Chronic Care Management - ChartSpan

A service designed to support patients with two or more chronic conditions by providing care outside of traditional office visits. It connects patients with a care team that works to create personalized care plans, manage medications, and schedule appointments. The goal is to improve overall health by ensuring that patients receive regular monitoring, consistent support, and timely interventions.

This service assists Medicare patients in attending their yearly wellness appointments. It includes health assessments, creating personalized care plans, and guidance for preventive care. By coordinating these visits, the service helps patients stay actively involved in managing their health and well-being.

This service assists healthcare providers in enrolling patients into remote patient monitoring programs. It sets up connected devices and integrates real-time health data into patient care plans, allowing clinicians to track vital signs and other essential health metrics continuously. This service supports proactive management of chronic conditions by enabling timely interventions and effective monitoring outside of traditional office visits.

When enrolled in ChartSpan's CCM program, you'll also have access to a team focused on improving the quality of your healthcare services. This team works with your care data to identify areas that can be improved and provide strategies to boost your quality scores—metrics that reflect the effectiveness of the care you receive. Essentially, it's an extra layer of support designed to help ensure that your ongoing healthcare management is as effective and high-quality as possible.