Chronic Care Management (CCM) is a subset of virtual care management that focuses on providing coordinated care to patients with chronic diseases, to improve their health outcomes, quality of life, and minimize healthcare expenditures. With the increasing frequency of chronic diseases across the country, CCM has emerged as a crucial component of modern healthcare. Chronic care management is defined by the Centers for Medicare and Medicaid Services (CMS) as “care coordination services done outside of the regular office visit for patients with two or more chronic conditions expected to last at least 12 months or until the patient’s death, and the condition places the patient at the significant risk of death, acute exacerbation/decompensation, or functional decline.”
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https://www.healtharc.io/blogs/a-comprehensive-guide-to-chronic-care-management-ccm/