Managing chronic conditions requires ongoing support, precise coordination, and the right healthcare partners.
Chronic care management companies offer structured programs to improve patient outcomes while reducing healthcare costs.
These companies handle everything from remote patient monitoring to care coordination and compliance.
Selecting the right CCM provider impacts patient engagement, care quality, and operational efficiency.
If you need a CCM partner, this guide helps you compare options and make an informed decision.
TL;DR: Top Chronic Care Management Companies
- MedicalFlow:
MedicalFlow offers AI-driven chronic care management solutions designed to boost patient engagement and optimize care coordination. Their personalized interventions and workflow automation enhance patient outcomes while driving provider efficiency and increasing recurring revenue.
- CareHarmony:
CareHarmony delivers AI-powered chronic care management solutions that enhance patient engagement and streamline provider workflows. Their high patient enrollment rates and data-driven care coordination improve outcomes while increasing recurring revenue.
- ChartSpan:
ChartSpan provides a full-service CCM program that handles enrollment, care planning, and compliance, allowing providers to focus on in-person care. Their high retention rates and proven revenue generation model make them a strong partner for value-based care.
4. Greenway Health:
Greenway Health offers an integrated CCM solution with dedicated health coaches and EHR automation. Their seamless implementation improves patient adherence, reduces administrative burdens, and enhances both physical and behavioral health management.
5. Northwestern Medicine:
Northwestern Medicine’s CCM program focuses on personalized care plans and continuous patient support through monthly check-ins. Their proactive approach improves medication management, care coordination, and overall health outcomes.
List of the Top Chronic Care Management Companies
1. MedicalFlow
Website: https://medicalflow.co/
MedicalFlow provides comprehensive chronic care management solutions, helping healthcare organizations enhance patient outcomes and streamline care coordination.
Their approach combines human expertise with AI-driven tools to support preventive care and address social determinants of health.
Benefits For Clients:
- Increased recurring revenue: Boost practice revenue through reimbursable CCM services.
- Improved patient outcomes: Personalized care plans and proactive interventions enhance patient health.
- Enhanced patient engagement: AI-powered tools increase patient participation and satisfaction.
- Operational efficiency: Automated workflows reduce administrative burdens and streamline processes.
- Better care coordination: Seamless communication between providers, patients, and caregivers.
Company Specialties:
- Turnkey chronic care management (CCM) implementation: Seamless setup of CCM programs with automated workflows and reporting.
- AI-powered patient engagement: Advanced interventions to monitor patient health and improve care continuity.
- Care coordination services: Streamlined communication between patients, providers, and caregivers.
- Social determinants of health (SDOH) support: Identifying and addressing barriers to care for underserved populations.
Why Choose Them:
- AI-driven insights: Leverages cutting-edge AI to enhance patient engagement and care outcomes.
- Proven results: Demonstrates high patient retention and satisfaction through personalized care plans.
- Scalable solutions: Offers customized solutions for healthcare providers, from small practices to large health systems.
- Expert support: Provides dedicated care coordinators and technical support to ensure program success.
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2. Chronic Care Management Solutions
Website: care-harmony.com
CareHarmony provides comprehensive chronic care management solutions for healthcare organizations, focusing on preventive care and addressing social determinants of health.
Their unique approach integrates human expertise with AI-powered interventions, enhancing patient journeys and offering physicians better visibility into monthly care activities.
Benefits For Clients:
- High enrollment rates: Achieving 50-60% patient enrollment, leading to increased recurring revenue.
- Improved patient outcomes: Enhanced care coordination and patient engagement result in better health outcomes.
Company Specialties:
- Turnkey chronic care management implementation
- Patient engagement and care coordination
- AI-powered CareBlocks™ interventions
- Addressing social determinants of health
Why Choose Them:
- Industry-leading enrollment and retention rates
- Innovative use of AI in care coordination
- Proven success in supporting Accountable Care Organizations
- Expertise in large-scale, complex implementations
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3. ChartSpan
Website: chartspan.com
ChartSpan offers a full-service Chronic Care Management (CCM) program that integrates with healthcare practices to enhance patient care and increase practice revenue.
Their unique value lies in handling all aspects of CCM, including patient enrollment, education, care plans, and prescription refills, allowing healthcare staff to focus on in-person care.
Benefits For Clients:
- Increased recurring revenue: With just 300 enrolled patients, practices can generate more than $100,000 annually.
- Improved patient outcomes: ChartSpan’s program helps identify care gaps and enhances quality scores, leading to better health results.
Company Specialties:
- Patient enrollment and education
- Development of comprehensive care plans
- Coordination of prescription refills
- 24/7 access to a nurse care line
Why Choose Them:
- High average patient enrollment rates (45%)
- Proven track record with over 175 practices and health systems
- Demonstrated improvements in patient outcomes, including reduced hospitalizations
- Comprehensive support for both patients and healthcare staff
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4. Greenway Health
Website: greenwayhealth.com
Greenway Health offers a comprehensive chronic care management (CCM) solution that integrates with healthcare practices to enhance patient care and increase value-based reimbursement.
Their unique value lies in providing a fully integrated CCM program, including a dedicated team of health coaches, without disrupting existing workflows.
