What is CCM? 

A Medicare program for beneficiaries with two or more chronic conditions. 

CONTINUITY OF CARE

CCM nurses help patients navigate the complex healthcare system to ensure that needs are proactively being met. 

CUSTOMIZED GUIDANCE

CCM nurses check in with patients regularly and provide tailored health education to decrease the overwhelm of managing multiple chronic conditions. 

COST-EFFECTIVE HEALTHCARE

CCM reduces ER visits and hospitalizations, which leads to a decreased cost burden on the entire healthcare system. Medicare provides reimbursement for CCM services, making CCM a cost-effective approach to improving outcomes. 

IMPROVED HEALTH OUTCOMES

When patients receive close monitoring and customized education, compliance improves. CCM has the potential to increase MIPS scores AND increase quality of life. 

What is CCM? 

A Medicare program for beneficiaries with two or more chronic conditions. 

CONTINUITY OF CARE

CCM nurses help patients navigate the complex healthcare system to ensure that needs are proactively being met. 

CUSTOMIZED GUIDANCE

CCM nurses check in with patients regularly and provide tailored health education to decrease the overwhelm of managing multiple chronic conditions.

COST-EFFECTIVE HEALTHCARE

CCM reduces ER visits and hospitalizations, which leads to a decreased cost burden on the entire healthcare system. Medicare provides reimbursement for CCM services, making CCM a cost-effective approach to improving outcomes.

IMPROVED HEALTH OUTCOMES

When patients receive close monitoring and customized education, compliance improves. CCM has the potential to increase MIPS scores AND increase quality of life.

 Better Care. Better Outcomes.

At MedAlign Innovative Solutions, LLC we come alongside you as a trusted partner, providing unparalleled
Chronic Care Management (CCM) to Medicare beneficiaries with two or more chronic conditions.
Understanding that optimal outcomes start with better care, we go above and beyond to offer customized CCM services to our clients and their patients. 

Improving Continuity of Care One Patient at a Time

We partner with primary care providers to provide Medicare-compliant Chronic Care Management programs tailored to your clinic’s specific requirements. As an extension of your care team, we provide CCM on behalf of your practice so you can have peace of mind knowing that your chronic patients are receiving the focused care they require. We enhance (not replace) the care you provide. Schedule a FREE consultation today to see what we can do for your clinic!

SCHEDULE YOUR FREE 
CONSULTATION TODAY!

Comprehensive Chronic Care Management

Chronic care management (CCM) is a critical component of primary care that directly contributes to the health and care of your most vulnerable patient populations. Primary care providers who have not yet implemented CCM are missing out!

Medicare's continued reimbursement for CCM is due to its success in decreasing hospitalizations and emergency department visits and improving value-based care nationwide. CCM is a proactive (vs reactive) approach to healthcare.

How We Help

 ➤ We connect with your patients at least once per month.
 ➤ We help patients navigate the healthcare system.
 ➤ We improve continuity of care between patients, caregivers, primary care providers, specialists, and community                     resources.
 ➤ We ensure that things are going smoothly for your patients and escalate concerns when needed.
 ➤ No more worrying about your chronically ill patients!
 ➤ When you partner with MedAlign Innovative Solutions, you know that your patients are in good hands. 

Who We Serve

Serving Primary & Specialty Care Clinics

Through our comprehensive CCM services, we proactively improve self-reporting between visits so you can keep your patient's symptoms in check and prevent hospital readmissions. We assist with prescription refills, referrals, and improving communication with your patient. 

Serving Patients

Our chronic care management team supports your patients in taking control of their health, which increases satisfaction and loyalty to your clinic. Our patients refer because of the excellent services we provide!

Our Services

We bridge the gap between unmet care needs and optimal patient outcomes by providing your patients with focused, personalized chronic care management. Here are some other ways in which we provide care to your chronic patients:

Remote Patient Monitoring (RPM)
We keep an eye on your patients by utilizing the most advanced and practical FDA-approved technologies to provide remote patient monitoring (RPM) that is wirelessly synchronized for 24/7 observation.  

Transitional Care Management (TCM)
Our transitional care management (TCM) services address the hand-off between acute care and outpatient settings by focusing on key risk factors that can lead to readmissions during immediate post-discharge periods.   

Principal Care Management (PCM)
We serve your high-risk patients with comprehensive principal care management (PCM) services to monitor complex conditions without the need for face-to-face patient/provider interaction.  

Where We Serve

We are proud to serve primary and specialty care providers throughout the United States and Guam. Wherever you are, we are here to ensure that your patients receive the chronic care management they need to reclaim their wellness and prevent exacerbations of chronic disease. 

Our Process

 Better Care. Better Outcomes.

