Inadequate eligible population size at recruitment site, resulting in inadequate pace of recruitment per funder guidance.

Unplanned 30-day hospital readmissions are an critical healthcare quality metric, with meaningful effects on patients and health systems operations. Interventions to reduce unplanned readmissions have primarily operated within a healthcare-centric frame, with enhancements to either pre- or post-discharge care planning, medication reconciliation, or visit frequency. Associations of 30-day readmission rates with poverty status and other social factors, however, suggest that attending to unmet social needs may yield added benefits to models focused on healthcare delivery. The purpose of the present trial is to provide evidence regarding the effects on 30-day readmissions of providing a one-time post-discharge income supplement to socially vulnerable older adults with medical complexity participating in an enhanced care coordination program.

Inclusion Criteria:

• A participant in the underlying enhanced care planning program
• aged 55 years or older
• attending an outpatient clinic appointment as part of the underlying enhanced care planning program within 10 days of being discharged from an inpatient hospital stay
• able to understand the study consent form (with interpretation services if needed)

Exclusion Criteria:

• The candidate is not discharged from the index admission to a community setting (e.g., they will be excluded if they are discharged to a skilled nursing facility)
• The candidate has a legal guardian with control over financial decision-making
• The candidate has been approached about the study during a previous encounter
• The index hospitalization was a planned admission