Chronic Care Management (CCM)
Ongoing Support for Chronic Conditions to Enhance Health and Prevent Complications
What is Chronic Care Management (CCM)?
Chronic Care Management (CCM) is a Medicare-supported program designed to enhance care coordination for patients with multiple chronic conditions. By providing ongoing support between office visits, CCM ensures that patients receive proactive, continuous, and personalized care. Services include care planning, medication management, coordination between specialists, and 24/7 access to healthcare resources, ultimately improving patient adherence, reducing complications, and preventing unnecessary hospitalizations.
Preventel Health offers CCM solutions for a wide range of healthcare providers, including primary care physicians, specialists (such as cardiologists, endocrinologists, neurologists, and ophthalmologists), as well as healthcare facilities like nursing homes, assisted living communities, adult day care centers, shelters, and other long-term care settings. These patients often require continuous oversight to manage chronic conditions effectively and maintain their quality of life.
By implementing CCM, providers can deliver structured, ongoing care that enhances patient outcomes, increases engagement, and optimizes long-term health—all while improving care coordination and reducing avoidable hospitalizations.
Helping Your Patients Manage Their Chronic Conditions
CCM Key Program Benefits
Enhanced Patient Engagement
Encourages patients to take an active role in their health with regular check-ins, education, and personalized care plans.
Improved Care Coordination
Seamlessly connects primary care providers, specialists, and care teams to ensure continuity of care and reduce gaps in treatment.
Better Chronic Disease Management
Helps patients manage conditions like diabetes, hypertension, heart disease, respiratory disorders, and vision-related illnesses with ongoing support and intervention.
Reduced Hospitalizations & ER Visits
Proactive monitoring and early intervention help prevent complications, reducing avoidable hospital stays and emergency visits.
Increased Practice Revenue
Provides an additional revenue stream for healthcare providers through Medicare reimbursement while enhancing patient care.
Access to Care Resources
Ensures patients can reach healthcare professionals outside of traditional office visits, improving responsiveness and support.
Comprehensive Medication Management
educes the risk of adverse drug interactions and improves adherence through structured medication reviews and follow-ups.
Strong Provider-Patient Relationships
Builds trust and long-term engagement by offering personalized, continuous care beyond in-office appointments.
Enhance Patient Care & Improve Outcomes with Chronic Care Management!
Support your patients with chronic conditions through our Chronic Care Management (CCM) program. Our solution provides continuous, personalized care, improves medication adherence, reduces hospitalizations, and ensures better health outcomes for your patients.
Contact us today to integrate CCM into your practice and enhance patient care while optimizing your clinical workflows.