Chronic Disease Management
An ongoing, personalized support program for Medicare patients with two or more chronic conditions (such as high blood pressure, diabetes, heart disease, arthritis, COPD, asthma, depression, and many others).
It brings together your doctor, specially trained care managers, and your entire healthcare team to coordinate care from the comfort of your home.
Chronic Disease Management is a service that helps you stay healthier, avoid unnecessary hospital visits, and enjoy a better quality of life - with no extra cost to you beyond your Medicare benefits.
Who Qualifies?
- Medicare beneficiaries with 2 or more chronic conditions expected to last at least 12 months
- Those with conditions that place you at risk for declining health or hospitalization
- Patients recommended by a primary care provider at Newman Regional Health Medical Partners
What Does Chronic Disease Management Provide?
Our dedicated care team works with you every month to make managing your health easier:
- Monthly progress checks: to help you meet your health goals.
- Medication review: ensuring prescriptions are current and taken correctly. We can work with pharmacies that can synchronize and individually organize your daily medications.
- Care coordination: scheduling appointments with specialists, pharmacists, therapists, and more.
- Connection to community resources: Meals on Wheels, home health, medical equipment, transportation, and assistance programs.
- Help navigating Medicare, Medicaid, Social Security, disability, and medication assistance.
- Education and support on nutrition, your conditions, and healthy lifestyle choices.
- Regular updates sent directly to your Newman Regional Health Medical Partners primary care provider.
Why Choose Newman Regional Health Chronic Disease Management?
Real Benefits You’ll Notice:
- Better control of your chronic conditions.
- Fewer emergency visits and hospitalizations.
- Stronger connection to your healthcare team.
- Peace of mind knowing someone is checking on you every month.
Patients tell us they feel more confident, more supported, and more in control of their health.
Chronic Disease Management is right for you if...
You have two or more of the following:
- Alzheimer’s disease and related dementia
- Arthritis (osteoarthritis and rheumatoid)
- Asthma
- Atrial fibrillation
- Autism spectrum disorders
- Cancer
- Cardiovascular disease
- Chronic Obstructive Pulmonary Disease
- Depression
- Diabetes
- Hypertension
- Infectious diseases such as HIV/AIDS
- Substance use disorders
Related News
Newman Regional Health Medical Partners at the Top of Chronic Disease Management
Newman Regional Health Medical Partners was recently recognized by the Kansas Healthcare Collaborative as one of eleven medical practice groups with a combined score in the top 25% of baseline assessments for Population Health and Chronic Disease Management, also known as the 1815/1817 Assessment.