Benefits For Clients:
- Enhanced patient engagement: Consistent health coaching and care coordination improve patient adherence and outcomes.
- Streamlined operations: EHR integration automates claims and documentation, reducing administrative burdens.
Company Specialties:
- Remote patient care management
- Health coaching
- Medication review
- Behavioral health integration
- EHR-integrated claims automation
Why Choose Them:
- Seamless integration with existing EHR systems
- Dedicated health coaching team
- Focus on both physical and behavioral health
- Proven track record in improving patient outcomes
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5. Northwestern Medicine
Website: nm.org
Northwestern Medicine offers a Chronic Care Management program designed to assist Medicare patients with two or more chronic conditions by providing personalized, coordinated care.
Their approach emphasizes a collaborative partnership between patients, primary care physicians, and dedicated nurses to develop and regularly update comprehensive care plans.
Benefits For Clients:
- Personalized care plans: Tailored strategies addressing individual health needs.
- Regular communication: Monthly check-ins via phone or the MyNM Patient Portal to monitor health status.
- Medication management: Oversight and coaching to ensure proper medication use.
- 24/7 access to health tools: Continuous availability of resources to manage health effectively.
Company Specialties:
- Development of personalized, comprehensive care plans
- Regular updates to care plans
- Monthly health communications
- Medication oversight and coaching
- 24/7 access to health management tools
Why Choose Them:
- Emphasis on personalized, proactive care
- Strong patient-provider communication
- Comprehensive medication management
- Continuous support and resources
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6. Ennoble Care
Website: ennoblecare.com
Ennoble Care provides in-home chronic care management services, focusing on personalized healthcare for individuals with chronic conditions.
Their unique value lies in delivering comprehensive, proactive care directly to patients’ homes, enhancing convenience and accessibility.
Benefits For Clients:
- Personalized care plans: Tailored strategies to manage specific health conditions.
- Convenience: Receiving expert care without leaving home.
Company Specialties:
- Development of individualized care plans
- Coordination of treatments
- Progress monitoring
- Patient education and resource provision
Why Choose Them:
- In-home service delivery
- Comprehensive, proactive care approach
- Dedicated team collaboration
- Focus on patient empowerment
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7. HealthXL®
Website: gotohealthxl.com
HealthXL provides end-to-end chronic care management (CCM) services, enhancing patient access and increasing practice revenue through compliant, technology-enabled solutions.
Their approach includes identifying eligible patients, verifying insurance, and achieving enrollment rates up to five times higher than average in-house programs.
Benefits For Clients:
- Higher enrollment rates – Achieves up to 50% enrollment, significantly increasing recurring revenue.
- Improved patient engagement – Regular check-ins and education enhance adherence and health outcomes.
- Reduced administrative burden – Handles patient identification, insurance verification, and compliance.
Company Specialties:
- Patient enrollment and education
- Development of comprehensive care plans
- Regular patient monitoring and coordination
- 24/7 access to a nurse care line
Why Choose Them:
- High average patient enrollment rates (50%)
- Proven track record with over 175 practices and health systems
- Demonstrated improvements in patient outcomes, including reduced hospitalizations
- Comprehensive support for both patients and healthcare staff
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8. Avance Care
Website: avancecare.com
Avance Care offers comprehensive chronic care management services, assisting patients in effectively managing long-term health conditions.
Their integrated approach emphasizes patient education and self-management, fostering a strong patient-doctor relationship.
Benefits For Clients:
- Personalized care plans tailored to individual health needs
- Regular monitoring and support to manage chronic conditions
Company Specialties:
- Coordination of care between specialists, testing centers, and hospitals
- Assistance in scheduling follow-up and specialist appointments
- Monthly check-ins to review health goals
Why Choose Them:
- Emphasis on patient education and self-management
- Dedicated care managers for personalized support
- Commitment to improving patient outcomes through coordinated care
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9. Vista Physician Group
Website: vistaphysiciangroup.com
Vista Physician Group provides chronic care management services through their CareHarmony program, assisting Medicare patients with multiple chronic conditions.
Their dedicated Care Coordinators offer personalized support between office visits, enhancing patient health management.
Benefits For Clients:
- Assistance with scheduling appointments and tests
- Medication management guidance
Company Specialties:
- Coordination of home health services and medical equipment
- Connection to health education resources and community services
- 24/7 access to a Care Coordinator phone line
Why Choose Them:
- Personalized monthly check-ins to monitor health goals
- Support in navigating healthcare systems and resources
- Commitment to extending care beyond traditional office visits
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10. Medical Office Force
Website: medicalofficeforce.com
Medical Office Force provides chronic care management services that integrate advanced revenue cycle management with comprehensive patient care.
Their approach combines personalized care plans and proactive monitoring to enhance patient outcomes while optimizing financial operations.
