June 20, 2025 – Jacksonville, FL
Since 2015, the prevalence of Chronic Care Management in the U.S. has only continued to grow. Each year its purpose, approach, and criteria are shaped more out of necessity for higher quality, patient-centered care than innovation. As the population continues to age, chronic conditions continue to rise, and naturally, the demand for smarter care increases with them.
Chronic Care Management (CCM) is the non-face-to-face services provided to Medicare beneficiaries with two or more chronic conditions. These services are delivered by clinical staff under the direction of a provider and are designed to manage patients’ health more proactively through care coordination, regular check-ins, medication management, and personalized care planning. The ultimate goal of CCM is to reduce avoidable hospitalizations, improve health outcomes, and enhance the patient experience between in-person visits.
CCM has quickly shifted from a helpful service to a healthcare imperative, and a decade later, we’re approaching another inflection point. By 2030, nearly 70 million Americans will be aged 65 or older, and a majority will face at least one chronic illness. In fact, 90% of the nation’s $4+ trillion annual healthcare spending already goes towards people with chronic or mental health conditions. That burden is only growing, along with the pressure on providers to manage it efficiently and effectively.
CCM isn’t just keeping pace. It’s becoming the blueprint.
Value-Based Care Is Driving Demand
The shift away from fee-for-service and toward value-based models has reshaped healthcare priorities. Programs like Medicare ACOs and Medicare Advantage are putting prevention, coordination, and outcomes front and center. CCM, with its nurse-led outreach, ongoing patient engagement, and individualized care plans, delivers exactly what these models demand.
Nearly half of healthcare executives are now implementing, or planning to implement, CCM and similar programs as part of their value-based care strategies. Managing chronic disease isn’t a simple box to check, it’s a foundational pillar of quality care.
Tech-Enabled Care at Scale
As healthcare shifts toward value-based models, it is beginning to leverage integrated digital ecosystems. These ecosystems enable providers to:
What once required hours of manual documentation and fragmented outreach can now be delivered through these streamlined systems. EHRs, telehealth, remote monitoring tools, and patient portals are connecting the dots in real time. A wearable sends blood pressure data directly to a nurse. A text reminder helps a patient stay on track with medications. A telehealth visit intervenes before an ER visit becomes necessary.
With over 41% of Americans now using smart wearables, the potential for data-driven care is growing. Technology is equipping CCM with the ability to be scalable, smarter, and more personal.
Policy Backing and Payment Reform
The foundation of today’s CCM growth was built on policy. Medicare first introduced dedicated CCM reimbursement in 2015, and support has only grown stronger. CMS’s 2024 rule changes expanded billing eligibility for FQHCs and RHCs, while proposed Medicare copay eliminations aim to remove patient financial barriers altogether.
Add to that the increasing number of private payers and Medicaid programs embracing CCM codes, and the signal is unmistakable: policymakers and payers alike recognize the long-term value of investing in proactive care.
A Future We Can Prepare For
The convergence of an aging population, the rise of value-based care, digital health advancements, and policy alignment has created a perfect storm for CCM’s continued expansion.
This year, we’re likely to see CCM reach expanded adoption. Not as an add-on service, but as a core component of how providers deliver care, how systems reduce cost, and how patients stay connected. Chronic conditions aren’t going away, but with CCM, our approach to managing them is transforming.
The future of healthcare is shifting. It’s relationship-based, tech-enabled, and built around people with CCM leading the way.
Looking for a care management partner?
At Wellbox, we deliver nurse-led Chronic Care Management designed to reduce hospitalizations, strengthen patient relationships, and support providers in value-based care success. Our turnkey program integrates directly with your practice to reach the patients who need it most consistently, compassionately, and compliantly.
Let’s reimagine chronic care, together.
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