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What is a chronic condition?

Chronic conditions generally last longer than 12 months and require ongoing medical treatment. Examples of chronic conditions include cancer, stroke, lung disease, diabetes, and Alzheimer’s. These conditions can put patients at risk of death, loss of independence, or exacerbation.

What is chronic care management (CCM)?

CCM is our patient-centered program that allows for higher patient satisfaction and better health outcomes. The program is designed for those who suffer from at least two chronic conditions. One in four adults in the United States, and nearly two-thirds of Medicare beneficiaries, suffer from two or more chronic conditions.

What are the benefits of CCM?

Our CCM program provides coordinated care among all of the patient’s providers. This can include the patient’s primary care physician, pharmacists, specialists, rehabilitation providers, or any other professional involved in his or her care. Patients enrolled in our CCM program are assigned a care management team member. This is the patient’s direct point-of-contact on a regular basis. As a result, the patient enjoys personalized, all-encompassing attention from their team member dedicated to their care.

Specific benefits include:

  • Efficient medication refills
  • Timely referrals and communication
  • Ongoing patient education of chronic care self-management skills
  • Regular updates to primary care provider of the patient’s status
  • Regular assessments to prevent exacerbation of symptoms
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