Chronic Care Management in Santa Clara, CA

Chronic care management (CCM) is a billable service provided by Medicare under the Medicare B benefit that aims to improve the lives of both physicians and patients by providing coverage for the various non-face-to-face interactions between patients and physicians that are necessary to provide optimal care for individuals dealing with multiple chronic conditions. As such, chronic care management encompasses all the medical decisions for treating and dealing with complex chronic diseases that occur outside of in-person appointments. This way, CCM aims to promote your health and reduce costs.
 
With that in mind, some of the services that CCM encompasses include:
 
• Coordination of information and referrals across your entire chronic care medical team
• Coordination of various social support services, such as transportation, psychological assistance, assistance with daily responsibilities, and more
• Interventions that reduce falling risks
• Management of symptoms
• Prescription refills
• Preventive health counseling
• Referrals to community resources
 
Your CCM medical team may be comprised of a variety of different medical and healthcare professionals, but they must be supervised by one of the following healthcare professionals:
 
• A physician or medical doctor
• Nurse practitioner (NP)
• Physician Assistant (PA)
• Clinical nurse specialist (CNS)
• Certified nurse-midwife

Individuals qualify for CCM services if they deal with two or more chronic conditions lasting anywhere from 12 months to the rest of their lives and already possess Medicare coverage. The conditions that qualify for chronic care management include:
 
• Alzheimer’s disease
• Anxiety
• Asthma
• Atrial fibrillation
• Attention-deficit hyperactivity disorder (ADHD)
• Autism spectrum disorders
• Bipolar disorder
• Cancer
• Cardiovascular disease
• Chronic kidney disease
• Chronic obstructive pulmonary disease (COPD)
• Cystic fibrosis
• Dementia
• Depression
• Diabetes
• Epilepsy
• Fibromyalgia
• Glaucoma
• High blood pressure or hypertension
• Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS)
• Hypothyroidism
• Learning disabilities
• Lupus
• Migraines
• Multiple sclerosis (MS)
• Obesity
• Osteoarthritis
• Post-traumatic stress disorder (PTSD)
• Rheumatoid arthritis
• Schizophrenia
• Spina bifida
• Spinal cord injuries
• Stroke
• Substance use disorder (SUD)

There are many reasons why chronic care management is essential for both physicians and patients. In general, chronic care management gives patients battling several chronic conditions a better chance of improving their quality of life and not being run down by their various illnesses by reducing costs and improving their overall quality of care. For physicians, chronic care management improves communication between other members of the patient’s medical team and helps them provide more effective care for their patients.
 
With that in mind, here are some general benefits of chronic care management:
 
• Increased coordination across your entire medical and healthcare team
• The improved overall quality of care
• 24/7 access to medical and healthcare providers
• Regular phone check-ins with medical and healthcare providers
• Financially beneficial
 
Chronic care management is a helpful service for both patients and physicians. If you’d like to learn more about CCM services at Getwell Urgent Care, we’d love to hear from you! Feel free to give us a call. We also welcome you to schedule an appointment if you have a specific medical concern you’d like us to attend to. Visit our clinic conveniently located at 2803 E El Camino Real Santa Clara, CA, 95051. We serve patients from Santa Clara CA, San Jose CA, Campbell CA, Cupertino CA, Sunnyvale CA, Milpitas CA, Fruitdale CA and surrounding areas.