By promoting this proactive health approach, ECM helps its members spot potential health problems early.
Conclusion
In conclusion, Enhanced Care Management helps meet the healthcare needs of members in a complete way. They provide personalized care plans and reach out early for preventative care. ECM supports people in managing long-term health issues and understanding health services. This service makes it easier to work with different providers, which helps access resources and support. If you want personalized care and better health results, join Enhanced Care Management today. Your well-being is very important to us.
Frequently Asked Questions
What is Enhanced Care Management (ECM)?
Enhanced Care Management (ECM) is a complete way to take care of health that aims to help patients with complicated medical needs. It includes making personal care plans, working together with healthcare providers, and offering support services. This approach helps improve the well-being of patients.
Is There A Fee Associated With This Service?
ECM services are usually offered for free to those who qualify. Health plans often pay for these services. This helps members take charge of their health. It may also help them avoid more expensive care later on.
What Social Services Are Provided?
ECM helps provide social services. These include housing, food, transportation, and help with finding jobs. The goal is to meet social needs that affect health and well-being. This is especially important for people facing ethnic disparities or economic challenges.
Does ECM Help With Employment?
Yes, ECM can help with finding jobs. This support is part of how they focus on social determinants of health. They may offer advice on careers, refer you to job training, and assist with searching for jobs. Their aim is to help members feel more stable and healthy.
Does ECM Help With Housing?
Yes, ECM usually offers housing support as part of its social services. Care managers can help connect members to community resources, housing programs, and advocacy services. This support is to help deal with housing problems and prevent homelessness.
Does ECM Help With Food And Other Resources?
Yes, ECM helps fight food insecurity and meets other resource needs. It connects people with community supports. This can include guiding them to food banks, meal help programs, and assists with signing up for benefits.
Does ECM Help With Transportation
ECM often offers transportation services. It helps connect people with programs that provide transportation aid. This support makes it easier for individuals to go to medical appointments. It also allows them to reach community resources. This way, they can improve their overall health and well-being.