Chronic Care Management and Care Planning Solution Launched For Primary Care Providers, ACOs, and Integrated Healthcare Organizations

Medicare beneficiaries receive true goal-directed healthcare

Practices rewarded for valuable, previously unreimbursed work enabling
value-based care

CLEVELAND–(BUSINESS WIRE)–Physicians and non-physician practitioners caring for chronically ill
Medicare and Medicaid beneficiaries across the U.S. face mounting
clinical and financial challenges. Today, they have a true ally. Chronic
Care Management, LLC launches a comprehensive care
planning software suite
integrating patient goals, chronic condition
management, advanced care planning and assessment tools into a complete
care management solution.

Built to enable value-based care transformation, the solution provides
comprehensive person-centered care planning alongside an integrated care
coordination and compliance engine, satisfying requirements for the
Medicare chronic care management (CCM) and care plan oversight (CPO)
billing codes. Practices can take important steps toward value-based
care while achieving a return on investment of over 80% on each patient

Created by a physician with extensive experience in chronic care
management and population health, Chronic Care Management provides a
holistic, interactive, care planning and care connection hub for
patients with chronic conditions and their healthcare providers.
Designed to integrate into existing practice workflows, the solution
provides an organized, systematic approach for chronic care management
and care plan oversight while meticulously documenting time spent on
care planning and management.

The serious healthcare impact surrounding the treatment of patients with
chronic conditions has attracted the interest of industry analysts.

“With 11,000 new Medicare beneficiaries joining the 54 million already
in the program each day, the number of patients with chronic conditions
is skyrocketing,” commented Victor Camlek, principal analyst,
transformational health, Frost & Sullivan. “These patients are at high
risk of decline, complications, and overutilization within a fragmented
healthcare system and all too often many receive care that is not in
line with their wishes. A better mechanism for care combines improved
care connectivity and coordination, alongside a care plan developed
around each individual’s goals and wishes.”

“Over the past several years, health care organizations and providers
have heard much about the shift to value-based care. However, most
organizations have struggled with the process, workflow and investment
required to make the transformation. I designed our care plan and new
non-visit revenue channels to empower practices on their journey towards
value-based care.” stated William Mills, M.D., founder and president,
Chronic Care Management, LLC. ” CMS provided forward-leaning
organizations an incredible opportunity to create person-centered care
plans while generating significant new dollars. Our system simplifies
and streamlines the arduous documentation and tracking requirements to
enable practice success.”

Using a secure, web-based system, each enrolled patient is placed at the
center of the interdisciplinary, connected care network, My Care
Connector™ which synchronizes patients and their health care providers
around a comprehensive care plan. The solution creates much needed
electronic connectivity between caregivers, specialists, home health,
assisted living and long-term care nurses, hospice agencies and the
primary care team.

Because often a patient’s wishes are absent from the care planning
process, a powerful feature unique to this software suite, My Wishes, My
Words™ gives patients the ability to express their main healthcare goals
in their words, so all care team members can make more informed clinical
decisions in line with patient’s goals.

No other chronic care management software solution offers the ability to
create comprehensive care plans that meet documentation and workflow
requirements for CPT
Codes 99490
, G0181
and G0182
. Many practices struggle with Care Plan Oversight
(CPO); the CCM solution simplifies the process into a compliant,
productive system. Priced at just $9 per qualifying patient per month,
the suite provides an inexpensive path from fee for service to
value-based care for practices caring for the chronically ill.

Commenting further, Dr. Mills said, “Person-centered care planning,
development of connected care communities, and multiple, compliant
non-face-to-face revenue pathways are not areas of traditional EHR
focus. Our suite works with any certified EHR to facilitate
comprehensive care planning while delivering new revenue.”

Chronic Care Management, LLC’s system provide:

  • Cloud-based comprehensive person-centered care plans for Medicare and
    Medicaid beneficiaries
  • Patient, provider, and care team (primary care, specialist, assisted
    living and long term care, home health and hospice) portals designed
    to foster collaboration around the patient’s care plan
  • Population health dashboards and analytics enabling practice
    improvement initiatives so the right populations can be targeted for
    the right interventions at the right time
  • Robust time tracking, billing reports and audit trails enabling
    compliance with CMS standards

About Chronic Care Management, LLC

Headquartered in Cleveland, Ohio, Chronic Care Management, LLC, provides
comprehensive, cloud-based care planning software along with practice
transformation, consulting and related services to support practices,
providers and organizations caring for chronically ill Medicare and
Medicaid beneficiaries. Founded by William Mills, M.D. a leading expert
in chronic care management and population health practices, Chronic Care
Management provides a trusted resource for the value-based care
transformation journey. Using the program can help practices capture
approximately a half million dollars in new revenue per thousand
patients per year at no net cost to the practice. For more information,
or to schedule a product presentation please visit
or call toll free: 844-CCM-6500 (844-226-6500)

© 2015. Chronic Care Management, LLC. My Care Connector™ and My Wishes,
My Words™ are trademarks of Chronic Care Management, LLC. All rights
reserved. CPT® is registered trademark of the American Medical


Press Contact:
Clarity Quest Marketing
Truesdell, 877-887-7611