Skip to main content

Chronic Care Management Program video

View video transcript

Video Transcript

Highland Medical is dedicated to providing patients and their families in the home high-quality, person-centered care by bringing state-of-the-art primary medical care, along with care management programs, directly to you at home.

Our Chronic Care Management Program (CCM) is a Medicare-supported initiative. It is a personalized and proactive approach to supporting care initiatives for patients with two or more chronic conditions.

CCM provides an extra layer of support and care between your scheduled physician appointments with non-face-to-face communication.

The path of the resilient adult is filled with medication reminders, challenging nutritional guidelines, and vital sign monitoring. This, combined with a seemingly endless array of appointments and task scheduling while maintaining, managing, and supporting your health, or that of a loved one, can be challenging. Chronic Care Management can help.

With direct access to your care team nurse, you are never alone. Your care team nurse is your personal health and wellness advocate.

On behalf of your physician and in support of your specialists, pharmacies, hospitals, and testing facilities, your care team nurse is trusted to seamlessly manage and communicate your health-related needs.

Direct access to your care team nurse provides you, your family, spouse, and/or caregiver an excellent resource for navigating the complexities of the health care process.

Above all, your care team nurse is dedicated to supporting you.

Call Highland Medical CCM enrollment today for more information: 845-883-8288.

What is the Chronic Care Management Program?

Developed by Medicare and provided by Highland Medical, this program is designed to help you better understand your chronic conditions, health care options, manage appointments, scheduling, prescriptions and more with the support of your care team nurse. By providing personalized education and support, we empower you to make better-informed decisions about your health. Additionally, for non-urgent needs, a care team nurse is available 24 hours a day, 7 days a week through our on-call service. at Highland Medical, we are proud to provide this service that we believe it will significantly enhance your health and improve your quality of life.

Who is qualified to participate in the Chronic Care Management Program?

Patients with two or more chronic conditions expected to last more than 12 months or the lifetime of the patient.

Patients with Medicare, Medicare Advantage Insurance or other qualifying insurance.

Patients who have been seen in the last 12 months by their primary care physician.

*You may only be enrolled in a CCM program with one primary care physician. *

What is provided through this program?

Coordination of care with patient, doctors and care givers.

Personalized care plan with regular check-ins from dedicated nurses who can provide assistance between physician visits.

Appointments and Reminders.

Personalized education about your conditions and help identifying resources in your community.

Medication Management; including medication refills and medication reconciliations.

How can I enroll?

Ask your physician today how to join our program or call our enrollment team at 845-213-3659.

*Only qualified patients may enroll*