The Problem
Before a CCM program can start generating value, a practice has to find the patients who actually qualify, reach out to explain the program, document their consent, and keep track of where each one stands — enrolled, still considering it, or not currently interested.
Who This Is For
Practices starting or growing a CCM program who need an organized way to move patients from "potentially eligible" to "actively enrolled" — whether that's a first pilot cohort or an ongoing enrollment pipeline.
The Feature
ChronicSync tracks each patient's enrollment status, consent documentation, and the staff member responsible for their enrollment, so nothing falls through the cracks between outreach and active care management.
Typical Enrollment Steps
- Identify: review your patient population for two or more qualifying chronic conditions — our CCM Eligibility Calculator is a useful starting point.
- Outreach: explain the program to the patient (and, where relevant, their caregiver).
- Consent: document the patient's consent to enroll, per current CMS guidance.
- Enroll: the patient moves into active CCM care management — see our CCM Care Plan Software page for what happens next.
- Track status: see at a glance which patients are enrolled, still being considered, or inactive.