At MedAlign Innovative Solutions, LLC we come alongside you as a trusted partner, providing unparalleled
Chronic Care Management (CCM) to Medicare beneficiaries with two or more chronic conditions.
Understanding that optimal outcomes start with better care, we go above and beyond to offer customized CCM services to our clients and their patients. 

Improving Continuity of Care One Patient at a Time

We partner with primary care providers to provide Medicare-compliant Chronic Care Management programs tailored to your clinic’s specific requirements. As an extension of your care team, we provide CCM on behalf of your practice so you can have peace of mind knowing that your chronic patients are receiving the focused care they require. We enhance (not replace) the care you provide. Schedule a FREE consultation today to see what we can do for your clinic!

SCHEDULE YOUR FREE 
CONSULTATION TODAY!

Comprehensive Chronic Care Management

Chronic care management (CCM) is a critical component of primary care that directly contributes to the health and care of your most vulnerable patient populations. Primary care providers who have not yet implemented CCM are missing out!

Medicare's continued reimbursement for CCM is due to its success in decreasing hospitalizations and emergency department visits and improving value-based care nationwide. CCM is a proactive (vs reactive) approach to healthcare.

How We Help

Custom Bullet List Example
  • We connect with your patients at least once per month.
  • We help patients navigate the healthcare system.
  • We improve continuity of care between patients, caregivers, primary care providers, specialists, and community resources.
  • We ensure that things are going smoothly for your patients and escalate concerns when needed.
  • No more worrying about your chronically ill patients!
  • When you partner with MedAlign Innovative Solutions, you know that your patients are in good hands.

Who We Serve

Serving Primary Specialty Care Clinics

Through our comprehensive CCM services, we proactively improve self-reporting between visits so you can keep your patient's symptoms in check and prevent hospital readmissions. We assist with prescription refills, referrals, and improving communication with your patient. 

Serving Patients

Our chronic care management team supports your patients in taking control of their health, which increases satisfaction and loyalty to your clinic. Our patients refer because of the excellent services we provide!

Our Services

We bridge the gap between unmet care needs and optimal patient outcomes by providing your patients with focused, personalized chronic care management. Here are some other ways in which we provide care to your chronic patients:

Remote Patient Monitoring (RPM)

We keep an eye on your patients by utilizing the most advanced and practical FDA-approved technologies to provide remote patient monitoring (RPM) that is wirelessly synchronized for 24/7 observation.  

Transitional Care Management (TCM)

Our transitional care management (TCM) services address the hand-off between acute care and outpatient settings by focusing on key risk factors that can lead to readmissions during immediate post-discharge periods.   

Principal Care Management (PCM)

We serve your high-risk patients with comprehensive principal care management (PCM) services to monitor complex conditions without the need for face-to-face patient/provider interaction.  

Where We Serve

We are proud to serve primary and specialty care providers throughout the United States and Guam. Wherever you are, we are here to ensure that your patients receive the chronic care management they need to reclaim their wellness and prevent exacerbations of chronic disease. 

Our Process

1.

Book a no obligation call. 

We want to answer all of your questions before we get started! During this call, we will perform an assessment to determine your clinic's readiness for implementing a CCM program. 

2.

Sign contract. 

Once a contract is signed with MedAlign Innovative Solutions, we will provide you with a written implementation plan! With your support, we will move forward with setting up a successful implementation! 

3.

Patient Enrollment

The next step is to identify eligible patients for enrollment. We can enroll patients on your behalf as well. 

4.

Chronic Care Services 

Once patients are enrolled, we provide ongoing monthly chronic care services, including assessment of patient needs, care coordination, patient education, and connecting the patient with community resources. We are the bridge between the community and your clinic! 

What Makes Us Different Than Other CCM Companies

NURSE-LED SERVICE

Our owner & founder is an experienced nurse practitioner who is committed to building strong relationships with clients. Our team is comprised of highly-qualified and experienced nurses. We provide culturally-competent, high-quality care. 

PROVEN TRACK-RECORD 

We pride ourselves on improving everything that we touch in healthcare. Partnering with MedAlign Innovative Solutions means partnering with leaders who will make your organization better. 

ENHANCING YOUR PRACTICE

We exist to enhance, not replace, the excellent care that you are already providing to your patients. We aim to relieve the administrative burden from our primary and specialty clinic partners. We offer customized solutions.

What Makes Us Different Than Other CCM Companies

NURSE-LED SERVICE

Our owner & founder is an experienced nurse practitioner who is committed to building strong relationships with clients. Our team is comprised of highly-qualified and experienced nurses. We provide culturally-competent, high-quality care. 

PROVEN TRACK-RECORD 

We pride ourselves on improving everything that we touch in healthcare. Partnering with MedAlign Innovative Solutions means partnering with leaders who will make your organization better. 

