We provide tailored support to manage your chronic conditions
doctor checking up on an elderly

Chronic Care Management (CCM) refers to the coordination of care provided outside of regular office visits for patients who have two or more chronic conditions that are expected to persist for at least a year or until the patient’s death. These conditions significantly increase the risk of death, sudden worsening, deterioration, or decline in the patient’s functional abilities. According to estimates from the Centers for Medicare & Medicaid Services, one in four adults, including 70% of Medicare beneficiaries, have two or more chronic health conditions, qualifying them for Chronic Care Management. CCM is a critical component of primary care that contributes to better health and care for patients, as well as caregivers.

At Somi Care, Our Chronic Care Management program is expertly crafted to support individuals dealing with chronic conditions through regular telephonic and virtual visits. We diligently monitor patients’ health, offering education on disease management and ensuring medication and therapeutic adherence.

Examples of chronic conditions include, but are not limited to:

  • Hypertension
  • Diabetes
  • Asthma
  • Chronic Pulmonary Obstruction
  • Atrial Fibrillation
  • Cardiovascular Disease
  • Depression
  • Anxiety
  • Infectious Diseases such as HIV/Aids
  • Substance Abuse Disorder
  • Adult Attention-Deficit/Hyperactivity Disorder (ADHD)

We recognize that achieving optimal health outcomes is closely tied to medication and therapeutic adherence. Our dedicated team goes beyond providing prescriptions; we focus on patient education, ensuring a comprehensive understanding of correct dosages, potential side effects, and the significance of strict adherence to prescribed treatment plans. Your well-being is our priority, and we are committed to empowering you with the knowledge needed for a healthier life.

Our dedicated care coordinators collaborate closely with patients, their families, and primary care providers, crafting personalized care plans and fostering seamless communication and coordination.

For more information on Chronic Care Management Services Visit:

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Get in touch with us today and let’s start a conversation about how we can provide you with personalized health care!