We are a team of physicians and advanced
practice professionals that focus on the
aging-in-place population to provide acute
and chronic care. This focus is specifically for:
- Long term residents of nursing homes
- Skilled nursing- acute stays within
nursing facilities for oversight of medical
management and rehabilitation services
- Assisted and independent living facility
patients
Skilled nursing and long term care
services include:
- Chronic care management
- Collaboration with specialty services
- Durable medical equipment referrals/
orders
- Diagnostic testing – mobile lab and X-ray
Chronic Care Management
If you have Medicare or both Medicare and
Medicaid, and have two or more chronic
conditions, and live in either assisted living
or independent living facilities, Medicare is
offering Chronic Care Management services
to help you manage your health and spend
more time doing the things you enjoy.
- A dedicated team of healthcare
professionals who helps patients plan for
better health. Services include monthly
check-ins and ready access to the care team,
including management of care transitions,
referrals and follow-ups.
- Comprehensive care plan. The plan will
help support disease control and health
management goals, including physical,
mental, cognitive, psychosocial, functional,
and environmental factors.
- Annual Medicare wellness exam
- Advance care planning
We are a team of physicians and advanced
practice professionals that focus on the
aging-in-place population to provide acute
and chronic care. This focus is specifically for:
- Long term residents of nursing homes
- Skilled nursing- acute stays within
nursing facilities for oversight of medical
management and rehabilitation services
- Assisted and independent living facility
patients
Skilled nursing and long term care
services include:
- Chronic care management
- Collaboration with specialty services
- Durable medical equipment referrals/
orders
- Diagnostic testing – mobile lab and X-ray
Chronic Care Management
If you have Medicare or both Medicare and
Medicaid, and have two or more chronic
conditions, and live in either assisted living
or independent living facilities, Medicare is
offering Chronic Care Management services
to help you manage your health and spend
more time doing the things you enjoy.
- A dedicated team of healthcare
professionals who helps patients plan for
better health. Services include monthly
check-ins and ready access to the care team,
including management of care transitions,
referrals and follow-ups.
- Comprehensive care plan. The plan will
help support disease control and health
management goals, including physical,
mental, cognitive, psychosocial, functional,
and environmental factors.
- Annual Medicare wellness exam
- Advance care planning