One of the biggest perks of managing Medicare patients’ chronic conditions is better health outcomes. Understanding the misconceptions and learning why Chronic Care Management [CCM] Programs work is the first step to this vital aspect of primary care.


Why is Chronic Care Management often misperceived?

Many care providers do not think of Chronic Care Management beyond preventative care. In addition, they fear failure, don’t have the staff and don’t have the time to run a successful CCM program.

What is the difference between a successful CCM Program and basic Primary Care?

Successful CCM programs equip care providers with the tools to manage care coordination and wellness initiatives efficiently and effectively between in-office visits.

Some basic Primary Care providers serve as their patient’s entry point into health care and understand the importance of disease prevention and health promotion. However, they cannot implement CCM programs due to the lack of resources, leading to patients being on their own to manage or prevent often complex chronic conditions.

Plan for success

A strategic CCM plan will ensure your program is adequately prepared and doesn’t fail. Medicare Chronic Care Management platform is ideal for medical organizations that are quick adopters of new care initiatives and who have the required staff bandwidth to implement new objectives.

For Medical organizations who want to implement care management but lack the resources to provide this service to their patients, a complete care management platform is often the solution. The best platforms will offer a full spectrum of services that can enable care management without new workflows, increased staff workloads, additional staff, disrupted daily tasks, or out-of-pocket costs.

Elements of a successful CCM Program

The platform should assist in:

  • Patient-centered care plans
  • Quick and easy access to view your patient care plans
  • Creating reports and program summaries for patients
  • Ready to submit billing for CCM claims
  • Reviewing patient data and trigger alerts
  • Video/call tracking and time logging for accurate billing
  • Non-disruptive implementation

Additional elements to look for:

  • EHR and HIPAA-compliant software
  • CCM partner that uses RNs [not MAs]
  • Ability to scale within your organization
  • The right CCM partner only profits when you do
  • Dedicated support staff and RN Care Coaches to assist you and your patients throughout the journey

What chronic conditions benefit the most from CCM?

Any condition that meets the Medicare criteria can qualify a patient for CCM. Examples include:

• Alzheimer’s disease• Diabetes
• Arthritis• Heart disease
• Asthma• High blood pressure
• Cancer• Hypertension
• Cardiovascular disease• HIV/AIDS
• Dementia• Multiple sclerosis
• Depression 

A complete outsource Chronic Care management program is highly profitable and should not be underestimated. The easiest way to improve patient outcomes without overburdening your practice is to partner with a complete CCM solution like CircleLink Health. Get started today! 

About CircleLink Health:
CircleLink Health provides the industry’s most scalable, automated, and clinically effective Medicare care management platform. With zero upfront cost and near zero staff workload, deployment of the platform allows providers to boost revenue and improve patient outcomes, all while maintaining 97% patient satisfaction. For more information, please visit