Chronic Care Management

Helping patients with chronic conditions for better health outcomes.

Chronic Care Management

Nearly 8 in 10 older adults have one or more chronic conditions, such as high blood pressure, diabetes, or heart failure. People with multiple chronic conditions spend more money on doctor visits and medications and are more likely to go to the emergency room or be admitted to the hospital. Primary care providers are left to handle more complex patients on their own.

It doesn’t have to be that way. People who learn how to manage their conditions can improve their quality of life and reduce their health care costs. That’s where chronic care management comes in. Netrin Health care managers create care plans specifically for patients with chronic diseases to help them avoid complications, reduce unnecessary hospital utilization, and prevent hospital readmissions.

"With my care manager, I feel like I matter to someone and I have never felt so cared for and that gives me a peace of mind. Thank you so much!"

Why Chronic Care Management?

Benefits For Provider

  • Increases provider success with exceeding quality measures
  • Access team of administrative and clinical professionals to act as an extension of your office
  • Learn best practices from the experts and your peers while remaining independent

Benefits For Patients

  • Improves the focus of the patient on their general health and wellness
  • Interdisciplinary care from a team of nurses, pharmacists, nutritionists, behavioral health specialists, and community health workers
  • Increases patient compliance with provider recommendations between office visits

Chronic Care Management

Our Chronic Care Management Program is designed to equip you with all the tools and resources needed to improve the health of your patients while maximizing revenue for your practice. There are five steps to implementing chronic care management:

  • Practice Onboarding: Netrin Health helps practices understand the ins and outs of CCM through comprehensive onboarding in person or virtually
  • Dedicated care manager: Each practice is assigned one care manager for all of their patients so that there is continuity of care. We document in your electronic medical system so there is seamless communication without an extra login for you.
  • Patient Enrollment: Patients with 2+ chronic conditions are identified for services
  • Patient Engagement: Care managers work with the practice to engage patients in the program. To date, we have a 95% engagement rate.
  • Practice Billing: Maintain total control over your practice as you increase your monthly billed revenue

Chronic Care Management Brings a New Stream of Revenue for Your Practice

Chronic Care Management Program allows your practice to bill for an additional 20 to 60 minutes of care coordination every month. Annual revenue for 100 patients enrolled in the CCM program is an average of $66,000+

How much revenue could your practice be generating through Remote Patient Monitoring and/or Chronic Care Management? Use Netrin Health’s Remote Patient Monitoring and Chronic Care Management Revenue Calculator to find out.

Set Up Your Chronic Care Management Program with Netrin Health

Get the tools and resources to help your health care practice implement a successful CCM Program. Contact us today so we can answer your questions about how Netrin’s CCM Program can benefit your practice.