What is Chronic Care Management (CCM)?

Chronic care management is a specific care management service that provides coverage for patients with two or more chronic conditions for a continuous relationship with their care team. This includes formulating a comprehensive care plan, interactive remote communication and management (usually over the phone), medication management, and coordination of care between providers.

Chronic care management is beneficial for patients in terms of ongoing health and wellness support, increased access to appropriate medical resources, enhanced communication with members of their care team, reduction in emergency room visits and hospitalization or readmissions, and increased engagement in their own healthcare.

GI Alliance provides the following Chronic Care Management services for patients with chronic GI and Liver issues only.

In-Home Care As Needed

In-Home Care As Needed

Interdiciplinary Care Team

Interdiciplinary Care Team

Remote Montioring & Virual Visits

Remote Montioring & Virual Visits

Health Coaching

Health Coaching

Care Coordination

Care Coordination

Outcomes & Reporting

Outcomes & Reporting

In-Person Assessments

In-Person Assessments

Chronic GI issues such as:

Chronic Esophageal issues such as:

Find A Location Near You
Who is eligible for CCM?

All patients who have two or more qualifying chronic health conditions that are expected to last 12 months and the conditions put them at risk of flare or decline are eligible for CCM services.

Download the FAQs