Member Advocate Program
The Member Advocate Program is available to eligible members who are covered under Medicare, Cal-MediConnect and Medi-Cal SPDs only.
Benefits to Healthcare Providers
Our program has reduced hospital readmissions by 65% among members who are visited at home by a Member Advocate.
Member Advocates:
- Increase provider engagement
- Improve communication and information sharing between providers, care teams, and hospitals
- Encourage treatment adherence
- Facilitate care coordination
- Accompany members to primary and specialty care appointments
- Develop long-term relationships with members
- Encourage health-promoting behaviors
- Provide members with important information regarding care post-discharge
The Member Advocate Program
The Member Advocate Program provides non-clinical support and services for Medicare, Cal MediConnect and Medi-Cal SPD members who have recently been hospitalized and need extra assistance with their healthcare. They work with providers, nurse case managers, pharmacists, and other people involved in our members’ care to coordinate services and facilitate information sharing.
Through visits with members, our Member Advocates help to ensure that members have everything they need to recover after returning home from the hospital. Member Advocates also work with members who need extra help accessing care and services, and who may require additional support to optimize health outcomes. For these members, Member Advocates may also attend doctor appointments and promote positive health behaviors outside of the clinic setting. Members are identified as eligible based upon recent acute hospitalizations and geographic location.
We can also receive referrals from our contracted doctors for eligible members who need additional support services that will enable them to follow clinical treatment plans as well as reduce preventable ER visits and hospitalizations. If you believe you have a member who would benefit from this program, please contact us at: MemberAdvocates@regalmed.com
Program Services
Member Advocates will visit members in the hospital before discharge, and soon after they return home from their acute stay.
Home Visits
During these visits, the Member Advocate:
- Reviews post-discharge instructions with the member
- Conducts a social and environmental assessment to help identify needs such as caregiving support, fall risk reduction, and food assistance
- Identifies red flags that could lead to readmission
- Connects the member to their multidisciplinary care team
- Facilitates post-discharge medication reconciliation
- Coordinates transportation to doctors’ appointments
What Our Members and Physicians Say
Read what other
members are saying.
“I’ve had a wonderful experience with the Member Advocate Program. I first met my Member Advocate [Grace] when I wasn’t feeling well. Even when I didn’t want to see anyone, she was there for me. The amount of care and concern she had shown made me feel so much better. I also enjoyed receiving the care packages she would bring that had lotion to help care for my dry skin. It also included bandages and medical supplies. I cannot say enough positive things about the program. When you’re sick, you have enough to worry about. Having this lovely lady come to visit and care for me made a big difference and brought me joy.” -Josephine Flora, member
“My husband and I both thought the Member Advocate Program was a positive experience. We had no idea there was such a service offered to members. It was so nice to have our Member Advocate [Myra] come by to help us with any problems we had, such as filling a prescription or just answering our questions. It was comforting to know that someone cared. With my husband being in and out of the hospital and nursing homes for the last eight or nine years, it was refreshing that, for the first time, someone was there to come visit and check on us. We keep our member advocate’s number close by and know she is always here to help any time we need it. It gives us peace of mind.” -Mary Morstad, member
Jorge and Amada's Story
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If you are interested in more information about this program, click here to access our Member Advocate brochure. You can also call us at (844) 734-2563 Monday - Friday, 10:00 a.m. - 4:00 p.m. to learn more about the Member Advocate Program.
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