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Chronic Care Management

Chronic Care Management (CCM) is a program created by the Centers for Medicare and Medicaid Services and provided by your Doctor’s Office to improve your overall health and healthcare satisfaction.  CCM is endorsed by the American Medical Association and each of the major medical societies and has been identified by the Department of Health and Human Services as “a critical component of primary care that contributes to better health and care for patients, and even caregivers.”

There is typically with no out-of-pocket expense for Chronic Care Management, just a small monthly fee that is covered by insurance.  Individuals who qualify for Medicare benefits and have two or more chronic health conditions are automatically qualified for this service.

You will still receive the same great care from your Doctor, Chronic Care Management just helps to make that care even better.

Below are just a few of the benefits…

A Dedicated Care Manager

Your Care Manager will serve as a health advocate and be your “one-stop shop” in between office visits to provide rapid access to your care team, monthly check-ins, care coordination, and improved communication and management of care transitions (such as hospitalizations), referrals, and follow-ups.

Better Healthcare

Chronic Care Management was built with the single goal of improving your healthcare.  We accomplish this using Medicare’s guidance along with our proven formula which includes care coordination, enhanced communication, priority access, remote monitoring, a comprehensive care plan and much more.

Enhanced Communication

Your Care Manager will become a single point of contact for your medical needs in between office visits and they will work directly with your Doctor.  Our advanced communication system will allow you to reach out via phone, text, or even online.

Remote Monitoring

Our state-of-art software platform, ChronicCareIQ monitors your health data and assists our care team in identifying early warning signs of potential health issues.  While we are already experts in knowing what what to do, ChronicCareIQ helps us know when to do it.

Significant Cost Savings

According to the latest research from Medicare, CareSync.com reports that in addition to improving health outcomes, Chronic Care Management has been shown to save nearly $1100 per patient per year due to improved health related outcomes, better utilization of insurance benefits, and fewer hospitalizations.

A Customized Care Plan

With input from you and your loved ones, your Doctor and Care Manager will work together to create a customized care plan, a dynamic plan that will serve as the foundation for your ongoing healthcare and a roadmap to improving your health.

Is Chronic Care Management covered by my insurance plan?

Yes.  Chronic Care Management was created by the Centers for Medicare and Medicaid Services.  In most cases, your insurance company has actually identified you as qualified for this service.

Is Chronic Care Management recommended by my doctor?

Yes.  Chronic Care Management is recommended by your Doctor and/or care team.  Additionally, the program is endorsed by the American Medical Association and each of the major medical societies and has been identified by the Department of Health and Human Services as “a critical component of primary care that contributes to better health and care for patients, and even caregivers.”

Will Chronic Care Management save me money?

Likely.  According to the latest research from Medicare, CareSync.com reports that in addition to improving health outcomes, Chronic Care Management has been shown to save nearly $1100 per patient per year due to improved health related outcomes, better utilization of insurance benefits, and fewer hospitalizations.

Do other Doctor's offices offer chronic care management?

A recent survey indicates that nearly 70% of Doctors offer chronic care management or strongly plan to offer chronic care management this year.

Is there ever a situation where I will be billed for Chronic Care Management?

Rarely.  While you will see an Explanation of Benefits (EOB) from your insurance carrier for Chronic Care Management, in most cases you will not be billed for Chronic Care Management.  The most commmmon exception to this is if you have not yet met your yearly deductible.  All Medicare patients are required by law to pay a $185 Medicare Part B deductible.  The good news is that even if it is applied to your deductible, Chronic Care Management, will not affect your overall out-of-pocket expenses.

What if the insurance company requires me to pay out-of-pocket for this service?

While insurance generally pays for the service, in rare cases the insurance company may transfer this charge to “patient responsibility”.  If this happens and you feel that this chard would create a financial hardship for you, let us know and we will determine how we can help.

What if I am not sure if Chronic Care Management is right for me?

Feel free to reach out directly to our Care Coordinator, Ann, by calling the office at (303) 730-2167.

What if I have heard everything, but still do not want to be a part of the program?

As you already realize, the Doctors at Altitude Family and Internal Medicine feel very strongly about the benefits and importance of Chronic Care Management.

However, you have the right to stop CCM services at any time (effective at the end of the calendar month) by completing this written declination form required by the Centers for Medicare and Medicaid Services.  Declining CCM services does not affect your ability to continue to see your physician at Altitude Family and Internal Medicine.

Prior to making this decision we would suggest a conversation with our Care Manager, Ann Lott, who can be reached at (303) 730-2167.