EP 210 - How Enhanced Care Management (ECM) and CalAIM Help Seniors Stay at Home | Inside the PACE Model Series with On Lok

What happens when a family is trying to coordinate care for an aging parent—and realizes that healthcare, social services, and community resources aren’t actually connected?In this episode of the Simplify Senior Transitions Podcast, Dale Corpus sits down with Harmony Young, Enhanced Care Management (ECM) Program Manager at On Lok, to break down how care coordination really works behind the scenes.This episode is part of a special series exploring the PACE model and the broader ecosystem of care in collaboration with On Lok. Harmony explains how California’s CalAIM initiative is designed to take a “whole-person” approach to care—connecting medical services with critical social factors like housing, food, transportation, and access to support.As she shares, health outcomes are not just driven by what happens in a doctor’s office, but by what’s happening in someone’s daily life.You’ll learn how Enhanced Care Management (ECM) works in practice, including how individuals are supported by a lead care manager who helps coordinate services, remove barriers, and navigate complex systems.The conversation also highlights the real challenges many individuals face—from lack of access to healthcare and transportation to social isolation and unstable housing.Dale and Harmony also explore how ECM fits alongside the PACE model, creating a continuum of care that supports individuals earlier—before they may need more intensive medical services.✨ IN THIS EPISODE, YOU’LL LEARN• What CalAIM is and what it’s trying to accomplish• How Enhanced Care Management (ECM) supports individuals at risk of institutional care• Why healthcare outcomes depend on social factors like housing, food, and transportation• The role of a lead care manager in coordinating care• Common barriers seniors and individuals face when navigating the system• How ECM and PACE work together as a continuum of care• What medically tailored meals are and how they support chronic conditions• Why many families don’t even know these programs exist👤 ABOUT THE GUESTHarmony Young is the Enhanced Care Management Program Manager at On Lok, where she oversees ECM services under California’s CalAIM initiative.She brings over 15 years of experience working with Medi-Cal populations and has spent much of her career supporting older adults and individuals at risk of institutional care.🔗 CONNECT WITH ON LOK / ECM PROGRAMECM Program Main Line:628-208-8501Website:https://www.onlok.orgIf you’re navigating a senior transition right now and trying to figure out the next step for a parent, here are some resources designed to help.⸻Resources for FamiliesIf you’re navigating senior living decisions, downsizing, or trying to determine the next step for an aging parent, visit:→ www.simplifyseniortransitions.com/familiesThis page provides guidance and resources specifically designed for families navigating senior transitions.⸻Resources for Senior Care ProfessionalsAnd if you’re a senior care professional who wants stronger positioning, clearer referral ecosystems, and more scalable systems for serving families in today’s evolving senior care landscape, visit:→ www.simplifyseniortransitions.com/professionals📄 Show notes: https://simplifyseniortransitions.com/navigating-senior-care-in-the-bay-area-finding-the-missing-pieces-of-the-puzzleSupport the show