Chronic Care Management
Austin Gastroenterology now offers Chronic Care Management (CCM), a specialized service for patients with two or more long-term health conditions. This program is designed for individuals with health issues expected to last at least 12 months that put them at risk of functional decline.
Our program is designed to provide continuous, remote support to help you manage your health between regular appointments. We'll work with you to ensure you stay on track with your health goals, giving you peace of mind and extending your care beyond our clinic's walls.
How Our Program Works
We create a customized care plan centered on your specific health needs and lifestyle. When you enroll, you'll gain access to a structured support system that includes:
- Comprehensive Care Plan: We create a personalized roadmap tailored to your specific conditions, treatments, and wellness goals.
- Provider Coordination: Our team ensures all your healthcare providers stay informed and fully aligned on your treatment.
- Medication Management: We review your prescriptions regularly to maximize their effectiveness and monitor for any side effects.
- Ongoing Remote Support: You receive regular check-ins, typically by phone, to track your progress, answer questions, and address concerns before they become major issues.
The Benefits of Continuous Care
Enrolling in our Chronic Care Management program gives you a stronger voice in your health journey. Patients who participate in this program experience several key advantages:
- Ongoing Support: Get guidance from a dedicated care team member between scheduled office visits.
- Enhanced Access to Resources: Receive educational materials and connections to community health resources tailored to your specific needs.
- Improved Communication: Maintain a direct line of communication with your Austin Gastro providers.
- Fewer Hospital Visits: Proactive management helps prevent complications, reducing the likelihood of emergency room visits and hospital stays.
- Stronger Patient Engagement: Take an active role in your health and treatment plan.
Qualifying GI and Liver Conditions
Our team specializes in managing complex digestive health issues. Qualifying conditions generally include chronic gastrointestinal, esophageal, and liver disorders that require ongoing monitoring and management. Common examples include:
- Inflammatory Bowel Disease (Crohn's Disease and Ulcerative Colitis)
- Chronic Liver Disease (including Cirrhosis and Hepatitis)
- Severe Gastroesophageal Reflux Disease (GERD)
- Chronic Pancreatitis
- Advanced or complex Irritable Bowel Syndrome (IBS)
Who is Eligible?
You may qualify for this program if you have been diagnosed with two or more chronic conditions expected to last 12 months or longer. Medicare and many private insurance plans cover Chronic Care Management services. We encourage you to speak directly with our clinic staff during your next visit to verify your specific eligibility and understand your coverage options.
Seek Chronic Care Management in Austin, TX
You deserve continuous, compassionate support for your digestive health. Contact Austin Gastroenterology today to discuss your eligibility for the Chronic Care Management program. You can reach us by filling out our secure online appointment request form or by calling a location near you. Together, we can create a proactive care plan that keeps you feeling your best.


