Chronic Care Management (CCM)

What is chronic care management?

Chronic care management is a service provided to Medicare beneficiaries under CMS. In particular, Medicare offers chronic care management services to members living with two or more chronic conditions that are anticipated to endure at least one year or until death.  

Common chronic health conditions include: 

Healthcare providers, such as physicians, nurse practitioners and physician assistants, offer chronic care management services. The care is often not delivered in person.  

Chronic care management oversees medication management, care plans, referrals and care transitions.  

Why is chronic care management important to healthcare?

Chronic care management is important because it offers support and care for individuals living with chronic conditions. This care lets individuals live more independent and active lives, thus greatly improving their health and quality of life.   

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