Experience Optimized Health for Your Patients
Our team is dedicated to implementing personalized care plans that work for your practice.
Our meticulous approach ensures peace of mind
while handling all the details for you
✓ Effortless and pain-free step-by-step processes
✓ Exceptional and flawlessly Detailed documentation
Chronic Care Management
CCM solutions for value-based healthcare organizations, no matter the size.
Annual Wellness Visits
Patient engagement and health risk assessment solutions.
Transitional Care Management
Complete post-discharge support to reduce readmissions.
Remote Patient Monitoring
Solutions for patients that need extra care.
Principle Illness Navigators
Assistance for patients who have trouble following care plans due to social issues (SDoH).
Primary Condition Management
Support for patients with a severe or complex condition
our approach
Our Methodology
01
Patient Marketing
We have a proven marketing strategy to ensure your patients’ buy-in to the program.
02
Exceptional Connections
Our callers are trained to connect well with your patients to help them feel cared for by you when they are not in your office.
03
Increased HEDIS Scores
Value-based care focused on individualized care plans to increase your HEDIS scores.
What our doctors say
“Well received by my patients “
I have found out early on that this service is well received by my patients when I present it to them. I have learned of social situations and have gotten information that potentially would prevent hospitalizations
★ ★ ★ ★ ★
— Dr. Charles Kent
What our patients say
More Cared For
I look forward to the monthly calls and I monitor my own health between by going through the questions myself. I feel more cared for by my doctor and I’ve quit smoking. Overall great program!
★★★★★
Henry G.
Highly Recommended
WOW! Chronic Care Specialists are so helpful and I am receiving the care I need. Highly recommend!
★★★★★
Bill T.
Outstanding service
The CCM callers are patient and caring. I feel like they really care about how I am doing and the I look forward to their call.
★★★★★
Alice P.
Still have questions about our value-based services?
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©2024, Chronic Care Specialists, LLC