Chronic Care Management
Understanding Chronic Care Management
Chronic Care Management (CCM), are often non-face-to-face programmes offered to Medicare enrollees with two or more chronic diseases that are anticipated to endure for at least a year, or until the patient passes away.
The Centres for Medicare & Medicaid Services (CMS) acknowledge that CCM services are essential parts of primary care that lower total health care cost and ensures greater health.
Key aspects of CCM:
- Comprehensive Care Plan: CCM includes a thorough care plan that lists health problems, goals, medications, community services, and other relevant information. It explains the necessary care and how providers will coordinate it.
- Extra Time and Attention: Your healthcare provider recognizes the effort it takes to manage chronic conditions. That’s why there are special billing codes for CCM services. They want to invest the time needed to keep you on track.
- Eligibility: If you have two or more chronic conditions (which is quite common), you’re eligible for CCM. It’s like having a healthy coach who’s always there to take care of your health.
What Will You Get?
- A Dedicated Care Manager: Our Designated care manager will oversee CCM services for eligible patients. This individual will play a crucial role in coordinating care for them.
- Prior Identification of Risk: We will assess patients with multiple chronic conditions who are at significant risk of death, exacerbation, or functional decline. These patients can benefit from CCM services.
- Developed Care Team Interface: Our developed care team interface clearly defines the responsibilities and communication channels between the care manager and the care team. Effective collaboration ensures seamless care delivery.
- Services Provided: The services included in CCM are medication management, care coordination, and patient education. These services aim to improve patient outcomes and satisfaction.
- Enroll Patients in Care Management: We engage eligible patients and enroll them in CCM. Explain the benefits and how the program will enhance their overall health.
- Dedicated Care Plans: Our team of professional health care providers develop dedicated care plans for each patient, considering their unique needs, conditions, and goals. These plans guide the delivery of coordinated care.
Benefits of CCM
- Improved Health Outcomes: CCM helps patients manage their chronic conditions effectively, reducing complications and hospitalizations.
- Enhanced Patient Satisfaction: Regular check-ins, care coordination, and personalized attention lead to higher patient satisfaction.
- Person-Centered Care: CCM focuses on the individual, considering their preferences, lifestyle, and specific health challenges.
Chronic Care Management is more than just a medical service for people facing several chronic illnesses, it’s a lifesaver. Patients receive individualized road maps to improved health, led by compassionate care managers.
Healthcare Protectors work to close gaps, stand up for patients, and strengthen bridges within the community. Our aim is to go beyond medical records, touch lives and impart humanity, hope, and healing.
Meet Our Doctors
Devon Lane
Cody Fisher
Esther Howard
Jenny Wilson
