Feeling Overwhelmed by Healthcare Challenges? We’re Here to Help
What is Chronic Care Management?
Chronic Care Management is an essential component of value-based healthcare, improving patient outcomes while reducing healthcare costs by focusing on proactive and preventative care
Patients with two or more chronic conditions—such as diabetes, hypertension, heart disease, COPD, and many other conditions—benefit from CCM services by receiving continuous support from a Chronic Case Manager their health effectively and avoid unnecessary hospitalizations.
What is a Chronic Case Manager?
A Chronic Case Manager (CCM) is a healthcare professional responsible for coordinating and managing the ongoing care of patients with chronic illnesses in collaboration with their loved ones and healthcare providers. Their primary goal is to improve patient health outcomes by ensuring continuous, proactive, and comprehensive care outside of traditional office visits.
Key Responsibilities:
Care Coordination: CCMs facilitate communication between patients, primary care providers, specialists, and other healthcare professionals to ensure a cohesive treatment plan.
Patient Education & Support: They educate patients on managing their chronic conditions, including medication adherence, lifestyle modifications, and symptom monitoring.
Personalized Care Planning: They develop and implement individualized care plans tailored to each patient’s needs, ensuring alignment with their healthcare goals.
Regular Monitoring & Follow-ups: CCMs track patients’ progress through routine check-ins, remote monitoring, and follow-up visits, identifying any potential issues before they escalate.
Preventive Health Strategies: They help prevent complications by encouraging preventive screenings, vaccinations, and early intervention strategies.
Resource Navigation: CCMs assist patients in accessing community resources, healthcare services, financial assistance, and support programs to enhance their quality of life.
Documentation & Compliance: They ensure all care activities are accurately documented in accordance with healthcare regulations and Medicare guidelines.
HIPAA Compliant Private Patient Portal: Grant the patient 24/7 online access through the SimplePractice app where you can coordinate with your case manager, schedule appointments, fill out intake forms, upload medical documents, and even share access to all your records with your emergency contacts and healthcare providers.
Emergency Medical Record Access: Provide all patients with a wallet card, dog tags with necklace, or a bracelet with a built in USB drive to carry all of your records on you at all times in case of emergency or if your loved one is found unconscious
Gone missing or found unconscious? Carry your information on you at all times with our devices:
Bracelet
Wallet Card
Dog Tag with Necklace
Your healthcare, at your fingertips!
Our Services
Click here to see our Self Pay Subscriptions
Check out our plans! We have a range of monthly subscription plans from $20 - $250 that allow you to decide the level of care needed for you or your loved ones. We also provide one time consults for patients that just need a minimal amount of help and guidance to help them meet their healthcare needs. Click on the link to find the best plan for you or your loved one!
Click here to learn how to use your Insurance for our services
Patients who have insurance can have their chronic care management services billed to their insurance through physicians and non-physician practitioners for unlimited monthly service. Click on the link to see full details and requirements
Click here to see services for Healthcare Providers and Private Companies
Are your patients or employees in need of chronic care management? We can help improve overall patient outcomes, reduce hospitalizations, and prevent fragmentation of care. Implementing our services can also be extremely profitable to your practice due to lucrative reimbursement from Medicare and most insurance providers. Click on the link to learn how we can elevate your patient care to the next level!
