Chronic Care Management

Chronic Care Management

Chronic Care Management is a program that gives Medicare patients with two (2) or more chronic illnesses a more accessible, personalized healthcare plan. Our Chronic Care Management program is designed to give patients 24/7 access to medical professionals who are there to help patients complete daily tasks involved in living with chronic conditions such as asthma, sleep apnea, COPD, and pulmonary fibrosis.

Chronic Care Management Services

  • 24/7 nurse phone line
  • Managing and refilling prescriptions
  • Ordering medical supplies
  • Coordinating appointments
  • Clinical monitoring
  • Answering patient and family questions
  • Discussing health improvements or setbacks
  • Providing patients with education and self-management skills related to living with chronic conditions
  • Fulfilling patient's healthcare needs in a timely manner to help prevent exacerbation and the possibility of a hospital stay

To participate a patient must:

  • Be a Medicare Beneficiary
  • Have at least two (2) chronic conditions, including one condition associated with the conditions we treat at Pulmonary Associates, such as asthma, COP, sleep apnea, and pulmonary fibrosis
  • Consent to the implementation of the care plan
  • Be responsible for a monthly fee of $10 or less
  • *A patient can rescind his or her Chronic Care Management consent verbally or in writing at any time.

With our team of Chronic Care nurses, who are available 24/7 to help meet your healthcare needs, and our physicians, who will create your personalized care plan, this program will give you the resources you need to successfully live with your chronic conditions.