Chronic Care Management
Chronic Care Management (CCM) is a program available to Medicare patients living with more than one chronic condition, such as arthritis, diabetes, depression, asthma, high blood pressure or other long-term conditions.
Support for Chronic Illnesses
- Thyroid and parathyroid disorders: Coordinate follow-up care, reinforce medication adherence, and help ensure recommended laboratory monitoring is completed after surgery.
- Chronic sinusitis: Support recovery after sinus surgery while reinforcing postoperative care and identifying concerns before they become complications.
- Obstructive sleep apnea using Inspire: Improve adherence, coordinate follow-up visits, and support patients with chronic comorbidities such as hypertension, diabetes and obesity.
Coordination of Care
Chronic Care Management extends care outside of the four walls of your physician’s practice to help you maintain the best possible health. Each month, a dedicated Care Coordinator can call you to:
- Assist with scheduling appointments, lab tests or other tests.
- Explain how and when to take your medications.
- Coordinate any home health or medical equipment needs.
- Connect you with health education resources, services and programs.
- Identify available community resources.
- Coordinate follow-up care after leaving the hospital.
- Access other support services you need to stay well.
There is also a 24/7 Care Coordinator Phone Line to help answer questions day or night outside of your monthly calls with your Care Coordinator.
Cost and Coverage
It is best to review exactly what your Medicare insurance plan covers, but this service is subject to your annual deductible and coinsurance, usually 20%.
If you have a secondary or supplemental insurance plan, your coinsurance may be covered.
You can only sign up for Chronic Care Management services with one CareHarmony care coordination team at a time. You may opt out at any time. There are no strings attached.
Frequently Asked Questions
Chronic Care Management is a care coordination program designed by Medicare to help patients better manage chronic conditions. It gives you greater support and access to care between office visits, even while at home.
One benefit of Chronic Care Management is helping you maintain good health. The program can help you keep up with preventive care, connect with specialists, locate healthcare resources, and access community services.
A chronic condition is an ongoing, long-lasting health condition that requires continual management and treatment. Examples include asthma, diabetes, arthritis, hypertension and heart disease.
Care coordination is the organization of patient care activities and the sharing of information among the people involved in a patient’s care. CCM provides extra layers of support between doctor visits for eligible patients with two or more chronic conditions.
To be eligible for Chronic Care Management, you must be a Medicare beneficiary and have two or more chronic conditions expected to last at least 12 months, or until end of life. If you are unsure whether your conditions qualify, contact your provider for guidance.
Yes. At this point the program is only being offered to Medicare patients.
Managing and coordinating care can be difficult if you have multiple chronic conditions, see different types of doctors, or take several medications. Coordinated care helps your doctors get the information they need, when they need it.
Many Medicare patients have secondary insurance, which often covers CCM copays. If not, CCM may be subject to coinsurance, usually 20%, as well as your deductible. It is best to review exactly what your insurance plan covers.
Yes. The same rules that protect your medical information in your doctor’s practice apply here as well. Your information is secure and handled according to HIPAA guidelines.
Chronic Care Management extends your care beyond office visits. You will be matched with a dedicated Care Coordinator and have access to support 24/7. Your Care Coordinator can help with scheduling, refills, lingering questions, treatment planning and communication across your care team.
Give us a call at (913) 222-5489 to learn more about the program and get answers to your questions.
There is no long-term commitment. You may opt out any time by notifying us by phone. You will be unenrolled at the end of the current month.
Looking to Enroll? Have Questions?
If you have questions about this service and would like to learn more about the program or how to enroll, please call (913) 222-5489 to speak with a Care Coordinator.
Find out more about CareHarmony here:
Take Control of Your Chronic Care
Get the ongoing support and care coordination you need to better manage your chronic conditions.