Chronic Care Management
Structured, recurring support for eligible patients living with multiple chronic conditions.
Our Care Management Programs
One partner for a moreconnected continuum of care.
Each program below is delivered as a managed service. Start with the one that matches your population, or ask us which fits.
Choose a Starting Point
Three programs, one partner.
Complex Chronic Care Management
Higher-touch support for patients whose medical, functional, behavioral, or social complexity requires more intensive coordination.
Remote Patient Monitoring
Connected-device programs that turn patient-generated health information into structured clinical action.
Not Sure Which Applies
Our program follows your clinical expertise, not the other way around.
Most organizations do not begin by choosing a billing code. They begin with a population they are already responsible for and a gap they can already see.
MatterCCM will assess your patient population, current capabilities, care environment, and program goals, then recommend the operating model built around your organization—whether that is one of the programs above, several of them, or support for the parts you already run yourself.
Your eligible population already exists.
The next step is determining how to serve it responsibly, consistently, and at the right scale.