The following information for Medicare patients helps explain the value of Medicare’s Chronic Care Management (CCM) program, or what your doctor may have referred to as care coordination.
Medicare believes there is tremendous value in taking care of patients all of the time, not just at the point of care. It’s just one of the reasons why Medicare created its Chronic Care Management (CCM) program, which is designed to provide 24/7 care coordination services to Medicare beneficiaries with two or more chronic conditions.
What Is Chronic Care Management?
In the document, "Medicare and You," Medicare describes this important value-based healthcare program, stating the following about CCM services:
"If you have 2 or more chronic conditions that are expected to last at least a year, Medicare may pay for a healthcare provider's help to manage those conditions. This includes a comprehensive care plan that lists your health problems and goals, other healthcare providers, medications, community services you have and need, and other information about your health. It also explains the care you need and how your care will be coordinated.
“A chronic condition could be arthritis, asthma, diabetes, hypertension, heart disease, osteoporosis, and other conditions. Your healthcare provider will … prepare the care plan, help you with medication management, provide 24/7 access for urgent care needs, give you support when you go from one healthcare setting to another, review your medicines and how you take them, and help you with other chronic care needs.
“There's a monthly fee, and the Part B deductible and coinsurance apply."
Why Is Care Coordination Important for Medicare Patients?
Having your care coordinated can help ensure all your medications, medical records, allergies, and test results are communicated with all your doctors. Each doctor has the most accurate and complete information so all your healthcare providers can work together to help you achieve the best possible health.
Meanwhile, care coordinators support you day and night, looking out for your best interests. Just a few examples of the many things they can do for you:
- Answer your health questions
- Help you follow through on your doctor’s instructions
- Reconcile your medications (helping you avoid potentially dangerous drug interactions)
- Ensure you know about and get access to the preventive care you need
- Locate resources for you that can help improve your health and lifestyle
Medicare and Your Doctor Want Your Care Coordinated
These between-visit care coordination services are something your doctor and Medicare want you to have for good reason: they are making a meaningful difference in the lives of individuals like you! In fact, the CCM program has been so successful since it was implemented in 2015, that Medicare expanded the program in 2017.
More Information for Medicare Patients
CareSync, the top choice in Chronic Care Management companies, provides care coordination services that make it easy to collaboratively manage health among all your healthcare providers. We also offer a care coordination app that can give you complete access to your healthcare record and helps you understand your health history, track symptoms, and reach your healthcare goals.
To learn more about why we’re the chronic care management solution for you, we invite you to read this article. You can also check with your doctor to see if you qualify for Medicare’s Chronic Care Management program and then ask your doctor to contact CareSync.