Chronic Care Management

Chronic care management is the structured, ongoing work of keeping a diagnosed chronic condition, hypertension, diabetes, asthma, and similar conditions, stable over time, rather than treating it only when it flares. The scale of the underlying problem is well established: the CDC's own published Fast Facts estimate that 90% of the nation's annual healthcare expenditures are for people managing chronic and mental health conditions. Separately, 50% of unmanaged chronic conditions eventually escalate to emergencies, at a cost roughly 12 times higher than the same condition managed in a primary-care or on-site setting.

Medicare formally recognizes and reimburses this work through CPT codes 99490 and 99487 for non-face-to-face chronic care management activities. For employers, however, chronic care management has historically required either a dedicated clinic build-out or a point-solution vendor stack layered on top of an existing health plan, contributing to what benefits leaders increasingly describe as "point solution fatigue."

The OnMed CareStation™ supports chronic care management as a walk-in function rather than an additional appointment-based program. 42% of Employer-vertical CareStation users present with a chronic condition, and because there's no appointment required, follow-up and medication-adherence checks happen at the cadence the condition actually needs. There is also a detection dimension that's easy to underweight: 80% of CareStation users nationally have no primary care provider, meaning a substantial share of chronic care management delivered through the CareStation begins with first-time detection.