Now Serving: Virginia & Maryland
301-715-3010
Fax: 410-220-8162
Chronic disease management
For patients managing two or more chronic conditions, our CCM program provides structured, ongoing care coordination. We work with you between visits to ensure your health stays on track.
Program Features
Our Chronic Care Management program goes beyond traditional office visits to provide comprehensive, ongoing support for patients with multiple chronic conditions.
Monthly care coordination calls
Medication adherence support
Care team communication
Care team communication
24/7 access to care team
Personalized care plans
Conditions We Manage
Diabetes
Chronic Kidney Disease
Heart Disease
Arthritis
COPD
Depression
Hypertension
Alzheimer's & Dementia
Why CCM Matters
Managing multiple chronic conditions requires more than occasional doctor visits. Our program provides the consistent support you need.
Proactive Monitoring
We reach out regularly to check on your health, not just when problems arise.
Better Medication Management
We help ensure you're taking the right medications at the right times.
Reduced Hospitalizations
Early intervention and consistent monitoring help prevent emergency situations.
Coordinated Care
We communicate with all your providers to ensure everyone is aligned.