Care Management Group: Your Partner in Health

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Care Management Group is a company that specializes in providing care management services to individuals and families. They aim to improve health outcomes and reduce costs.

With over 20 years of experience in the industry, Care Management Group has developed a comprehensive approach to care management. This approach focuses on identifying and addressing the unique needs of each individual.

Their team of experienced care managers work closely with patients, families, and healthcare providers to develop personalized care plans. These plans are tailored to meet the specific needs and goals of each individual.

By partnering with Care Management Group, individuals and families can receive the support and guidance they need to navigate the healthcare system.

About Us

We operate several nursing care and rehabilitation facilities in the Greater Cincinnati and Northern Kentucky areas.

Our facilities are all locally owned and managed, which allows us to provide personalized care that's tailored to each resident's needs.

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Credit: youtube.com, Ohio Valley Manor - A member of the Health Care Management Group

We have multiple facilities in the area, each with its own unique character.

All of our facilities are dedicated to providing a safe and comfortable environment for seniors.

We strive to make each resident feel at home, while maintaining their dignity and independence.

Our team is committed to ensuring a smooth transition into Senior Living for each family member.

Eligibility and Benefits

To be eligible for the Care Management program, you need to have Medicare Part B or a Medicare Replacement Plan and one qualifying health condition. A member of the Care Management team will reach out to you by phone to discuss your participation.

You'll be assigned to a dedicated Care Coordinator who will work with you and your provider to develop a comprehensive plan of care. This program is designed to improve outcomes and reduce unnecessary ER visits, hospital visits, and hospital readmission.

Your Care Coordinator will assess your current condition, review your treatment plan, and help with pharmacy coordination. They'll also schedule appointments and communicate with your primary care provider, and connect you with support services as needed.

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Principal Eligibility

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To be eligible for Principal Care Management, you need Medicare Part B or a Medicare Replacement Plan.

You also need to have one qualifying health condition. This is a crucial requirement to participate in the program.

A member of the Care Management team will reach out to you by phone to discuss your eligibility and answer any questions you may have.

You can choose your call schedule with your Care Coordinator, whether it's monthly, every other month, every third month, or every six months.

Benefits

As a patient, you'll have a dedicated Care Coordinator to work with you and your provider to develop a personalized plan of care.

Your Care Coordinator will focus on creating better care coordination to improve outcomes and reduce unnecessary ER visits, hospital visits, and hospital readmissions.

They'll assess your current condition, answer questions about your treatment plan, review medications, and assist with pharmacy coordination.

Your Care Coordinator will schedule appointments and communicate with your primary care provider, working toward quality of life goals and connecting you with support services as needed.

They'll arrange any additional consultations, diagnostic tests, and follow-up appointments as advised by your provider.

Having a Care Coordinator can be a game-changer, helping you navigate the healthcare system and get the care you need.

Services

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Care Management Group offers a range of services to support your health and well-being. Our team of dietitians and nutritionists can provide specialized assistance with your diet and nutritional needs based on your diagnosis.

We also collaborate with a large group of health professionals and local resources to help you navigate the healthcare system. This includes understanding your care if you have multiple health conditions, avoiding frequent emergency room visits, and getting transportation to see your doctors.

Some of the specific services we offer include:

  • Understanding your care if you have multiple health conditions
  • Avoiding frequent emergency room visits
  • Getting transportation to see your doctors
  • Making sense of your medications
  • Navigating the healthcare system
  • Connecting with your plan benefits and resources in your community

If you're interested in learning more about our services, you can call the Care Management staff toll-free at 1-844-200-0104, Monday through Friday from 8:00 a.m. to 5:00 p.m.

Locations

Our services are available at multiple locations throughout the Cincinnati area. We have a primary location at 3210 West Fork Road, Cincinnati, OH 45211.

You can also find us at 70 Damon Road in Cincinnati, OH 45218, or at 12100 Reed Hartman Highway in Cincinnati, OH 45241. Our team is also based at 7025 Clovernook Avenue in Cincinnati, OH 45231.

If you're looking for a more convenient option, we also have a location at 6975 Burlington Pike in Florence, KY 41042.

Services We Offer

Credit: youtube.com, Services we offer

We offer a range of services to help you navigate the healthcare system and get the care you need. Our team collaborates with local health professionals and resources to provide support with multiple health conditions.

If you have multiple health conditions, we can help you understand your care and develop a plan to manage your conditions. We also offer transportation to doctor's appointments, which can be a huge relief for those who struggle with mobility or transportation.

Here are some of the services we offer:

  • Understanding your care if you have multiple health conditions
  • Avoiding frequent emergency room visits
  • Getting transportation to see your doctors
  • Making sense of your medications
  • Navigating the healthcare system
  • Connecting with your plan benefits and resources in your community

To learn more about our services, you can call our toll-free number at 1-844-200-0104, Monday through Friday from 8:00 a.m. to 5:00 p.m. We're here to help you every step of the way.

Nutrition Support Services

Our care team includes dietitians and nutritionists who specialize in helping you with your diet and nutritional needs based on your diagnosis.

They can assist with creating personalized meal plans tailored to your specific health needs.

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You can request an appointment with our nutrition support services team to get started.

They'll work with you to understand your dietary requirements and preferences, and help you make informed choices about your nutrition.

By having a dedicated team of professionals on your side, you can feel confident in your ability to make healthy choices that support your overall well-being.

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Chronic and High Risk Conditions

Care Management Group plays a crucial role in supporting individuals with chronic and high-risk conditions. These conditions can significantly impact daily life and require specialized care.

Alzheimer's disease and dementia are two conditions that affect memory and cognitive function, making everyday tasks challenging.

Atrial fibrillation, a type of irregular heartbeat, can increase the risk of stroke and other complications.

Diabetes, a condition that affects blood sugar levels, requires careful management to prevent long-term damage.

Hypertension, or high blood pressure, can lead to heart disease and stroke if left unmanaged.

Credit: youtube.com, Chronic Care Management Explained: How It Works & How You Get Paid

Individuals with chronic kidney disease may require dialysis or a transplant to maintain kidney function.

Care Management Group helps individuals with these conditions develop personalized care plans to improve their quality of life.

Here are some chronic and high-risk conditions that Care Management Group supports:

  • Alzheimer’s disease/Dementia
  • Atrial fibrillation
  • Diabetes
  • Hypertension (high blood pressure)
  • Chronic kidney disease

Management and Support

Enhanced Care Management (ECM) is a program that helps individuals with complex medical and social needs. ECM provides help beyond traditional medical services, including outreach and engagement, comprehensive assessment and care management plans, and coordination of care.

Care management is a team-based approach to supporting individuals with high health risks. This free added benefit for L.A. Care members involves collaborating with nurses, care coordinators, social workers, and other healthcare professionals.

ECM helps coordinate primary care, acute care, behavioral health, developmental health, oral health, and community-based long-term services and supports (LTSS). It also provides referrals to available community resources.

Care management works by communicating with the member, doctors, specialists, family members, and supportive services like transportation and housing. Members can be referred to care management through hospitals, specialists, or the Nurse Advice Line.

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Credit: youtube.com, Complex Care Management Patient Support

ECM allows members to have their own care team, including a Lead Care Manager (LCM) who talks to members and their healthcare providers to ensure everyone is working together. The LCM can also help members find and apply for other services in their community.

Care management services include outreach and engagement, comprehensive assessment and care management plans, enhanced coordination of care, health promotion, comprehensive transitional care, member and family supports, and coordination of and referral to community and social support services.

Here are some of the services provided by ECM:

  • Outreach and Engagement
  • Comprehensive Assessment and Care Management Plan
  • Enhanced Coordination of Care
  • Health Promotion
  • Comprehensive Transitional Care
  • Member and Family Supports
  • Coordination of and Referral to Community and Social Support Services

Frequently Asked Questions

Does Medicare cover care management services?

Yes, Medicare Part B covers care management services for individuals with two or more chronic health conditions. This coverage helps coordinate high-quality care to maintain your health and functioning.

Who pays for care management?

Care management is reimbursed by the Centers for Medicare & Medicaid Services (CMS), generating additional revenue for your practice

Emily Hilll

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Emily Hill is a versatile writer with a passion for creating engaging content on a wide range of topics. Her expertise spans across various categories, including finance and investing. Emily's writing career has taken off with the publication of her informative articles on investing in Indian ETFs, showcasing her ability to break down complex subjects into accessible and easy-to-understand pieces.

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