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Chronic Care Management Program: How-to Guide

Chronic Care Management Program: How-to Guide

E-brief

A Chronic Care Management (CCM) program provides a more efficient way to care for patients with two or more chronic conditions; and when done right, it results in four important benefits:  

  1. Enhanced patient experience 

  2. Reduced costs 

  3. Improved healthcare outcomes 

  4. Improved clinician experience 

 In this eBrief, Samuel L Church, MD, MPH, CPC-I, CPC, CRC, FAAFP, breaks down how to create an integrated and comprehensive CCM program that results in a high performing, patient-centered medical home. 

About the author

Samuel Church

MD, MPH, CPC, CRC, CPC-I / Georgia- Local Medical Director / Aledade, Inc.

Dr. Church is a family physician in Hiawassee, Ga., with both office and hospital practices. He is a frequent speaker for medical practices, residency programs, hospital systems, coding conferences, and ACOs in optimized coding and workflow and correct coding. He currently serves on the AMA CPT® Editorial Panel. Dr. Church has a passion for teaching, not only for practicing physicians and coders, but especially medical students and residents. He serves as a core faculty for the Northeast Georgia Medical Center Family Medicine Residency and as adjunct faculty for AU/UGA Medical Partnership SOM. He lives with his wife, Nancy, and their four children on a small farm and frequently partners with her on community projects.

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