Chronic Care Management, Reimagined
Mahalo's CCM solution enables clinical teams to deliver high-touch support between visits, manage chronic conditions efficiently, and drive measurable improvements in outcomes — all within a streamlined workflow.
Why Chronic Care Management?
Comprehensive care coordination that improves patient outcomes while creating new revenue streams.
Reduce Readmissions
Regular check-ins and proactive interventions help prevent costly hospital readmissions and emergency visits.
- Proactive symptom monitoring
- Early intervention protocols
Improve Patient Adherence
Structured follow-ups and personalized care plans lead to better medication adherence and lifestyle changes.
- Medication reminders
- Personalized care plans
Increase Revenue per Patient
Unlock new reimbursement opportunities through CPT codes specifically designed for chronic care management.
- CPT code optimization
- Automated billing documentation
"CCM services can generate up to $62 per patient/month in Medicare reimbursements."Learn more about billing compliance
How It Works with Mahalo
Our streamlined workflow makes chronic care management simple, efficient, and effective.
Risk Stratification
AI-driven analysis identifies high-risk patients who would benefit most from CCM services.
Enrollment + Consent
Digital consent workflows and automated enrollment processes make onboarding patients simple.
Monthly Check-ins
Automated SMS, calls, or app-based check-ins gather patient data with AI-assisted triage.
Actionable Insights
Providers receive prioritized patient insights and intervention recommendations.
CPT Reporting & Compliance
Automated documentation and reporting ensures proper billing for CPT codes.
Featured: Risk Stratification
Our AI-powered risk stratification engine analyzes patient data to identify those who would benefit most from CCM services, helping you optimize your care resources and improve outcomes.
Predictive analytics identify high-risk patients
Customizable risk thresholds for your patient population
Automated enrollment recommendations
Integrated Platform Modules
Mahalo's CCM solution works seamlessly with our other care modules for comprehensive patient management.
Therapeutic Applications
Specialized care pathways for common chronic conditions.
Diabetes Management
Glucose monitoring integration and trend analysis
Medication adherence tracking for insulin and oral medications
Dietary guidance and carbohydrate tracking
Foot care reminders and documentation
Results & ROI
Measurable outcomes that demonstrate the value of Mahalo's CCM solution.
2.7x
Average ROI
Return on investment within 6 months through increased reimbursements and reduced hospitalizations.
30%
Higher adherence
Patients show significantly improved medication adherence compared to standard care.
24%
Fewer readmissions
Reduction in hospital readmissions for patients enrolled in Mahalo's CCM program.
Frequently Asked Questions
Common questions about Chronic Care Management with Mahalo.
Smarter, Simpler Chronic Care Starts Here
Join healthcare organizations nationwide who are transforming chronic care management with Mahalo.
