Chronic Disease Management

What is chronic disease management?

Chronic care management (CCM) is a Medicare program that assists people with chronic conditions learn more about their condition and how to manage it. 

You must have two chronic conditions that increase your risk for functional decline to qualify for CCM. Medicare matches you with a care coordinator who checks in with you monthly to help you set and achieve wellness goals. 

Align Family Medicine offers comprehensive chronic care management for adults and children, including diagnosis, treatment, and ongoing management of chronic health conditions like:

• Diabetes
• Arthritis
• Asthma
• Heart disease
• High cholesterol
• Coronary artery disease
• Hypertension (high blood pressure)
• Cancer (breast, lung, prostate, colorectal)
• Chronic obstructive pulmonary disease (COPD)

The office is fully equipped with the latest diagnostic and preventive screening technologies, so you can make informed decisions about your health.

Lauren creates a care plan to ease existing symptoms of disease and potentially slow the progression of a chronic illness. She offers medications and other advanced therapies to support your long-term health.

When should I schedule a chronic disease management consultation?

Schedule a chronic disease management consultation at Align Family Medical if you have been diagnosed with a condition that’s expected to last a year or longer.

You can also book an appointment if you develop a condition like Type 2 diabetes or arthritis that requires regular medical attention beyond routine care.

Lauren offers preventive screenings for heart disease, diabetes, and other chronic conditions for at-risk people, including those with a family history of chronic illness and those who are obese.

What is included in chronic disease management care?

Align Family Medicine offers comprehensive chronic care management that focuses on an individual’s specific needs and unique health challenges.

Laren offers comprehensive health exams to confirm a diagnosis. Bloodwork and other lab services are available on-site to ensure an accurate diagnosis and to monitor your ongoing health.

Based on the test results, Lauren determines which therapies you need to keep your condition well-controlled. She may prescribe medications and recommend lifestyle changes, diet modifications, and regular exercise to improve your health.

Follow-up visits are available to track your progress with treatment. The frequency of visits depends on the type of condition you have, your age, symptom history, and other factors.

Call Align Family Medicine today to schedule a chronic management care appointment or book a consultation online.