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Chronic Conditions

Chronic Care Management (CCM) is defined as the non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more), significant chronic conditions. … the sub-specialists who may be providing a significant amount of care and treatment to one or more of the patient’s conditions.

The cost of chronic diseases such as cancer, diabetes, hypertension, stroke, heart disease, pulmonary conditions, and mental illness is staggering. Consider these Centers for Disease Control and Prevention statistics.
  • One-third of the total population suffers from at least one chronic disease.
  • 70 percent of all deaths result from chronic diseases.
  • 85 percent of all healthcare dollars go to the treatment of chronic diseases.
Eligible Beneficiaries or Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation / decompensating or functional decline are eligible for the CCM service.

An estimated 117 million adults have one or more chronic health conditions, and one in four adults have two or more chronic health conditions. Through the Connected Care campaign, the CMS Office of Minority Health and the Federal Office of Rural Health Policy at the Health Resources & Services Administration will raise awareness of the benefits of CCM for patients with multiple chronic conditions and provide health care professionals with resources to implement CCM.


Our team helps healthcare organizations implement and optimize RPM programs to generate a maximum return with minimal disruption.