Care Coordination Program

Care Coordination Program

 The right care makes all the difference.

There are many different definitions of care coordination, but all of them point to the same goal. Care coordination is a program through which teams of health care professionals work together to ensure that a patient’s health needs are being met and that care is being delivered in the right place, at the right time, and by the right person. Our care coordination program is a service provided by members of your healthcare team who proactively monitor your health conditions through telephone communication and coordination of care with other doctors, specialists, labs, imaging services, or other testing. Additionally, we discuss changes in your health status, help you manage your medications, and provide you with a comprehensive care plan to promote the best personalized care for you. Our care team strives to help keep you healthier and out of the hospital.

What Should I Expect?

The Care Coordination Program fosters a continuous relationship between you and your healthcare team. Your Chronic Care Manager will initiate and provide the following to help you achieve your health goals:

  • Patient Support for Chronic Conditions
  • Continuous Assessment & Coordination of Care Services
  • Education on Self-Management of Chronic Conditions
  • Patient & Caregiver Engagement
  • Recommendation For Preventative Care
  • 24/7 Access to Care & Health Information
  • Timely Sharing & Use of Health Information

The goal is to help keep down the cost and inconvenience of unnecessary clinic visits, emergency room visits, and hospital admissions.

Care Coordination Program

What Does “Chronic” Mean?

Chronic is a term used to define conditions that require long-term treatment of a year or more. “Chronic” does not imply that your condition is life-threatening, or your condition is getting “worse.” Examples of chronic conditions may include, but are not limited to, the following: diabetes, hypertension, COPD, depression, and kidney disease.

How Much Does The Program Cost?

This service is often a covered service under your Medicare plan and allows MedLink to bill for these services; however, you have the right to discontinue services at any time by notifying your healthcare provider or Chronic Care Manager.