Chronic Care Management

Living with chronic conditions can be challenging, but you're not alone on your journey. At Som Medical Practice, we understand the unique needs of individuals managing chronic health conditions. Our Chronic Care Management (CCM) program is designed to provide comprehensive support, empowering you to live a healthier and more fulfulling life.

This is a covered Medicare benefit you are entitled to at no cost.

If you have 2 or more chronic conditions and have Medicare, you may qualify to be in the program. Examples of chronic conditions include, but aren’t limited to:

  • Alzheimer’s disease and related dementia
  • Arthritis (osteoarthritis and rheumatoid)
  • Asthma
  • Atrial fibrillation
  • Autism spectrum disorders
  • Cancer
  • Cardiovascular disease
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Depression
  • Diabetes
  • Hypertension
  • Infectious diseases like HIV and AIDS

Benefits of Our Program

1) Remote Health Services

Convenience is the key to effective chronic care management. You will be assigned a chronic care coordinator who calls you every month (or as often as you'd like) and provides you with their direct phone number so you can call them anytime, from the comfort of your home. This ensures you always have access to support between doctor visits.

2) Personalized Care Plans

We believe in personalized care that addresses your specific needs. Your care coodinator works closely with you to create a tailored care plan that considers your medical history, lifestyle, and individual goals.

3) Better Access to Care

We understand that managing chronic conditions involves multiple healthcare providers, such as specialists, pharmacies, medical supply companies, and other healthcare professionals who can provider support and guidance. Your care coordinator faciliates seamless communication between your healthcare team, ensuring everyone is on the same page and working towards your well-being.

4) Empower Yourself

Our program helps you to empower yourself to take a more active role in managing your health. We have found that this leads to better adherence to treatment plans and improved self-management of chronic conditions.

5) Health and Wellness Education

Knowledge is a powerful tool in managing chronic conditions. Access a wealth of educational resources that relate to your conditions to empower yourself with information about your condition, medications, and lifestyle modifications.

6) Improved Health Outcomes

By providing patients with the support and resources they need to manage their conditions, our program helps to improve health outcomes and reduce the risk of health complications.

At Som Medical Practice, we are committed to supporting you every step of the way. Take control of your health and embark on a journey towards a brighter and healthier future. Join our Chronic Care Management program today and experience the benefits of comprehensive, personalized care.