Patients

ANNA Connected Care

Chronic Care Management (CCM) provides you additional connectivity with your regular doctor or healthcare provider in-between your medical visits.  It will also provide you additional resources and periodic “check-ins” via ANNA, Your Virtual Care Assistant, who is teamed up with a live chronic care coordinator who works with your regular healthcare provider.  Please meet Anna:

Anna YOUR VIRTUAL CARE ASSISTANTAnna’s communications will primarily occur by text message – similar to how you received this one.  They may also occasionally come by phone call.  The CCM program is a new Medicare benefit – and one that is already showing it is helping keep people with chronic conditions out of the hospital by increasing connectivity with your regular doctor or healthcare provider in-between your regular visits. As part of the program, you have access to a secure patient portal, where you will find your care plan and many educational resources that can help you with your chronic conditions.

To access the CCM patient portal, please click the icon below:

A short informational video, made by Medicare, that shows how the program works overall is found below:

Once enrolled in CCM services, you are assigned a clinical team that works closely with your doctor or healthcare provider to keep track of how you are doing in-between visits, keeping your doctor connected with your care on an ongoing basis.

Your chronic care coordinator assists your doctor with developing a complete care plan – all about you. The care plan highlights your chronic conditions, your and your doctor’s goals for your care, and a lot of other useful information about how your health and well-being. You can access your care plan at any time using the above portal link.

Each month, your doctor or healthcare provider reviews your care plan, and is alerted to risks or problems you may be having. As an example – you will receive a text message to ask you a few simple questions each month. The questions may include whether or not you’ve been in the hospital or emergency room, or if you’re having any trouble with your medicines. And if so, your doctor will be alerted and can help decide what to do. You also have the opportunity to speak with your chronic care coordinator to further address areas of concern on an ongoing basis.
In addition, you will receive important educational updates about your chronic conditions to help provide you with tools and resources. For instance, how to self-manage high blood pressure through attention to diet – in addition to the treatment your doctor has in place.

The video below shows examples of the chronic care management program in action, illustrating how it is helping support people with chronic conditions and increasing connectivity to community-based healthcare resources.

For more information about the program, including more detail on the Medicare program, how insurance pays for the benefit, and other general information, we have set up a Chronic Care Management Information Line at: 844.CCM.6500

We look forward to helping you with your chronic conditions and increase your connectivity with your regular doctor!