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Chronic Care Management in Omaha

Ongoing support for long-term health

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A professional photograph of an examination room in Omaha, showcasing the Chronic Care Management Services offered. The image captures a male doctor, sitting at his desk, and a patient, who is in focus, receiving a clipboard from him. The doctor, who appears to work for the patient, is wearing a stethoscope and a tie, reflecting a caring and dedicated approach. The room is tidy, with medical supplies, and features a calendar and a laptop on the desk, illustrating a modern and efficient practice.

A Partner for Chronic Care Management Support

Living with more than one chronic condition can feel overwhelming. Between specialist visits, medications, and lifestyle changes, it’s easy for things to slip through the cracks. Our Chronic Care Management (CCM) program is designed to bring everything together so you feel supported every step of the way.

At Internal Medicine & Family Physicians, CCM means more than checklists. It’s personal, coordinated care that helps you manage your health day to day — and it’s often covered by insurance.

  • Convenient West Omaha location with same-day visits

  • Experienced doctors who know your story, not just your chart

  • Care plans that fit your lifestyle and family routine

  • Independent practice: personalized attention without corporate red tape

What to Expect With CCM

When you enroll in Chronic Care Management at our Omaha office, you can expect:

Personalized Care Plan

We outline your conditions, medications, goals, and next steps in one easy-to-follow plan.

Monthly Check-ins

A member of our team connects with you each month to see how you’re doing and adjust your plan if needed.

Specialist Coordination

We stay in touch with your specialists so your care is connected, not scattered.

Medication Support

We review your prescriptions regularly to avoid interactions and make sure each one is doing its job.

Everyday Support

We’re here for questions about lifestyle, symptom changes, or new health concerns; whenever they arise.

Icon representing Chronic Care Management services provided by Internal Medicine & Family Physicians in Omaha. Helping individuals suffering with multiple conditions.

Understanding Chronic Care Management

CCM is ongoing support for people living with two or more long-term conditions like diabetes, heart disease, or arthritis. Instead of piecing together care on your own, we connect the dots and guide you through every step.

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Coordinating Your Care

Our team follows up after specialist visits, keeps your medication list organized, and makes sure nothing falls through the cracks. You get one place to turn for answers and support, no matter how many providers are involved.

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Covered by Most Insurance

The good news is that Chronic Care Management is recognized by Medicare and many insurance plans. That means you can often access this extra layer of support at little or no cost to you.

Frequently Asked Questions About Chronic Care Management

Who qualifies for Chronic Care Management?

Anyone with two or more long-term health conditions that put them at risk of worsening can qualify. Examples include diabetes, heart disease, hypertension, and COPD.

Does insurance cover CCM?

Yes. Medicare and most private insurers cover CCM services. Our team can check your coverage and explain any out-of-pocket costs before you start.

How is Chronic Care Management different from my regular doctor visits?

Regular visits focus on immediate concerns. CCM gives you monthly, behind-the-scenes support to help manage your health in between those appointments.

Do I have to come into the office every month?

Not always. Many check-ins happen by phone or through our patient portal. Office visits are scheduled when needed.

Will Chronic Care Management replace my specialists?

No. CCM is designed to connect the dots between your specialists, your medications, and your everyday health. You still see your cardiologist, endocrinologist, or other specialists as needed.

Our Approach to Chronic Care Management

At Internal Medicine & Family Physicians, we see Chronic Care Management as more than a program. It’s a partnership! We start by creating a care plan that’s realistic for your lifestyle, not just a list of medical tasks. That plan becomes the roadmap we use together, covering your conditions, medications, appointments, and goals for better health. We check in regularly, answer your questions, and adjust as life changes.

Our team also takes the lead on coordination, so you don’t have to juggle multiple providers alone. We review prescriptions to keep them safe and effective, track follow-ups with your specialists, and help you stay on top of preventive screenings. By combining medical expertise with personal support, we make sure you feel confident and cared for; every month, not just at your annual visit.

Related Services

Related Services: Women's Wellness Checks

Women’s health needs often change with age, family planning, and lifestyle. Our Omaha team provides personalized wellness exams, preventive screenings, and support to help women stay healthy through every stage of life.

Related Conditions: Men's Health Checkups

Men face unique health concerns such as cholesterol, blood pressure, and hormone balance. We provide thorough men’s wellness visits in West Omaha, helping you stay ahead of risks and feel your best.

Convenient Access in Omaha

Getting care should never feel complicated. Our office is located on the first floor with plenty of parking right outside, making visits easy for every age. We also offer same day appointments, phone call follow-ups all for when you prefer to stay home, and a patient portal for quick refills and results. From start to finish, we make your healthcare simple and stress free.

Stay Connected With Us

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