Benefits For Clients:
- Improved management of chronic conditions through continuous care
- Enhanced patient engagement and satisfaction
Company Specialties:
- Personalized care plans tailored to individual health needs
- Proactive patient monitoring to prevent complications
- Integration of care coordination with revenue cycle management
Why Choose Them:
- Seamless blend of patient care and financial optimization
- Commitment to leveraging technology for better health outcomes
- Focus on compliance with evolving healthcare regulations
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11. Horizon Home Health & Hospice
Website: horizonhh.com
Horizon Home Health & Hospice offers chronic care management services for patients discharged from hospitals or rehabilitation facilities, focusing on personalized follow-up care to reduce the risk of rehospitalization.
Their coordinated approach involves close collaboration with home health teams and specialists to stabilize patients’ health promptly.
Benefits For Clients:
- Reduced risk of rehospitalization through proactive monitoring
- Improved health outcomes via personalized care plans
Company Specialties:
- Comprehensive follow-up care post-discharge
- Collaboration with home health teams and specialists
- Continuous health monitoring to prevent complications
Why Choose Them:
- Dedicated focus on preventing unnecessary hospital visits
- Experienced interdisciplinary team providing compassionate care
- Commitment to personalized service tailored to individual patient needs
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12. Vitruvian Health
Website: vitruvianhealth.com
Hamilton Physician Group provides chronic care management services to Medicare patients with multiple chronic conditions.
Their dedicated care coordinators assist patients in managing medications, coordinating with specialists, and setting health goals.
Benefits For Clients:
- Personalized assistance from healthcare professionals
- Regular phone check-ins to maintain health progress
Company Specialties:
- Medication management, including refills
- Coordination of care among specialists, testing centers, and hospitals
- Assistance in creating individualized care plans
Why Choose Them:
- Emphasis on personalized care tailored to individual health needs
- Proactive approach to managing chronic conditions
- Commitment to improving patient quality of life through coordinated care
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13. Vigilance
Website: vigilancehealth.com
Vigilance Health provides chronic care management services, assisting healthcare providers in delivering non-face-to-face care coordination to Medicare beneficiaries with multiple chronic conditions.
Their approach combines care coordination with advanced technology, enabling providers to enhance patient outcomes without increasing staff or upfront costs.
Benefits For Clients:
- Improved patient engagement through personalized care plans
- Increased practice revenue via Medicare reimbursements
Company Specialties:
- Development of comprehensive care plans
- Medication reconciliation
- Coordination between various healthcare providers
- 24/7 access to urgent care for patients
Why Choose Them:
- Seamless integration of care management into existing practices
- Focus on reducing hospital admissions and emergency visits
- Commitment to supporting providers in value-based care transitions
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14. CareCloud
Website: carecloud.com
CareCloud offers chronic care management services through its Wellness program, assisting practices in delivering coordinated care to patients with multiple chronic conditions.
Their dedicated team manages patient outreach and monthly check-ins, allowing providers to extend care without increasing operational burdens.
Benefits For Clients:
- Enhanced patient engagement through regular follow-ups
- Increased practice revenue via participation in Medicare’s CCM incentive program
Company Specialties:
- Personalized care plan development
- Medication reconciliation
- Coordination with other healthcare providers
- 24/7 access to care management support
Why Choose Them:
- Seamless integration of CCM services into existing practice workflows
- Dedicated care managers handling all aspects of patient communication
- Commitment to improving patient outcomes through proactive management
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15. Accuhealth
Website: accuhealth.tech
Accuhealth provides chronic care management services, offering concierge-level care to patients with multiple chronic conditions.
Their program integrates remote patient monitoring with 24/7 clinical support, enabling proactive health management from home.
Benefits For Clients:
- Enhanced patient outcomes through continuous monitoring and personalized care
- Reduced cognitive load for providers by streamlining care coordination
Company Specialties:
- Daily health assessments and preventative medical evaluations
- 24/7 access to a clinical care team
- Telemedicine and remote monitoring, including psychological support
Why Choose Them:
- Comprehensive integration of technology and personalized care
- Commitment to improving patient habits and overall wellness
- Focus on reducing unnecessary hospital visits and associated costs
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16. MD Revolutio
Website: mdrevolution.com
MD Revolution offers chronic care management services designed to support patients with multiple chronic conditions.
Their program integrates personalized care plans with digital tools, enhancing patient engagement and health outcomes.
Benefits For Clients:
- Improved health management through tailored care plans
- Enhanced patient engagement via digital communication
Company Specialties:
- Development of individualized care plans
- Ongoing support from dedicated care managers
- Integration with health tracking applications
Why Choose Them:
- Proven reduction in cardiac hospitalization rates
- Demonstrated return on investment for healthcare providers
- Seamless integration into existing practice workflows
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Choosing the Right Chronic Care Management Partner: Key Takeaways for Providers
Choosing the right chronic care management company can transform how you manage care for patients with chronic conditions.
Each of the top 16 chronic care management companies highlighted offers unique benefits, from personalized care plans to cutting-edge remote monitoring technologies.
As you consider your options, focus on how these chronic care management companies integrate with your existing practices and enhance patient outcomes.
Opt for a partner that aligns with your operational goals and can deliver consistent, measurable improvements in patient health.
Remember, the effectiveness of your chronic care strategy significantly depends on the quality of support you choose today.
Make your decision with confidence, knowing you are equipped with information on some of the best chronic care management companies in the field.
