Chronic Care Management
Chronic Care Management at CDP Health
We see you and your daily health challenges. That’s why we’re proud to offer comprehensive Chronic Care Management services for Medicare patients managing multiple chronic conditions.
Continuous Care Beyond Office Visits
Living with multiple chronic health conditions requires consistent attention and support. Our Chronic Care Management program bridges the gap between your scheduled appointments, ensuring you have the guidance and resources needed to maintain your health every day of the year.
Who This Program Serves
This specialized service supports Medicare patients who are managing two or more ongoing health conditions that require long-term care and monitoring. Common conditions we help patients manage include various forms of diabetes, cardiovascular concerns, respiratory conditions, joint and mobility issues, and mental health challenges.
Your Comprehensive Support System
This program provides ongoing support between your regular office visits through:
• Monthly phone check-ins with dedicated care coordinators who understand your unique health situation
• Personalized electronic care plans focused on your health goals and daily management needs
• Complete coordination between all your healthcare providers to ensure everyone is working together
• Targeted support for reaching important health targets such as blood pressure, blood sugar, weight management, and other vital measurements
• Practical assistance with scheduling appointments and accessing the care you need when you need it
• Educational resources about managing your conditions, along with tips and strategies for daily wellness
• Round-the-clock access to your health information and care team when questions arise
The Benefits You'll Experience
The program requires no office visits but keeps you connected to your healthcare team year-round. Our care coordinators work closely with your primary care provider to ensure you receive comprehensive, coordinated care that offers:
• Convenience – Get the support you need without additional trips to medical offices
• Better communication – Your entire care team stays informed about your progress and concerns
• Early intervention – Address health changes before they become serious complications
• Individualized attention – Receive care planning that’s tailored to your specific conditions and lifestyle
Understanding Your Coverage
For Medicare patients with two or more chronic conditions, this service is covered with minimal or no out-of-pocket cost. Your existing Medicare benefits typically include this valuable program.
Take the Next Step
We see your determination to manage multiple health conditions, and we’re committed to supporting your journey with compassionate, coordinated care you can access from home.
Don’t manage chronic conditions alone. To learn whether our Chronic Care Management program fits your needs, contact us at 605-698-7681 or discuss this option with your provider during your next appointment.
We see your daily health journey, and we’re here to support every step with dedicated care that goes beyond the clinic walls.