Chronic Care Management
Nearly 75% of all New York City residents - 6.4 million individuals - reported living with one or more chronic conditions between 2011-2016 according to the Public Library of Science. 6.4 million! It is no surprise that the need for care management services in the City is so great, and that payers seek to help their patients/customers to realize the best possible health outcomes, in as efficient a manner as possible.
ACCM is a critical link in the care continuum for individuals living with a single or multiple chronic conditions such as diabetes, hypertension, CVD, COPD, Depression, Cancer, Arthritis, Alzheimer's & other dementia related disorders, HIV/AIDS, etc. Each patient is matched with a compassionate team which includes a Care Manager, LCSW and RN. This team is responsible for remotely monitoring patient well-being on a regular basis, documenting health-related changes, educating patients about optimizing their self-care and facilitating communication between the patient and their providers. All communication/documentation is recorded through the provider’s EMR system to ensure accuracy, timely-followup and that a comprehensive log of each patient’s condition is maintained over time.
Contact ACCM today and learn how we can customize a program to meet the needs of your patients and organization.