CCM Solution Launched

Chronic Care Management and Care Planning Solution Launched For Primary Care Providers, ACOs, and Integrated Healthcare Organizations

Medicare beneficiaries receive true goal-directed healthcare

Practices rewarded for valuable, previously unreimbursed work enabling value-based care

CCM Infographic

Cleveland, OH – September 29, 2015 – Physicians and non-physician practitioners caring for chronically ill Medicare and Medicaid beneficiaries across the U.S. face mounting clinical and financial challenges. Today, they have a true ally. Chronic Care Management, LLC launches a comprehensive care planning software suite integrating patient goals, chronic condition management, advanced care planning and assessment tools into a complete care management solution.

Built to enable value-based care transformation, the solution provides comprehensive person-centered care planning alongside an integrated care coordination and compliance engine, satisfying requirements for the Medicare chronic care management (CCM) and care plan oversight (CPO) billing codes. Practices are empowered to take important steps toward value-based care while achieving a return on investment of over 80% on each patient enrolled.

Created by a physician with extensive experience in chronic care management and population health, Chronic Care Management provides a holistic, interactive, care planning and care connection hub for patients with chronic conditions and their healthcare providers. Designed to integrate into existing practice workflows, the solution provides an organized, systematic approach for chronic care management and care plan oversight while meticulously documenting time spent on care planning and management.

Using a secure, web-based system, each enrolled patient is placed at the center of the interdisciplinary, connected care network, My Care Connector™ which synchronizes patients and their health care providers around a comprehensive care plan. The solution also creates much needed electronic connectivity between caregivers, specialists, home health, assisted living and long-term care nurses, hospice agencies and the primary care team.

Because often a patient’s wishes are absent from the care planning process, a powerful feature unique to this software suite, My Wishes, My Words™ gives patients the ability to express their main healthcare goals in their words, so all care team members can make more informed clinical decisions in line with patient’s goals.

No other chronic care management software solution offers the ability to create comprehensive care plans that meet documentation and workflow requirements for CPT Codes 99490, G0181 and G0182. Many practices struggle with Care Plan Oversight (CPO); the CCM solution simplifies the process into a compliant, productive system. Priced at just $9 per qualifying patient per month, the suite provides an inexpensive path from fee for service to value-based care for practices caring for the chronically ill.

“Over the past several years, health care organizations and providers have heard much about the shift to value-based care. However, most organizations have struggled with the process, workflow and investment required to make the transformation. I designed our care plan and new non-visit revenue channels to empower practices on their journey towards value-based care.” stated William Mills, M.D., founder and president, Chronic Care Management, LLC. “CMS has provided forward-leaning organizations an incredible opportunity to create person-centered care plans while generating significant new dollars. Our system simplifies and streamlines the arduous documentation and tracking requirements to finally enable practice success.”

Commenting further, Dr. Mills said, “Person-centered care planning, development of connected care communities, and multiple, compliant non-face-to-face revenue pathways are not areas of traditional EHR focus. Our suite works with any certified EHR to facilitate comprehensive care planning while delivering new revenue to the practice, provider, group or organization.”

The serious healthcare impact surrounding the treatment of patients with chronic conditions has attracted the interest of industry analysts.  

“With 11,000 new Medicare beneficiaries joining the 54 million already in the program each day, the number of patients with chronic conditions is skyrocketing,” commented Victor Camlek, principal analyst, transformational health, Frost & Sullivan. “These patients are at high risk of decline, complications, and overutilization within a fragmented healthcare system and all too often many receive care that is not in line with their wishes.  A better mechanism for care combines improved care connectivity and coordination, alongside a care plan developed around each individual’s goals and wishes.”

Chronic Care Management, LLC’s system provides:

  • Cloud-based comprehensive person-centered care plans for Medicare and Medicaid beneficiaries designed by an expert population health physician
  • Patient, provider, and care team (primary care, specialist, assisted living and long term care, home health and hospice) portals designed to foster collaboration around the patient’s care plan
  • Population health dashboards and analytics enabling practice improvement initiatives so the right populations can be targeted for the right interventions at the right time
  • Robust time tracking, billing reports and audit trails enabling compliance with CMS standards

In addition to the chronic care management system, Chronic Care Management offers practice transformation consulting services and revenue opportunities for ACOs, Assisted Living Facilities, Home Health and Hospice providers, and Integrated Health Systems.

About Chronic Care Management, LLC

Headquartered in Cleveland, Ohio, Chronic Care Management, LLC, provides comprehensive, cloud-based care planning software along with practice transformation, consulting and related services to support practices, providers and organizations caring for chronically ill Medicare and Medicaid beneficiaries. Founded by William Mills, M.D. a leading expert in chronic care management and population health practices, Chronic Care Management provides a trusted resource for the value-based care transformation journey. Using the program can help practices capture approximately a half million dollars in new revenue per thousand patients per year at no net cost to the practice. For more information, or to schedule a product presentation please visit or call toll free: 844-CCM-6500 (844-226-6500)




© 2015. Chronic Care Management, LLC. My Care Connector™ and My Wishes, My Words™ are trademarks of Chronic Care Management, LLC. All rights reserved. CPT® is registered trademark of the American Medical Association.

Press Contact:
George Voinovich
Chronic Care Management