The Evolution of Chronic Care Management
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The chance of having at least one chronic condition increases as people get older. Care becomes more complex the more conditions a person has, especially if they see multiple providers to manage and treat their conditions. For example, a person with heart disease and diabetes might see a cardiologist for their heart, an endocrinologist for their diabetes, and a general practitioner for preventive care.

Under a traditional care model, the endocrinologist might not be kept in the loop about a patient’s care from his or her cardiologist. The cardiologist might prescribe medications to the patient that interfere with their diabetes medication or the patient might end up repeating lab work and tests. Coordinating care under a CCM reduces duplication and can help improve outcomes by keeping the entire network of providers on the same page.

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