


For the Patient
Chronic Care Management is a Medicare program created to provide support to patients and strengthen the relationship between patient and healthcare provider.

Care Coordination
Each patient is assigned a care coordinator who will schedule appointments, provide solutions to any barriers in care, and help answer any questions.

VIP Access
Care coordinators are available to answer questions regarding patient health. Non-emergent issues are relayed directly to the health care provider, ensuring the issue is addressed and a solution is found.

Goals are Determined
An electronic care plan is sent out every month summarizing the patient's health. It includes goals set by the patient, as well as condition specific goals set by the care team.

Condition Specific Goals
Problem
Goal
Diabetes
Hemoglobin A1C < 7%
CAD
Aspirin taken once/day
Diabetes/
CAD
Walk 30 minutes everyday
(patient goal)


