Traditional care management typically involves reactive responses to medical issues as they arise. ECM, on the other hand, takes a proactive stance by identifying potential health risks early and implementing preventive measures to mitigate them. It also emphasizes holistic care that addresses both medical and non-medical needs, such as social support and behavioral health.

ECM is particularly beneficial for individuals with chronic illnesses, complex medical conditions, or multiple comorbidities. It can also support patients transitioning between healthcare settings, such as hospitals and home care, by ensuring continuity of care and reducing the risk of complications.

The key components of ECM typically include comprehensive care assessments, personalized care plans, care coordination, patient education and empowerment, medication management, and continuous monitoring and follow-up. These components are tailored to the individual's specific needs and preferences.

Many health insurance plans, including Santa Clara Family Health Plan, offer coverage for care management services, including ECM, especially for patients with complex medical needs. However, coverage may vary depending on the specific insurance plan and individual circumstances. Patients are encouraged to check with their insurance provider to verify coverage details.