top of page
  • Writer's pictureChronicCare

Top Use Cases for Chronic Care Management

Chronic Care Management (CCM) refers to the medical support provided to patients with multiple ongoing health conditions. CCM involves organizing care from a distance or outside the traditional clinic setting for individuals facing at least two persistent health issues expected to last a year or more, or until their passing.

Healthcare professionals eligible for CCM reimbursement include physicians, nurse practitioners, physician assistants, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and certified nurse midwives. They can bill for non-face-to-face care coordination services lasting at least 20 minutes per month.


Qualifying chronic conditions for CCM encompass a range of ailments such as Alzheimer's, arthritis, asthma, cancer, and cardiovascular diseases, among others. Roughly 117 million American adults grapple with at least one of these conditions, and one in four adults contends with two or more requiring prolonged care.


Consider the scenario of obesity as a chronic condition. Obesity qualifies for CCM if it meets the criteria of lasting at least a year or posing a significant risk of exacerbation, functional decline, or death. Chronic care management for obesity involves continuous support, personalized strategies, and ongoing monitoring of weight loss progress to ensure long-term success.


Diabetes, affecting an estimated 29 million adults in the US, underscores the importance of CCM in managing chronic diseases effectively. By closely monitoring glucose levels and intervening promptly to prevent spikes, CCM empowers both patients and healthcare providers to proactively manage diabetes and mitigate associated risks.


Congestive Heart Failure (CHF), prevalent among older Americans, demonstrates the potential of CCM to reduce hospital admissions and mortality rates. By educating patients about CHF and offering remote monitoring of heart health, CCM minimizes the need for hospitalization and enhances overall well-being.


Hypertension, affecting approximately half of the US population, highlights the significance of CCM in addressing often overlooked chronic conditions. Through real-time monitoring of blood pressure and personalized care plans, CCM fosters patient engagement and improves health outcomes, thus mitigating the risk of complications like stroke or kidney damage.

Offer Chronic Care Management To Your Patients With ChronicCare

ChronicCare partners with Physicians, Hospitals, Payors, and Employers to offer Chronic Care Management Services to their patients. We are dedicated to helping people improve their health and quality of life by maximizing their healthcare outcomes. We bridge the gap between healthcare visits, in order to ensure patients are continually cared for each month. 

Click here to connect with our team, we'd love to discuss potential benefits to your patients, staff, and practice.

5 views0 comments

Recent Posts

See All


Commenting has been turned off.
bottom of page