Chronic Care Management

 CCM is a healthcare service designed for patients with two or more chronic conditions. It provides ongoing care coordination, personalized health plans, and regular follow-ups to keep your health on track. Our dedicated team is here to help you achieve better outcomes and a better quality of life. 

• Access to a dedicated care team.
• Personalized care plans to meet your unique needs.
• Monthly check-ins to track your progress.
• Support managing medications and appointments.
• Reduced risk of hospitalizations and ER visits.

• Enroll in CCM: Schedule your first appointment to discuss your chronic conditions.
• Create a Care Plan: Work with our team to design a plan that fits your goals.
• Ongoing Support: Stay connected through monthly calls, telehealth, or in-person check-ins.
• Care Coordination: Let us handle the details, from specialist referrals to medication reviews.

•  Two or more chronic conditions expected to last 12 months or longer.
• Conditions such as diabetes, hypertension, heart disease, or arthritis.
• A desire to improve your health with ongoing care.

 Stay connected with your care team from the comfort of your home. Our telehealth options make it easy to schedule follow-ups, review your care plan, and ask questions – all without leaving your house.