Transitions of Care Program

Our program is focused on evaluating and coordinating post-hospitalization needs for members who may be at risk of readmission. MediGold case managers are involved with care transitions, such as discharge from inpatient hospital to home and assessment and updates of the member's care plan, as needed. Case managers also help ensure members see their primary care provider within seven to 10 days after discharge and work with them through any problems they may have adhering to their post-discharge medications.

Updated 01/2020