CHRONIC CARE MANAGEMENT (CCM)

Chronic Care
Management (CCM).

Ongoing, personalized support for people managing chronic conditions—helping you stay connected, organized, and supported between your regular healthcare visits.

Patient
Focused
Coordinated
Care
Medicare
Covered*
Continuous
Support
CCM AT A GLANCE
2+ Chronic
Conditions
Ongoing Care
Coordination
Medicare* For Eligible
Patients

*Coverage and patient cost-sharing depend on Medicare eligibility and individual circumstances.

Support Between
Your Doctor Visits.

Chronic Care Management (CCM) is a Medicare-covered service for eligible patients managing two or more chronic conditions. It provides ongoing care coordination and support between regular office visits, helping you and your care team stay focused on your health goals.

Personalized Care

Care plans tailored to your unique health needs and goals.

Ongoing Monitoring

We keep an eye on your health between regular visits.

Care Coordination

We help connect the different parts of your care for better coordination.

Better Outcomes

Better coordination can support healthier habits and more informed care decisions.

WHO MAY BENEFIT FROM CCM?

You May Benefit From
Chronic Care Management.

CCM is designed to support eligible Medicare patients who are managing multiple serious chronic conditions and need ongoing coordination and support.

If you’re unsure whether CCM is right for you, our team can help you understand your options and next steps.

Talk to Our Team
You may qualify if:

You have two or more chronic conditions

CCM is intended for patients managing multiple serious chronic conditions.

Your conditions are expected to last at least one year

Chronic conditions generally require ongoing management over an extended period.

You need ongoing care coordination

CCM can help coordinate medications, providers, care transitions, and other chronic care needs.

You meet Medicare and provider requirements

Your healthcare provider can review your circumstances and confirm whether CCM is appropriate for you.

Eligibility is determined based on Medicare requirements and your individual healthcare circumstances.
HOW CCM WORKS

Simple, Continuous,
Comprehensive Care.

Chronic Care Management connects the important parts of your healthcare so your care team can support you beyond your regular office visits.

01

Review Your Health

Your care team reviews your chronic conditions, medications, health history, and current care needs.

02

Create Your Care Plan

A comprehensive care plan is developed around your health needs, goals, treatments, and priorities.

03

Coordinate Your Care

Your care team helps coordinate providers, medications, follow-ups, and transitions between different healthcare settings.

04

Ongoing Support

Your care team continues to support your chronic care needs and helps keep your care plan up to date as your needs change.

Have questions about how CCM could support your care?

Talk to Our Team
WHAT’S INCLUDED

Support That
Stays Connected.

CCM brings together the different parts of your ongoing healthcare, helping your care team stay informed and connected as your needs change.

Your care plan is maintained and updated as appropriate to support your ongoing healthcare needs.

Comprehensive Care Plan

A personalized plan that organizes your chronic care needs, goals, treatments, and priorities.

Medication Management

Support with medication review, organization, and communication about your treatment plan.

Care Coordination

Help coordinating information and care among your healthcare providers.

Communication & Follow-Up

Ongoing communication and follow-up to help keep your care plan on track.

Care Transitions

Support with coordinating care when you move between healthcare settings or providers.

Preventive Care Support

Help staying aware of recommended preventive care and ongoing health needs.

WHY CHOOSE CCM?

Stay Connected to
Your Care.

Managing chronic conditions can feel overwhelming. CCM provides ongoing coordination and support to help make your healthcare easier to manage.

Stay Organized

Keep your chronic care needs, medications, and health goals better coordinated.

Feel Supported

Stay connected with your care team as your healthcare needs change.

Coordinate Your Care

Help connect providers, treatments, medications, and important healthcare information.

Focus on Better Health

Receive ongoing support designed around your long-term health and care goals.

YOUR HEALTH. OUR COMMITMENT.

Let’s Make Managing Your
Care Easier.

Have questions about Chronic Care Management or want to understand whether it may be appropriate for you? Our team is here to help.

*CCM eligibility, coverage, and patient cost-sharing depend on Medicare requirements and individual circumstances.