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May 26, 2020 | 11 Questions You Should Ask About CCM Before Enrolling

If you’re enrolling in a Chronic Care Management (CCM) program, you may not know what to expect once you sign up. And, this may mean you have some additional questions to see if the program is a good fit for you. With its numerous benefits in helping you maintain and improve your health, it’s still important that you find out everything you can about CCM before enrolling. That’s why we’ve outlined a few questions anyone should ask about CCM enrollment below.

 

What is chronic care management?

Chronic Care Management (CCM) is a program designed for people who participate in Medicare and live with two or more chronic, or health, conditions. These conditions can include asthma, arthritis, high blood pressure, heart disease or diabetes, among many others.

Since it can be overwhelming to keep up with several health conditions while also working with multiple healthcare providers, CCM can help save you time and energy. By providing you a dedicated healthcare team, you’ll receive consistent, personalized care that is shared with your healthcare provider. This way, you’ll spend less time managing your health and more time doing what you love.

If you qualify for the program, you can receive 20-60 minutes of remote care management on a monthly basis from a qualified healthcare provider. CCM services include:

 

Related Resource: 16 Facts You Should Know About Chronic Care Management

 

What makes enrolling in the Wellbox CCM program different?

Wellbox’s CCM program is focused on empowering people with health conditions to live well and it’s been proven to do that. Each month, you’ll receive a phone call from an experienced registered nurse who will offer recommendations for your health and wellness goals. Together with your provider, they will help you achieve them.

Along with the phone calls, our team provides general health and wellness education materials that are mailed to you monthly. We also send personalized health information and recommendations to you by both phone and mail bi-monthly. Finally, we offer a list of free, local resources, social services and a schedule of recommended care based on your individual health needs.

These consistent touchpoints within the program have been proven to help people avoid being hospitalized while also helping more people take preventative measures like receiving flu shots.

 

How will enrolling in CCM benefit me?

The goal of the CCM program at Wellbox is to provide people living with chronic conditions the resources they need to achieve a healthier life. The benefits include:

Through the nurses’ consistent touchpoints, they can help address health concerns or complications earlier when they are easier to treat, or even prevent. The CCM program is a personalized and informative resource that is meant to help you manage your overall wellness and enable you to live a healthier life.

 

What will we talk about during the calls?

Calls are made by our team of registered nurses, the Chronic Care Coordinators (CCC), and they will discuss and develop a care plan with you. This plan can include lifestyle recommendations such as ways to maintain your blood glucose levels or your blood pressure, overall health monitoring and assistance with scheduling specialist appointments.

The calls are personalized to you and your needs, and they have shown positive results. For example, our nurses have helped patients find valuable resources and support on the monthly calls. They assist patients in saving on prescription medication costs, deliver more frequent touchpoints that help prevent people from being admitted or readmitted to the hospital, and have provided needed and valuable support to people.

Through a partnership with your healthcare provider, your nurse has full access to your medical records and they will update your health record after every call so your doctor has more visibility into your health. This can lead to better, more informed office visits and care.

 

Why did my nurse choose to work at Wellbox?

The nurses at Wellbox are an elite group of registered and experienced nurses who enjoy seeing the progress patients make in these consistent phone calls. Several of our nurses have chosen to work in CCM because they want to help patients outside of offices and hospitals.

The program allows our nurses to assist patients reach their goals, make sure they are getting immunizations and screenings and teach them how to manage their conditions better. They chose Wellbox because we share a common mission in improving the life, health and wellness of our patients. We believe that by empowering people to take a more active role in their long-term health, we can help them live longer, healthier lives.

 

How much will CCM cost?

After deductibles are met, most secondary insurances cover the remainder of the costs for the program. If your secondary insurance does not cover CCM, it costs an average of $8-10 per month.  Far less than an emergency room visit, hospitalization, or even a gym membership and far more effective at keeping you healthy!

 

If I enroll in two CCM programs, does Medicare pay for both?

No, Medicare only pays for one program at a time. If you are enrolled in a second program, we suggest contacting your Medicare Administrative Contractor (MAC) to verify the details of your plan and payments, but Medicare will likely pay for whichever provider bills first.

 

What do I have to do during the program?

All that is required for the CCM program is your willing participation to answer calls from your nurse and follow their recommendations and care plan for you. Our goal is to help you manage your health and conditions, and by working with our nurses, you can begin reaching your health goals.

 

If my provider is partnered with Wellbox, am I automatically enrolled in CCM?

You are not automatically enrolled in CCM, but you can ask your provider about participating in our program. If you have received a letter/mail/phone call from Wellbox, then your healthcare provider has identified you as eligible for CCM services. When we reach out to you, one of our enrollers can guide you through the process and help you get started on your care management. The program is completely voluntary and you can opt-out at any time.

 

What does my doctor think of the program?

The providers we partner with have expressed satisfaction in their patients participating in the Wellbox CCM program. They appreciate seeing patients actively manage their conditions and health care.

Wellbox has partnered with your doctor to help keep you healthier in between office visits and improve the quality of those office visits.

 

What do other patients think of the program?

Wellbox patients consistently report a 90%+ satisfaction rate with our service and program. Many have found CCM useful in saving them medication costs, preventing hospital admissions and readmissions and having the support from the program.

For example, we had a patient who lived alone and appreciated the time and dedication that their nurse gave to them in their monthly phone calls. They had someone giving them individual and consistent care, and they found a support system through our program and staff.

Wellbox is here to not only help you with your health and conditions but provide the support you need to live a fuller and satisfying life.

 

If you feel that CCM may be right for you, talk to your provider or contact us to find out the first step to enrolling in the Wellbox CCM program.

For any questions about how CCM can help during the COVID-19 pandemic, read about what Wellbox is doing and how we’re raising awareness here.