What Is Chronic Care Management and How Can It Help You?

Living with one chronic health condition can be challenging. Managing two or more can make everyday life even more complicated. Between medications, doctor appointments, lifestyle changes, and communication with different healthcare providers, it can sometimes feel difficult to keep everything organized.

Chronic Care Management (CCM) is designed to provide ongoing support for people living with multiple chronic conditions. Rather than limiting care to occasional doctor visits, CCM helps patients stay connected with their healthcare team and better manage their health throughout the month.

At Holistic Care Partners, we combine chronic care support with a personalized approach that considers the whole person—not simply a list of symptoms.

What Is Chronic Care Management?

Chronic Care Management is an ongoing healthcare service for eligible Medicare patients who have two or more chronic conditions that are expected to last at least 12 months or for the remainder of the patient’s life.

The goal is to help patients manage their conditions more effectively while coordinating the different aspects of their healthcare.

Depending on the patient’s individual needs, Chronic Care Management may include:

• A personalized care plan
• Regular communication with the care team
• Coordination between healthcare providers
• Medication review and support
• Help managing chronic health conditions
• Lifestyle and wellness guidance
• Ongoing follow-ups

Instead of navigating your healthcare alone, you have a team helping you stay organized and engaged in your care.

Who May Benefit From Chronic Care Management?

CCM may be appropriate for Medicare patients living with two or more chronic conditions.

Examples of chronic conditions can include:

• Diabetes
• High blood pressure
• Heart disease
• COPD
• Asthma
• Arthritis
• Chronic pain
• Depression or anxiety

Eligibility depends on your individual health situation and Medicare requirements, so it is important to speak with a healthcare provider to determine whether the program is appropriate for you.

Why Is Ongoing Care Important?

Chronic conditions require more than occasional attention.

A patient’s health, medications, symptoms, and daily challenges can change between appointments. Having ongoing communication with a care team can make it easier to identify concerns, coordinate care, and keep your healthcare plan up to date.

Chronic Care Management can also help patients better understand their care plan and become more involved in decisions about their health.

Can Chronic Care Management Be Provided Remotely?

Yes. One of the major advantages of Chronic Care Management is that much of the ongoing support can be provided remotely.

Patients may receive support through phone calls, telehealth services, care coordination, and other forms of remote communication.

This can be particularly helpful for people who have mobility challenges, busy schedules, transportation difficulties, or simply prefer receiving ongoing support from the comfort of home.

Does Medicare Cover Chronic Care Management?

Medicare Part B may cover Chronic Care Management services for eligible patients with two or more chronic conditions.

Depending on your insurance coverage, coinsurance or other out-of-pocket costs may apply. Patients who also have Medicaid or qualifying secondary insurance may have some or all of these additional costs covered.

Because every patient’s insurance situation is different, verifying your benefits before enrolling can help you understand what costs, if any, may apply.

A More Personalized Approach to Chronic Care

Managing chronic illness isn’t only about numbers on a medical chart.

Nutrition, physical activity, stress, emotional well-being, daily routines, and access to appropriate support can all influence how a person feels and manages their health.

At Holistic Care Partners, our approach focuses on supporting the whole person while helping patients coordinate and manage their ongoing healthcare needs.

Our Chronic Care Management services can include care coordination, medication review, chronic condition management, personalized care planning, and ongoing communication with our care team.

For patients who are interested in additional wellness support, we also offer optional holistic wellness services. These services are separate from Medicare-covered Chronic Care Management and are not billed to Medicare or insurance.

How Do I Get Started?

Getting started with Chronic Care Management can be simple.

Our team can help verify your insurance coverage, explain how the program works, answer your questions, and determine whether you may qualify.

If you are living with two or more chronic health conditions and would like additional support managing your care, contact Holistic Care Partners to learn more about our Chronic Care Management program.

Take the next step toward more coordinated, personalized care. Contact Holistic Care Partners today to learn whether Chronic Care Management may be right for you.