501(c)(3) Nonprofit · Los Angeles County

Elder Healthcare Navigation & Stabilization Pilot

Connecting vulnerable seniors to the care they need — reducing ER overuse, avoidable hospitalizations, and failed specialist coordination across Los Angeles County.

Dual-eligible seniors use the ER 3× more than privately insured patients
68%
Of low-income seniors miss specialist follow-up within 30 days of discharge
$8K+
Average cost per avoidable hospital readmission to health systems
Active seniors walking together on the boardwalk at sunset
The problem we solve

Why vulnerable seniors fall through the cracks

"Low-income and housing-insecure older adults frequently fail to access medically necessary specialty care because they cannot independently navigate healthcare systems, transportation, referrals, paperwork, or digital systems."

— Senior VP, BHBF
Repeat ER use Seniors return to the ER because follow-up care never happened
Readmission risk Discharge plans fail without navigation support and follow-up
Unmanaged chronic care Diabetes, hypertension, and heart disease go uncontrolled
Social isolation No support system to facilitate care engagement or follow-through
What we provide

Navigation & coordination services

Seniors learning computer and internet skills in a community classroom

Ben Harris Business Fund does not provide medical treatment. We provide the connections, coordination, and hands-on support that make treatment possible and effective for medically vulnerable elders.

We carefully vet all vendors and partners for quality, professionalism, responsiveness, and cultural competency — so seniors receive reliable support they can trust.

Healthcare navigation

  • Scheduling specialist appointments
  • Referral tracking and coordination
  • Discharge instruction support
  • Care team communication

Transportation coordination

  • Arranging medical rides
  • Accompanying elders to appointments
  • Same-day and scheduled transport
  • NEMT coordination support

Medication & follow-up

  • Pharmacy coordination
  • Appointment reminders
  • Post-discharge follow-up calls
  • Compliance tracking and support

Benefits navigation

  • Medi-Cal & Medicare enrollment
  • SSI and IHSS applications
  • CalAIM Community Supports
  • Housing resource referrals

Digital assistance

  • Patient portal setup & navigation
  • Online scheduling support
  • Telehealth assistance
  • Digital literacy coaching

Community engagement

  • Interactive health workshops
  • Benefits literacy trainings
  • Multilingual sessions
  • Trusted community settings
Target population

Who we serve in Los Angeles County

We specialize in reaching seniors most likely to fall through the gaps of the healthcare system — and most likely to become high-cost, high-utilization patients without intervention.

Medi-Cal eligible seniors Including managed care enrollees
Dual-eligible individuals Medicare + Medi-Cal beneficiaries
Socially isolated elders Living alone with limited support networks
Housing-insecure older adults At risk of or experiencing homelessness
High ER utilizers Frequent emergency department visitors
Cognitively overwhelmed patients Unable to navigate complex systems independently
↓ ER overuse
Navigate seniors to the right care before crises occur
↓ Readmissions
Post-discharge follow-up that keeps patients on track
↑ HEDIS scores
Drive follow-up visit and medication compliance metrics
✔ CalAIM ready
HRSN-aligned services for ECM and Community Supports
Why health systems choose us

A trusted community-based care navigation partner

Ben Harris Business Fund is positioned as a healthcare access stabilization and care coordination organization — not an informal advocacy group. We speak the language of value-based care, HEDIS metrics, and CalAIM compliance.

📉
Reduce avoidable costs Lower ER overuse, readmissions, and unmanaged chronic conditions that drive system costs
📋
Move HEDIS numbers Our follow-up and medication compliance work directly improves key performance measures
🏥
CalAIM alignment HRSN-compliant services supporting ECM and Community Supports contracting requirements
🤝
Community trust We reach seniors other organizations cannot — in languages, settings, and formats they trust
Ideal partners
Kaiser Permanente
L.A. Care Health Plan
Health Net
LA County DHS
Hospital Systems
ECM Organizations
Get involved

Ready to reduce costs and improve outcomes for vulnerable seniors?

We are actively seeking partnerships with health plans, hospital systems, and CalAIM organizations in Los Angeles County. Let's discuss how Ben Harris Business Fund can support your quality goals.

Schedule a partnership meeting Email us directly
Contact us

Ben Harris Business Fund

Service area Los Angeles County, California
Website [Website URL]