Chronic Care Management (CCM)

Our Chronic Care Management program is designed to enhance the quality of life for patients with ongoing health issues. We focus on personalized care plans that cater to your unique needs, ensuring affordability while providing exceptional support.

Chronic Care Management (CCM) helps patients with two or more chronic conditions get access to the necessary care in between regularly scheduled doctor visits. This service gives you on demand access to care when you need it.

We create a custom care plan for each patient that factors in your personal goals and barriers. Your care manager will assist with diet and exercise coaching, send referrals and orders you need, check on medication refills, ensure that your vaccines and preventative screenings are up to date, and help locate community resources based on need and eligibility.

Some Eligible Chronic Conditions

• Alzheimer’s or Dementia

• Ashtma

• Atrial Fibrillation and Flutter

• Cancer

• Cardiovascular Disease

• Chronic Kidney Disease

• COPD

• Depression or Bi-Polar

• Anxiety

• Diabetes

• Hypertension/High Blood Pressure

• Osteoporosis

• Stroke

• Obesity/Overweight

• Parkinson’s

• Hypothyroidism

• Chronic Pain

• Arthritis

• GERD