One in Four adults has 2 or more Chronic Conditions. That’s an estimated 117 million adults.

What does this mean for a patient with two or more chronic conditions?

• It is difficult to participate effectively in care
• The quality of care is often comprimised
• Higher healthcare spending due to hospitalization
• Difficulty in communication between doctors
• Risk of suffering from adverse drug events
• Greater risk of readmission after a hospitalization

“In 2014, the estimated total annual cost of readmissions for Medicare was $26 billion, with $17 billion of that considered avoidable costs.”

With Chronic Care Management Medicare hopes to avoid these readmissions

Medicare has developed a new quality-driven approach that improves preventive care, incentivizes early intervention, and care continuity for chronically ill patients.

How does it work?

• Your provider will collaborate with you to establish and explain a personalized, comprehensive care plan
• Your provider will coordinate care transitions to and from the hospital, specialists, or other providers.
• You will have round-the-clock access to clinical staff who can access your records.
• Clinical staff will follow up on your care plan on daily basis.
• You will have complete access to your Care Plan in a web portal and a certified electronic health record (EHR) to better manage all your clinical information.

This CCM program seeks to elevate your care needs and devote more time on the one thing that matters most – making you healthier.

Goals of a Chronic Care Management Program:

• Avoid any expensive and distressing visits to the hospital.
• Better communication with your health care professionals.
• A specified plan to manage and improve your health and quality of life.
• Managing risk factors to improve clinical Outcomes.
• Ensure a high quality of care.