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Clinical Management for Patients with Chronic Conditions

Improve Patient Care, Engagement and Satisfaction Between Office Visits

Doctor Discussing With Couple Over Digital Tablet

Stick to the Plan. See the Results.

The most important, and often hardest, part of any comprehensive care plan is helping your patient to stick with it.

Lifestyle changes, connecting to community resources and even seeing other providers – it’s a lot for you and your staff to keep up with.

With 100Plus’ chronic care management (CCM) program, you can help patients with two or more chronic conditions follow their comprehensive care plans without over burdening your staff. We’ll help you to identify and enroll qualifying patients. Then we monitor and engage with patients between visits, with all documentation saved directly to your EHR.

 

Turn-Key, Patient-first Chronic Care Management

With as little as 20 minutes of engagement per month between visits, we provide patients with the regular support and interaction needed to stay compliant and follow the plan.

Our goal is to be an extension of your practice, with our clinical team offering:

  • A dedicated team assigned to your practice
  • Customized workflow
  • Filtering to bring emergencies to your attention
  • Direct patient engagement without devices or readings

All under your supervision, without burdening your staff.

Nurse at desk monitoring patient dashboard

Understanding the Differences Between Remote Care Programs

In this article, we cover some of the similarities and differences between remote patient monitoring (RPM), remote therapeutic monitoring (RTM), chronic care management (CCM), and principal care management (PCM).

Read full article

The Value of Chronic Care Management

50%

of all adult Americans have a chronic condition.

66%

of Medicare beneficiaries have 2+ chronic conditions.

99%

of Medicare spending is attributed to patients with multiple chronic conditions.