Pomerene Hospital | Chronic Care Management | CCM Program
Source: https://www.pomerenehospital.org/chronic-care-management
Archived: 2026-04-23 17:22
Pomerene Hospital | Chronic Care Management | CCM Program
Get in touch
330-674-1015
330-674-1015
330-674-1015
Pomerene
Chronic Care Management
What is Chronic Care Management (CCM)?
In January of 2015, Medicare introduced Chronic Care Management (CCM) as a way to help providers improve healthcare outcomes for those with chronic conditions.
Pomerene Family Care and Pomerene Internal Medicine now offer CCM at all outpatient locations.
CCM Benefits
330-674-1584 ext 6224
Who Benefits from CCM?
Those who feel overwhelmed and struggle to keep up with multiple prescription and healthcare needs
Isolated and elderly patients with a limited support system
Patients with psycho-social challenges and low medical literacy
Those who would benefit from between-appointment medical oversight, education and encouragement
CCM Benefits Patients by Helping Them:
Reduce unnecessary hospitalizations and readmissions
Coordinate multiple medical services and specialties
Become more engaged in their healthcare experience
Keep follow-up appointments and remain current on preventative services
Keep track of medications, dosages and refills
Recognize developing symptoms or changes before they escalate
What does a CCM Case Manager Do?
Serves as an extension or resource between the patient and provider
Provides a systematic assessment of the patient's medical, functional and psycho-social needs
Assists with the scheduling of recommended preventive care services
Provides medical reconciliation and oversight of patient's self-management of medications
Supports 24/7 patient access to care and health information
Provides telephone interaction with patient and healthcare providers to discuss healthcare needs and goals
Who Qualifies for CCM?
Patients that have been evaluated within the past year
Patients receiving Medicare/Medicaid benefits and those with private insurances
Patients that have multiple (two or more) chronic conditions expected to last at least 12 months
Patients with conditions that place them at significant risk of death, acute exacerbation/decomposition or functional decline
Visitor & Patients
Online Services
Main Campus
981 Wooster Road
Millersburg, Ohio 44654
(330) 674-1015
© 2026
All Rights Reserved | Pomerene Hospital
Website Optimized and Designed by
Bluefoot Digital Marketing Services
Share by:
Get in touch
330-674-1015
330-674-1015
330-674-1015
Pomerene
Chronic Care Management
What is Chronic Care Management (CCM)?
In January of 2015, Medicare introduced Chronic Care Management (CCM) as a way to help providers improve healthcare outcomes for those with chronic conditions.
Pomerene Family Care and Pomerene Internal Medicine now offer CCM at all outpatient locations.
CCM Benefits
330-674-1584 ext 6224
Who Benefits from CCM?
Those who feel overwhelmed and struggle to keep up with multiple prescription and healthcare needs
Isolated and elderly patients with a limited support system
Patients with psycho-social challenges and low medical literacy
Those who would benefit from between-appointment medical oversight, education and encouragement
CCM Benefits Patients by Helping Them:
Reduce unnecessary hospitalizations and readmissions
Coordinate multiple medical services and specialties
Become more engaged in their healthcare experience
Keep follow-up appointments and remain current on preventative services
Keep track of medications, dosages and refills
Recognize developing symptoms or changes before they escalate
What does a CCM Case Manager Do?
Serves as an extension or resource between the patient and provider
Provides a systematic assessment of the patient's medical, functional and psycho-social needs
Assists with the scheduling of recommended preventive care services
Provides medical reconciliation and oversight of patient's self-management of medications
Supports 24/7 patient access to care and health information
Provides telephone interaction with patient and healthcare providers to discuss healthcare needs and goals
Who Qualifies for CCM?
Patients that have been evaluated within the past year
Patients receiving Medicare/Medicaid benefits and those with private insurances
Patients that have multiple (two or more) chronic conditions expected to last at least 12 months
Patients with conditions that place them at significant risk of death, acute exacerbation/decomposition or functional decline
Visitor & Patients
Online Services
Main Campus
981 Wooster Road
Millersburg, Ohio 44654
(330) 674-1015
© 2026
All Rights Reserved | Pomerene Hospital
Website Optimized and Designed by
Bluefoot Digital Marketing Services
Share by: