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chronic care management

Zen Hearts Care Management

Welcome to Zen Hearts Care Management LLC, where our commitment to chronic care services transcends from here and beyond.

Zen Hearts Care Management LLC is an individualized, comprehensive chronic healthcare consultation and care management service founded on a belief in the value of individuals at every stage of life. We Provide compassionate, practical, and firsthand support services for family caregivers and senior adults tailored to the specific needs of the caregivers and senior adults, We work to promote a senior lifestyle that focuses on health, dignity, independence, and the freedom to live well.

What is the purpose of Chronic Care Management?

CCM’s primary purpose is to provide coordinated and preventive care for chronically ill patients while reducing healthcare costs and compensating providers for their services.

Common conditions include but are not limited to:

  • Alzheimer’s Disease and Related Dementia

  • Cardiovascular Disease

  • Chronic Obstructive Pulmonary Disease (COPD)

  • Depression

  • Diabetes

  • Hypertension

  • Infectious Diseases such as HIV/AID

  • Arthritis

  • Asthma

  • Osteoporosis

  • Schizophrenia and other psychotic disorders

  • Stroke


Zen Hearts Care Management

Eligibility Depends On Requirements

A patient must have two or more chronic conditions to enroll in a CCM Program.

These diseases must:

  • Be expected to last at least 12 months or until end-of-life.

  • Post a risk of death, acute decompensation or functional decline

  • Be noted by the provider 12 months prior to enrollment.

Patients Benefit from Coordinated Care and Increased Engagement

Patients work with care managers to achieve desired health outcomes.

CCM Services include a monthly clinical review, telephone check-ins, physical reviews, referrals, prescription refills, chart reviews, and scheduling appointments or services.

This all revolves around a patient centered plan.

Testimonials