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Published: 5 March, 2025 · 6 mins read
Primary care and chronic care management (CCM) solutions are key to building resilient, high-quality healthcare systems. Offering telemedicine, personalized care plans, remote monitoring, and data analytics, these solutions help healthcare providers improve patient health, reduce costs, and streamline operations.
Two out of three people
aged 65 and over have at least one chronic condition. It often means juggling appointments with multiple healthcare providers. To make things more effective, healthcare systems are shifting to integrated, patient-centered care models, with primary and chronic care management solutions (CCM) included.
Building such solutions is game-changing for healthcare providers. It streamlines care coordination, reduces operational costs, and, most importantly, significantly improves patient health outcomes.
But what are the specific opportunities that come with primary care and chronic care management software development? And which features to include? Having built
a SaaS-based AgeTech platform
and
a custom telemedicine app,
Exoft will answer these and even more questions in this post.
Highlights:
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Chronic care management solutions give healthcare providers a structured, integrated approach to managing patients with long-term conditions. Here are the key CCM requirements and the benefits such solutions bring to both parties:
Chronic Care Management Requirements | Benefits for Patients | Benefits for Healthcare Providers |
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Chronic care management solutions for healthcare typically offer personalized care plans, remote monitoring, and regular follow-ups. With these features in place, they allow healthcare providers to engage their patients more effectively. Plus, they reduce the likelihood of acute situations as well as enable prompt intervention and treatment plan adjustments.
Primary care providers are often the patient’s first point of contact, responsible for identifying chronic conditions early. By integrating CCM solutions, providers can notice higher patient satisfaction scores and a more proactive approach to long-term disease management.
That said, chronic care management solutions offer more than just better patient engagement and health outcomes. They’re also beneficial from the financial point of view. Here’s how exactly:
When developing their own — or choosing a ready-made — chronic disease management solution, healthcare providers should pay attention to several important features. Those include the following:
Telemedicine and remote patient monitoring are essential in primary care and chronic care solutions. These tools let physicians:
Take our custom telehealth app, for example. It makes it easy for doctors to provide remote care to their patients through features like video and audio calls, secure messaging, and health record integration.
Given that each patient has unique healthcare needs, integrated care solutions must offer individualized care plans. These plans should be based on a patient’s medical history, lifestyle, and self-input health data.
To be truly effective, CCM solutions must integrate data from different healthcare systems. This may comprise information gathered from wearable devices,
EHR for patient care, and remote monitoring tools.
On top of that, medical record-integrated CCM software can only bring valuable insights when integrated with analytics tools. Using these solutions, physicians can detect trends in patient health, make smarter decisions, and, ultimately, manage chronic conditions better.
As highlighted in
OECD research,
“Digital tools enable integrated care by improving communication and coordination across service providers, for example, between hospitals and home‑ and community-based care as well as transitions between health and social care.”
Thus, by using the solutions and features described above, healthcare providers can come up with more cohesive and data-driven care strategies.
Exoft has been delivering high-quality
custom healthcare software
for over a decade. In particular, we’ve been one of the best chronic care management (CCM) companies out there — and continue to be.
Our CCM solutions support the most important features:
For example, our SaaS-based resident experience platform for senior living improves senior care by fostering social interactions and simplifying care coordination. With distinct modules for residents, families, and caregivers, our solution provides:
The success of healthcare’s transformation largely depends on primary and chronic care management solutions. It’s because they help create an integrated, patient-centric system that simplifies care coordination, reduces inefficiencies, and improves long-term health outcomes.
Without CCM solutions, healthcare providers may struggle with:
On the other hand, when adopting chronic disease management for primary care, healthcare organizations can overcome these challenges and build resilient healthcare systems that benefit both patients and providers.
Book a call with our team to discuss your CCM solution!