Chronic Care Management

Chronic care management is a type of virtual care service that focuses on the comprehensive management of patients with chronic conditions. CCM services are provided by healthcare professionals, such as physicians, nurses, and social workers, who work with patients to develop and implement care plans that are tailored to their specific needs.

The goal of CCM is to improve patient outcomes, reduce healthcare costs, and increase patient engagement in their own health management. CCM services typically include care coordination, medication management, and patient education.

What are the CCM-Eligible Chronic Conditions?

CMS has outlined a list of qualifying conditions. Here are some of the common conditions:

• Chronic obstructive pulmonary disease (COPD)
• Heart failure
• Diabetes
• Hypertension
• Chronic kidney disease
• Osteoporosis
• Stroke

If you or a loved one suffers from one of these conditions, then you may be eligible for CCM services

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How Does CCM Work?

CCM is typically offered to patients who have two or more chronic illnesses, such as diabetes, heart disease, or asthma. Under the program, a care manager will work with the patient and their doctor to develop a care plan that meets their specific needs.

The care manager will then provide support and resources to help the patient stick to their plan. This may include things like educational materials, tips for managing their illness or help connecting them with community resources.

Other examples are things like helping them keep track of their medications, arranging for transportation to and from appointments, or just providing general support and guidance. And as you can imagine, all of this can be a huge help to patients who are struggling to manage their chronic conditions on their own.