What is Chronic Care Management?


If you or a loved one has a chronic condition, you may have heard of chronic care management (CCM). For those that are new to this service, chronic care management provides chronic care services to Medicare beneficiaries with at least two chronic conditions expected to last at least 12 months. Let’s take a closer look at what chronic care management is and how it may be a good choice for your needs.

What Defines a Chronic Condition?

Before we dive into chronic care management, it’s helpful to understand what defines a chronic condition. A chronic condition lasts at least a year, requires ongoing medical care, and/or limits the activities of daily living (ADLs). 

Common chronic conditions include:

  • Alzheimer’s disease
  • Cancer
  • Chronic kidney disease
  • Chronic obstructive pulmonary disease (COPD)
  • Congestive heart failure (CHF)
  • Cystic Fibrosis
  • Depression
  • Diabetes
  • Heart disease
  • Hypertension
  • Osteoporosis
  • Stroke

What is Chronic Care Management?

Chronic care management provides care and support for patients with at least two chronic conditions that are expected to last a year or more. At Liberty HomeCare and Hospice Services, our chronic care management aims to improve a patient’s overall quality of life. To do this, we create a personalized plan of treatment for each patient. 

This custom plan is designed to:

  • Provide education to the patient and family/caregiver on the disease process.
  • Help a patient achieve their personal health goals
  • Improve a patient’s mobility, physical fitness, and quality of sleep
  • Maintain an ongoing record of the patient’s chronic conditions, health care providers, medications, community services used or needed, and personal information
  • Reduce a patient’s pain and stress
  • Reduce the need for hospital readmissions
  • Reduce emergency room visits
  • Reduce length of stay in hospital visits

How Can Liberty Help Patients with Chronic Conditions?

If you or someone you know has chronic conditions, we recommend that you talk with your doctor about your options and whether chronic care management may be a good fit for your health needs. At Liberty HomeCare and Hospice Services, our top priority is to help you achieve a better quality of life that you deserve. Contact us today to learn about our chronic care management services, so you can be on the road towards a healthier life.