Chronic Care Management

Chronic care management (CCM) involves the coordinated treatment of chronic health conditions, such as diabetes, hypertension, heart disease, asthma, and arthritis. Our dedicated team of healthcare professionals works closely with patients to develop personalized care plans that address their unique needs and health goals.

By optimizing chronic care management through personalized care plans, regular health monitoring and coordinated care, Marshall Health Network is committed to helping patients achieve better health outcomes and improved quality of life.

CCM is covered by Medicare and most Medicare replacement plan members. Medicare co-pays and deductibles apply. Contact your insurance company directly to determine your individual coverage. CCM is a voluntary program. Patients must consent to participation and may opt out at any time.

• Personalized Care Plans: We create tailored care plans based on each patient’s specific health conditions and lifestyle. These plans include medication management, dietary recommendations and exercise guidelines.
• Regular Health Monitoring: Our team conducts routine check-ups and monitors patients’ health conditions to ensure effective management and timely interventions.
• Medication Management: We help patients manage their medications, ensuring they are taking the right doses at the right times and understanding potential side effects.
• Coordination of Care: We collaborate with various health care providers, including primary care physicians, specialists and therapists, to provide seamless, coordinated care.
• Patient Education: We educate patients about their conditions and how to manage them effectively. This includes information on symptoms, treatment options and lifestyle changes.
• Support and Counseling: Our team offers emotional and psychological support, helping patients cope with the challenges of living with chronic illnesses.

• Improved Health Outcomes: Effective management of chronic conditions can lead to better health outcomes and a higher quality of life.
• Reduced Hospitalizations: Regular monitoring and proactive care can help prevent complications that lead to hospitalizations.
• Enhanced Patient Engagement: Educating patients about their conditions empowers them to take an active role in their health care.
• Coordinated Care: Streamlined communication between healthcare providers ensures that patients receive comprehensive and cohesive care.

• Experienced Team: Our health care professionals have extensive experience in managing chronic diseases. We are dedicated to providing compassionate, patient-centered care.
• Comprehensive Services: We offer a wide range of services to meet the diverse needs of our patients, from medical management to support services.
• Patient-Centered Approach: We focus on the individual needs of each patient, creating personalized care plans that promote optimal health and well-being.