ENHANCING YOUR PRACTICE

We exist to enhance, not replace, the excellent care that you are already providing to your patients. We aim to relieve the administrative burden from our primary and specialty clinic partners. We offer customized solutions.

WHAT OUR PATIENTS SAY 

WHAT OUR PATIENTS SAY 

I am calling to tell you that I quit smoking. I couldn't stop thinking about what you told me about how it affects my health. I knew that you would ask me about my smoking every month, so I finally quit, and I wanted to tell you thank you.
- CCM Patient 
Thank you for calling every month! My clinic is the BEST clinic!
- CCM Patient 
I am so impressed with the chronic care service that I have recommended this service to 4 of my friends who have Medicare.
- CCM Patient
I was feeling depressed, but talking to the chronic care nurse really helped, and she gave me resources too.
- CCM Patient
Thank you for helping me understand what is happening with my dad's health and for helping me coordinate his care.
- Daughter of CCM Patient
I am so glad that you answered the phone on Christmas Eve. I wasn't sure which medication to take because I just picked up my refills and I was confused. Now I feel much better because I know what to do. 
- CCM Patient
I am calling to tell you that I quit smoking. I couldn't stop thinking about what you told me about how it affects my health. I knew that you would ask me about my smoking every month, so I finally quit, and I wanted to tell you thank you.
- CCM Patient 
Thank you for calling every month! My clinic is the BEST clinic!
- CCM Patient 
I am so impressed with the chronic care service that I have recommended this service to 4 of my friends who have Medicare.
- CCM Patient
I was feeling depressed, but talking to the chronic care nurse really helped, and she gave me resources too.
- CCM Patient
Thank you for helping me understand what is happening with my dad's health and for helping me coordinate his care.
- Daughter of CCM Patient
I am so glad that you answered the phone on Christmas Eve. I wasn't sure which medication to take because I just picked up my refills and I was confused. Now I feel much better because I know what to do. 
- CCM Patient
Meet the Owner & Founder
Elisabeth Collins, DNP, APRN-NP

As a provider, I understand how busy you are. As a nurse, I understand patients. And as a healthcare professional who has worked in the hospital setting for most of my career, I understand the importance of preventative care.

That's why I created MedAlign Innovative Solutions. Our mission is to make healthcare better. Our vision is to equip healthcare providers to do more of what they love.

If you've been considering implementing a Chronic Care Management program, don't wait any longer!

Connect with me via email or LinkedIn, and let's have a conversation about your goals. MedAlign Innovative Solutions may be the solution you've been looking for. 

Managing your patients has never been so simple! Book a FREE consultation with us today to learn more about how you can implement a full-service chronic care management program for your clinic in just 90 days! 

Meet the Owner & Founder
Elisabeth Collins, DNP, APRN-NP

As a provider, I understand how busy you are. As a nurse, I understand patients. And as a healthcare professional who has worked in the hospital setting for most of my career, I understand the importance of preventative care.

That's why I created MedAlign Innovative Solutions. Our mission is to make healthcare better. Our vision is to equip healthcare providers to do more of what they love.

If you've been considering implementing a Chronic Care Management program, don't wait any longer!

Connect with me via email or LinkedIn, and let's have a conversation about your goals. MedAlign Innovative Solutions may be the solution you've been looking for. 

Managing your patients has never been so simple! Book a FREE consultation with us today to learn more about how you can implement a full-service chronic care management program for your clinic in just 90 days! 

Frequently Asked Questions

MedAlign offers full service implementation AND ongoing management of your Chronic Care Management program. We won't just get you started with CCM; we will build and scale your program for you. 

For most clients a CCM program can be implemented in just 90 days. 

MedAlign participates in fee for service partnerships with clients. We don't get paid unless you do. This allows us to be as invested in the success of the program as you are. For a no-obligation quote, contact ccm@medaligninnovativesolutions.com. 

The requirements by Medicare include use of an electronic health record (EHR) and 24/7 access to a healthcare provider. We can help you navigate these compliance requirements. 

Frequently Asked Questions

MedAlign offers full service implementation AND ongoing management of your Chronic Care Management program. We won't just get you started with CCM; we will build and scale your program for you. 

For most clients a CCM program can be implemented in just 90 days. 

MedAlign participates in fee for service partnerships with clients. We don't get paid unless you do. This allows us to be as invested in the success of the program as you are. For a no-obligation quote, contact ccm@medaligninnovativesolutions.com. 

The requirements by Medicare include use of an electronic health record (EHR) and 24/7 access to a healthcare provider. We can help you navigate these compliance requirements. 

Benefits of a CCM Program

Benefits of a CCM Program