Chronic Care Management

Medicare patients with two or more chronic health conditions can benefit from Great River Medical Center’s Chronic Care Management Program.

Chronic care management is a partnership between patients and the hospital’s health care team. Together, they develop a personalized care plan that includes managing conditions, coordinating resources and removing barriers to help patients obtain their health care goals.”

Barriers to care include medication costs, lack of support services including transportation, and not understanding health information or how the health care system works.

Chronic care management is available to people with these and other conditions:

  • Alzheimer’s disease and related dementia
  • Arthritis
  • Asthma
  • Atrial fibrillation
  • Cancer
  • Cardiovascular disease
  • Chronic obstructive pulmonary disease (COPD)
  • Depression
  • Diabetes
  • Hypertension (high blood pressure)

Patients can enroll in the Chronic Care Management Program during a visit with their primary care providers. After enrollment, care coordinators work with patients by telephone.

There is a charge for chronic care management services. Participants with secondary insurance or Medicaid often have no out-of-pocket expenses.

For more information, please call 319-768-1560.