Supporting connected chronic care for modern healthcare teams
CCM · Chronic Care Management

Chronic Care Management, Coordinated in One Place

ChronicSync helps care teams enroll patients, build care plans, and coordinate chronic care management activity across the care team.

CCM Program Snapshot

Patient J.E.
Care Plan Review
On Track
Patient M.S.
Monthly Review
Due Soon

Illustrative demo data.

Overview

What Is Chronic Care Management?

Chronic Care Management (CCM) covers the ongoing, non-face-to-face work care teams do to manage patients with multiple chronic conditions — care planning, coordination, and monthly review. ChronicSync gives care teams a connected place to do this work.

How ChronicSync Supports CCM

A Connected Workflow for Your CCM Program

From enrollment through monthly review, ChronicSync keeps care plans, tasks, and patient communication in one shared workspace for the care team.

CCM

CCM Program Tools

Patient Enrollment

Identify and enroll eligible patients with two or more chronic conditions into your CCM program.

Care Planning

Build individualized, comprehensive care plans with goals, interventions, and review schedules.

Care Coordination

Coordinate across providers, care coordinators, and clinicians on a shared patient record.

Patient Engagement

Keep patients informed between visits with care reminders and plan visibility.

Care Team Workflow

Track monthly review activity, time logs, and outstanding tasks across the care team.

Analytics

Monitor enrollment and program activity across your CCM population.

FAQ

CCM Frequently Asked Questions

CCM programs are generally designed for patients with two or more chronic conditions expected to last at least 12 months. Eligibility and billing requirements should be confirmed with your compliance and billing teams.

ChronicSync provides structured tools for building and maintaining care plans, including goals, interventions, and review scheduling.

Yes. ChronicSync is built around a shared patient record so care coordinators, clinicians, and providers can collaborate on the same care plan.

Ready to Strengthen Your CCM Program?

See how ChronicSync can help your care team enroll, plan, and coordinate chronic care management.