Chronic Care Management: Beneficiaries and Importance

by | August, 31st, 2022

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Chronic care management refers to the oversight and education activities carried out by health care professionals to assist patients suffering from chronic illnesses and conditions in learning to understand and live successfully with their condition. 

Chronic Care Management includes developing interactive remote communication and management, comprehensive care plan, medication management, and provider coordination.

The rationale for its creation was to provide a means of compensation for professionals who work with patients out of the regular confines of an office visit. The implementation coincided with a more efficient method of healthcare staff consciously willing to engage and manage clients with troublesome chronic diseases, resulting in improved outcomes and lower treatment costs.

Beneficiaries of CCM Programs

Patients are eligible for the program if they have multiple qualifying chronic health problems that are anticipated to last at least twelve months or until death or if their chronic health conditions place them at high risk of death from acute exacerbation or impaired functioning.

Patients may be eligible for CCM if they have an illness that fulfills the Medicare criteria. Among the most popular ones are:

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

Importance of Chronic Care Management 

Coordination of Care

A common issue for chronically ill patients is a lack of organization in their care. These patients frequently need to see different providers for a variety of issues. Chronic care management provides an option by ensuring that they have a service-established team that is organized and ready to provide the best care possible. All medical team members interact with one another to ensure that the patient’s prescription drugs are in order, that the best resources are being found for this client, and that there aren’t any gaps in one’s care that might endanger the patient overall. Care coordination benefits both the patient and the provider by providing organized care. The practitioner now has a complete picture of the patient’s health, allowing them to provide better care and increase positive outcomes in their practice.


Chronic care management provides one of the most effective ways to improve the quality of life for patients suffering from chronic conditions. Studies have shown CCM services reduce depressive episodes, improve social interaction, and encourage patient engagement. Patients become conscious of the resource base in their neighborhood and surroundings that will assist them in remaining connected and receiving additional assistance. Finally, they are encouraged to remain engaged in personal care and to seek answers to their questions and concerns from their providers. CCM ensures that patients’ queries are answered, medicine inconsistencies are corrected, and clients get a community of individuals who are concerned about them.


Specific problems associated with chronic illness are not medical but entail patients’ interactions with their families and workplaces. Due to interventions, patients and families are frequently required to undergo complex lifestyle changes. Patients must be informed of the advantages of treatment and the risks of failing to adhere to their treatment regimen. DocsInk’s Chronic care management platform enables patients to track their progress and collaborate with professionals to identify and resolve any issues that arise during their treatment. 

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