Thinking Beyond the Big 3: Expanding Chronic Care Management with Rimidi

At Rimidi, we understand that successful Chronic Care Management (CCM) isn’t just about leveraging technology—it’s about supporting providers in delivering better care for their patients. As a Medicare-supported service, CCM plays a vital role in coordinating care for individuals with multiple chronic conditions. By providing structured support, regular check-ins, and personalized care plans, CCM helps improve outcomes, reduce hospitalizations, and enhance patients’ quality of life.

Traditionally, CCM programs have focused on diabetes, congestive heart failure (CHF), and hypertension—the “big three” chronic conditions. However, to truly help providers make an impact, we encourage them to expand their CCM programs to address a wider range of conditions.

Expanding the Scope of CCM

CCM provides a comprehensive framework to managing a variety of chronic diseases, including:

• Chronic Obstructive Pulmonary Disease (COPD): Regular monitoring of lung function and oxygen saturation helps prevent exacerbations and hospitalizations.
• Chronic Kidney Disease (CKD): Tracking kidney function and managing comorbidities like diabetes and hypertension can slow disease progression.
• Obesity and Metabolic Syndrome: Coordinated lifestyle interventions and remote tracking support weight management and metabolic health.
• Arthritis and Chronic Pain: Medication adherence, physical therapy monitoring, and pain management strategies improve quality of life.
• Depression and Anxiety: CCM can facilitate ongoing mental health check-ins, ensuring early intervention and treatment adherence.
• Post-Stroke Recovery: Regular follow-ups and data-driven rehabilitation plans aid in long-term recovery and secondary stroke prevention.
  

CCM as a Path to RPM

CCM is an effective tool for identifying patients who would benefit from Remote Patient Monitoring (RPM). By tracking patient engagement and adherence to care plans, providers can pinpoint individuals who may need ongoing physiologic monitoring. Patients who are compliant in CCM are often ideal candidates for RPM, as they have already demonstrated a commitment to managing their health. RPM enhances CCM by providing real-time data on key health metrics, allowing for more timely interventions and improved outcomes. This complementary relationship ensures providers take a more proactive and personalized approach to chronic disease management.

How Rimidi Bridges CCM and RPM

1. Hard Data for Better Care
Rimidi’s RPM capabilities deliver real-time patient data—such as blood pressure, glucose levels, and oxygen saturation—offering objective insights that enhance CCM services. This hard data helps providers fine-tune treatment plans and proactively manage worsening conditions.

2. Personalized, Scalable Care
With integrated CCM and RPM functionalities, Rimidi enables customized care plans that adapt to each patient’s evolving health needs, supporting a wider range of conditions beyond diabetes, hypertension, and CHF.

3. Streamlined Workflows & Reimbursement
Rimidi simplifies documentation, billing, and compliance, ensuring providers can efficiently manage both CCM and RPM while maximizing reimbursement opportunities.

By expanding CCM beyond the big three and harnessing RPM’s hard data, providers can deliver proactive, data-driven, and scalable chronic care. 

Want to learn more? Contact us for a demo today!