Chronic Care Management Program
What is Chronic Care Management? (CCM)
It is an added optional service for patients who have eligible chronic care conditions (see back of flyer for a list). The Ascent Healthcare CCM team works remotely to become another set of eyes and ears ensuring best management of your chronic conditions.
Benefits of Chronic Care Management:
- Personalized care plans
- Additional chart reviews
- Medication reconciliation
- Reduced ED visits
- Extra layer of clinical support
- Specialist coordination
- Lab monitoring
“The Centers for Medicare & Medicaid Services recognizes Chronic Care Management as a critical component of primary care that contributes to better health and care for individuals” (CMS, 2019)
Eligible Chronic Conditions
- Alzheimer’s disease and related dementias
- Arthritis (osteoarthritis and rheumatoid arthritis)
- Asthma
- COPD
- Atrial Fibrillation
- Cancer
- Cardiovascular Disease
- Depression
- Diabetes
- Hypertension
- HIV/AIDS
- …and more
