Care Harmony

Chronic Care Management is a care coordination program designed by Medicare to help patients better manage their chronic conditions. It was created to give you greater support and access to care between office visits, even while at home.

A chronic condition is an ongoing, long-lasting health condition that requires continual management and treatment. Left untreated, a chronic condition can hinder independence and negatively impact health. A few examples of chronic conditions include prostate cancer, overactive bladder (OAB), and benign prostatic hyperplasia (BPH).

Care Coordination is the deliberate organization of patient care activities and sharing of information among all participants concerned with a patient's care to achieve safer and more effective outcomes. Care Coordination services (like those that are part of Medicare’s Chronic Care Management program) provide extra layers of support and care between doctor visits for eligible patients who have at least one chronic condition.

To be eligible for the Chronic Care Management program, you must be a Medicare beneficiary and have at least one chronic condition expected to last at least 6 months, or until end of life. If you are unsure if your conditions qualify, contact your provider, and they will be able to assist you further.

Yes. At this point, the program is only being offered to Medicare patients.

Managing and coordinating care can be particularly challenging if you suffer from chronic conditions. You may have multiple issues related to chronic conditions, including different types of appointments and multiple medications. For every medication you take, it’s important to know how it reacts with other medications. Proper care coordination ensures your doctors get the information they need when they need it, leading to better outcomes.

One of the great benefits of Chronic Care Management is not only to help you achieve good health but also to maintain it. The program focuses on preventive care, helping you schedule appointments, find valuable healthcare resources, and access community services.

The majority of Medicare patients have secondary insurance that often covers Chronic Care Management (CCM) program copays. In cases where it doesn’t, CCM may require a modest coinsurance responsibility (usually 20%) as well as your deductible. It is best to review exactly what your insurance plan covers.

Yes. The same rules that protect your medical information in your doctor’s practice apply here as well. Your information is and will always be secure using the latest Certified Information Technology and adhering to all HIPAA guidelines.

Chronic Care Management extends your care beyond your physician's office, helping you maintain the best possible health. You'll be matched with a dedicated care coordinator and have access to help 24/7. A treatment plan (care pathway) will be created to address your ongoing care needs. Your care coordinator will assist with navigating the healthcare system, scheduling appointments, managing refills, and addressing lingering questions. They act as an extension of your doctor, helping to monitor and adjust your care as necessary.

Give us a call at (937) 247-6616 to learn more about how you can benefit from this program and to get answers to any questions you may have.

With Chronic Care Management, there is no long-term commitment. You may opt-out at any time by notifying us via phone, and you will be unenrolled at the end of the current month.