Chronic Care Management in Houston, TX

Chronic care management (CCM) is a specific healthcare management service that offers coverage for patients with at least two chronic diseases. It allows for a continuous relationship with their individual healthcare team. The CCM approach includes formulating a comprehensive care plan, interactive remote communication and management (typically via phone), medication management strategies, and the coordination of care among providers.

Chronic care management at Gastroenterology Consultants is advantageous for patients when it comes to ongoing support for health and wellness. It also allows for expanded access to relevant medical resources, improved communication with care team members, reduction in emergency room visits and hospital stays or readmissions, and greater engagement in their individual healthcare. To learn more about chronic care management in Houston, TX, please reach out to our team today.

Gastroenterology Consultants offers the following chronic care management services for individuals diagnosed with chronic gastrointestinal and liver issues only.

In-Home Care As Needed

In-Home Care As Needed

Interdiciplinary Care Team

Interdiciplinary Care Team

Remote Montioring & Virual Visits

Remote Montioring & Virual Visits

Health Coaching

Health Coaching

Care Coordination

Care Coordination

Outcomes & Reporting

Outcomes & Reporting

In-Person Assessments

In-Person Assessments

Chronic GI issues such as:

Chronic Esophageal issues such as:

Chronic Liver issues such as:

  • Non-alcoholic fatty liver disease (NAFLD)
  • Obesity/metabolic syndrome
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Who is eligible for CCM?

All patients having two or more qualifying chronic health disorders that are anticipated to persist for 12 months, and for whom those issues place them at risk of flare or decline in health, are eligible for CCM. Please reach out to our gastroenterology network in Houston, TX to learn more.

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