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Chronic Care Management

Chronic Care Management (CCM): Comprehensive care coordination and support for patients dealing with chronic health conditions such as diabetes, hypertension, heart disease, and others. 



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Chronic Care Management

AM Health Management’s customized Chronic Care Management (CCM) program is meticulously crafted to provide healthcare providers with the tools for delivering personalized care plans and unwavering support to patients navigating chronic health conditions.

Our specialized CCM program is designed to elevate the standard of care by focusing on personalized attention, continuous monitoring, and the development of individualized care plans. Through this program, healthcare professionals can enhance the quality of care provided to patients, ensuring better health outcomes and improved overall well-being.



Key features of our CCM program include:

  • Personalized Care Plans: We create individualized care plans tailored to each patient’s unique health needs, ensuring a targeted approach to managing their chronic conditions.
  • Regular Check-ins and Monitoring: Our team conducts regular check-ins and monitors patients through various communication channels, enabling timely interventions and adjustments to their care plans.
  • Medication Management: We assist in medication adherence, ensuring patients follow prescribed treatments, and help in managing medications effectively to prevent complications.
  • Coordination of Care: We facilitate communication among healthcare providers, ensuring a cohesive approach to managing a patient’s health across various specialists and services.
  • Patient Education and Support: We provide educational resources and support to patients, empowering them with knowledge about their conditions and promoting self-care practices for better health outcomes.
  • 24/7 Access to Care Team: Patients have access to our care team, ensuring they receive support and guidance whenever they need it, even outside regular office hours.


AM Health Management’s CCM program is designed to improve patients’ quality of life, minimize hospitalizations, reduce healthcare costs, and ultimately promote better health outcomes by offering proactive and continuous care management for chronic conditions.