Chronic Care Management Explained: What It Is, Who It’s For, and How Ibis Health can Help 

Chronic care management

July 9, 2025

Managing multiple chronic conditions can feel overwhelming especially for older adults who want to stay healthy and independent at home. The good news is, you don’t have to manage it alone and Ibis Health is here to support you. 

Chronic Care Management (CCM) is a Medicare-supported program designed to help individuals with two or more chronic illnesses stay on track with their health, avoid hospital visits, and feel more in control of daily life. 

Here we break down what chronic care management is, who it’s for, and how Ibis can make life easier for you or a loved one. 

 

What Is Chronic Care Management (CCM)? 

Chronic Care Management (CCM) is a structured, ongoing care program for individuals with two or more chronic health conditions. It’s part of Medicare Part B coverage and focuses on coordinating your care between primary care providers, specialists, and support services so your health stays on track between medical appointments. 

With Ibis you can think of CCM as a personal health team combined with a digital health support system. It ensures you’re not just reacting to problems but actively managing your health every day. 

 

Who Is Eligible for Chronic Care Management? 

To qualify for CCM under Medicare, you must: 

  • Have two or more chronic conditions (expected to last at least 12 months) 
  • Be at risk of worsening health or complications without consistent care 
  • Be enrolled in Medicare Part B 
     

Some common chronic conditions that qualify include: 

  • Diabetes 
  • Hypertension (high blood pressure) 
  • Chronic obstructive pulmonary disease (COPD) 
  • Chronic heart failure (CHF) 
  • Arthritis 
  • Kidney disease 
  • Asthma 
  • Depression and anxiety disorders 
     

You don’t have to manage all of these on your own. That’s where chronic care management comes in. 

 

What Does Chronic Care Management Include? 

When you enroll in a CCM program like Ibis Health, you gain access to a team that helps manage your health day to day, not just during a medical appointment. 

With Ibis Health’s Chronic Care Management, you receive: 

  • A personalized care plan based on your unique health needs 
  • Regular check-ins from a dedicated care team 
  • Medication reminders and support to stay on schedule 
  • Remote symptom monitoring using the IbisHub™ tablet 
  • Around-the-clock support for health concerns 
  • Coordination with your primary care and specialist providers 
     

These services are designed to support your well-being at home, reduce emergency room visits and improve long-term outcomes

 

How CCM Helps You Live Better 

Chronic Care Management isn’t just about medical monitoring. It’s about helping people live better with chronic illness. Here’s what studies and patient feedback have shown: 

  • Fewer hospital admissions 
    CCM participants experience up to 37% fewer ER visits and readmissions 
     
  • Better medication adherence 
    Stay consistent with your prescriptions through reminders and monitoring 
     
  • Improved quality of life 
    Regular contact and mental health support help reduce stress and isolation 
     
  • More independence 
    Remote tools allow you to stay informed and in control of your health on your own terms 
     

With Ibis Health, these benefits are amplified by our simple technology and supportive care team. 

 

Is Chronic Care Management Covered by Medicare? 

Yes, Medicare Part B covers chronic care management services, and many patients pay little or no cost out of pocket, especially if they have supplemental insurance or Medicaid. 

Here’s what you should know: 

  • CCM is a continuing monthly care service, not a one-time appointment 
  • Most patients pay nothing extra beyond their usual Medicare coverage 
  • Enrolling in a CCM program does not change your current providers or prescriptions, it adds a supportive layer to help you manage everything better 
     

Why Choose Ibis Health for Chronic Care Management? 

At Ibis Health, we combine personalized care with easy-to-use technology to help you stay healthier at home. Our IbisHub™ device enables you to: 

  • Record daily symptoms 
  • Receive care and lifestyle reminders 
  • Stay fully connected with your care team 
     

Plus, our Member Advocates provide regular check-ins, encouragement, and coordination with your primary and specialty care providers. 

Ibis Health is here to support your health journey one step at a time, empowering you to live well. 

 

Frequently Asked Questions (FAQs) 

Is chronic care management different from home health care? 

Yes. Home healthcare often involves short-term, in-person visits after hospitalization. CCM is long-term support designed for ongoing chronic health conditions. 

What if I already have a primary care provider? 

You’ll still see your primary care and specialty providers, just like before. CCM services complement the care you receive, helping navigate your health journey. 

Is Ibis Health available nationwide? 

Ibis Health’s CCM remote services are currently available to eligible Medicare beneficiaries in Connecticut, Florida, Maine, Massachusetts, New Hampshire, North Carolina, Pennsylvania, and Rhode Island with expansion expected across the entire United States. 

How do I learn more about Ibis Health? 

To explore how Ibis Health’s Chronic Care Management services support your well-being, visit IbisHealth.org or call us at (888) 626-9995. We’re here to help you stay healthy and independent. 

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