Chronic Care Management Program


What Is Chronic Care Management(CCM)?

Christen Wahl, RN
CCM Program Director

If you have Medicare or both Medicare and Medicaid, and have two or more chronic conditions, Medicare is offering CCM services to help you manage your health and spend more time doing the things you enjoy, in good health. CCM is an important piece of the care that we can offer.

What Are the Benefits of CCM at Bluegrass Internal Medicine?

CCM means you can better manage your care and spend more time focusing on your health. CCM can help you work toward your health and quality of life goals. Better care management can help you avoid health events such as trips to the emergency department, a fall, or worsening health.

CCM Services

  • Access to your nurse 24 hours a day, 7 days a week in the event of an emergency or if you need after hours advice that cannot wait until the next morning
  • Personal attention and help from a health care provider you know and who knows about your health conditions and helps to keep you healthy.
  • Monthly phone call
  • A phone call after every office visit to ensure that you understood everything you discussed with your provider at your visit and to make sure nothing was left out
  • A personalized care plan that houses all of your important healthcare information which will be shared with your other providers.
  • Coordinated care with any other providers that you see.
  • Health coaching of your chronic conditions
  • Social support such as assistance with affording medications, food, housing
  • CCM services will help us work more closely with your other doctors, and help you maintain your health and wellness.