Living with a chronic condition does not mean living with uncertainty. Our chronic disease management program provides structured, ongoing care that helps you manage your condition effectively and maintain the highest possible quality of life.
Conditions We Manage
- Diabetes (Type 1 and Type 2) — A1C monitoring, medication management, insulin therapy, nutritional counseling, diabetic foot exams, and complication screening
- Hypertension — Blood pressure monitoring, medication optimization, lifestyle modification, and cardiovascular risk reduction
- Heart Disease — Cholesterol management, anticoagulation therapy, post-cardiac event follow-up, and cardiac rehabilitation coordination
- Asthma & COPD — Pulmonary function testing, inhaler technique education, action plans, and trigger management
- Thyroid Disorders — Hypothyroidism and hyperthyroidism monitoring, medication titration, and lab follow-up
- Arthritis — Pain management, joint protection, medication management, and rheumatology referral when needed
Our Approach
Chronic disease management requires more than a prescription. Our approach combines regular monitoring visits, lab tracking, medication adjustments, lifestyle coaching, and care coordination with specialists. We use our patient portal to share results and communicate between visits, so you are never in the dark about your health.
Chronic Care Management (CCM) Program
For patients with two or more chronic conditions, we offer a Medicare-eligible Chronic Care Management program that includes monthly check-in calls, care plan updates, medication reviews, and 24/7 nurse access. Most Medicare patients qualify at no additional cost.
