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Care Coordination

Care coordination is covered by Medicare and most insurance plans, and allows a higher level of support for you and your health. This is a crucial component to the care we offer at Troy Medical.

Please note

Alaska Medicaid, Blue Cross Blue Shield FEP and Tricare do not cover care coordination or Community Health Integration (CHI) services.

How This Helps YOU!

  • 24%

    lower all-cause death rates

  • 28%

    less cost for healthcare

  • 58%

    fewer ER visits per patient

  • 59%

    fewer hospital admissions

  • 50%-70%

    less hospital readmission

Care Coordination Programs

  • Doctors

    Chronic Care Management (CCM)

    Chronic Care Management (CCM) gives you a dedicated medical assistant who helps coordinate care for multiple chronic conditions, working with your healthcare team to keep you feeling your best.

  • Doctor using a phone

    Principal Care Management (PCM)

    Principal Care Management (PCM) provides you with a dedicated medical assistant who works closely with your specialist to help you manage one serious chronic condition and guide you through your care.

  • Grocery Shopping

    Community Health Integration (CHI)

    Community Health Integration connects you with a local health worker who helps address non-medical needs—like transportation, housing, or food access—that impact your health, making it easier to follow your care plan and stay well.