Chronic Care Management
Better Health Between Visits
MHM’s Chronic Care Management

At MHM Medical Group, our commitment is to provide meaningful, inclusive, and affordable healthcare. We are proud to enhance our services by partnering with Medsien, a leader in remote care technology, to offer a comprehensive Chronic Care Management (CCM) program for our Medicare patients. This new service is designed to provide you with continuous, personalized support for managing your chronic conditions, right from the comfort of your home.
What is Chronic Care Management?
For patients living with two or more chronic conditions—such as diabetes, high blood pressure, heart disease, or arthritis—managing your health can be a daily challenge. Our CCM program provides the extra support you need between your regular office visits. Through our collaboration with Medsien, you get a dedicated care partner who works with you and your MHM provider to help you stay on track with your health goals.
This service is covered by Medicare for eligible patients, helping you get the dedicated attention you deserve without the financial stress.
How You Benefit from Our CCM Program
Our goal is to make managing your health simpler and more effective. By enrolling in the MHM Chronic Care Management program, you gain access to a range of benefits designed to improve your well-being.
Key Benefits for Our Patients:
- Personalized, Continuous Support: You will have a dedicated care partner who understands your unique health needs. They will check in with you regularly by phone to answer questions, provide guidance, and monitor your progress.
- Improved Health Outcomes: Consistent management helps prevent complications, reduce hospital visits, and improve your overall quality of life. We focus on proactive care to keep you healthier.
- A Direct Line to Your Care Team: You have a dedicated resource for your health questions. Your care partner coordinates directly with your MHM provider, ensuring your care plan is always current and effective.
- Assistance with Your Health Goals: We help with everything from medication management and appointment scheduling to coordinating with other specialists and providing health education.
Peace of Mind: Know that your MHM team is actively monitoring your health, even when you’re not in the office. This program provides an extra layer of support for you and your family.nd your current medical situation.
Powered by Advanced Technology, Delivered with a Human Touch
Through our partnership with Medsien, we use state-of-the-art, AI-powered technology to streamline your care. This platform allows for seamless communication and coordination between you, your care partner, and your MHM provider. It ensures that your health information is tracked accurately and securely, allowing us to identify potential issues before they become serious problems.
While the technology is advanced, our approach is deeply human. We believe in the power of a personal connection. Your care partner is an empathetic expert dedicated to supporting you on your health journey, blending innovative tools with the compassionate care you’ve come to expect from MHM Medical Group.
Is Chronic Care Management Right For You?
If you are a Medicare patient living with two or more chronic conditions, you may be eligible for this valuable program. It’s designed for individuals who want to take a more active role in their health with the support of a dedicated team.

You may be a good candidate if you have conditions such as:
- Diabetes
- Hypertension (High Blood Pressure)
- Heart Disease
- Chronic Obstructive Pulmonary Disease (COPD)
- Asthma
- Arthritis
- Kidney Disease
- Depression
Take the Next Step Toward Better Health
Discover how our Chronic Care Management program can provide the support and peace of mind you need to manage your health effectively. Our team is here to answer your questions and help you get started.