Chronic Care Management (CCM)

HELPING MEDICARE PATIENTS AND THEIR FAMILIES MANAGE CHRONIC CONDITIONS WITH ONGOING CARE AND SUPPORT

​

At Med Care Outreach, our mission extends to helping Medicare beneficiaries live healthier, safer lives through Chronic Care Management (CCM) services.

We understand that when a loved one has multiple chronic conditions, families often experience stress managing appointments, medications, and communication between providers. Our care coordination team helps ease that burden by providing structured monthly support in partnership with the patient’s physician.

We provide personalized monthly care coordination for patients with two or more chronic conditions such as diabetes, hypertension, heart disease, COPD, arthritis, and others.

​

Our licensed clinical team works directly with patients and their family caregivers to:

​

• Coordinate medical appointments, lab work, and specialist visits

• Review medications and help update care plans

• Communicate with healthcare providers to avoid duplication of services

• Offer monthly phone-based check-ins to monitor progress

• Provide education and connect patients to community or social resources

• Support families by offering updates and guidance on the care plan

 

CCM services are covered by Medicare, and patient consent is required before enrollment. Each month, our care team provides non-face-to-face coordination services designed to improve communication, reduce complications, and enhance the quality of life for both patients and caregivers.

​

If you or a loved one would like to learn more about enrolling in our CCM program, please contact us at:

📧 info@medcareoutreach.org
📞 954-248-0096​