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Doctor and Patient

Chronic Care Management  

Chronic Care Management

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We are happy to announce that Manatee Senior Care has added Chronic Care Management as part of its medical care services. As part of the continuity of care service we provide, our goal is to ensure our medical team is engaged with our patients' health at all times.

 

This is a Medicare program that is aligned with Manatee Senior Care's goals, encouraging us to continue to deliver a cohesive-focused, concierge level of care in order to improve health outcomes for patients with 1 or more chronic conditions. 

 

What's included:

  • Patients and their caregivers will gain a team of dedicated health care professionals who can help them plan for better health and stay on track  

  • Monthly care plan review call with patient and/or health care surrogate;  the plan will help support the patient’s disease control and health management goals, including physical, mental, cognitive, psychosocial, functional and environmental factors. We will also keep track of referrals and community services.

  • Weekly/bi-weekly/as-needed communication for patients with higher complex conditions

  • Dedicated access to a CCM Specialist & Registered Nurse for all medical needs 

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