
Care Coordination
Care coordination is covered by most insurances, including Medicare, and allows a higher level of support for you and your health. This is a crucial component to the care we offer at Troy Medical.
How This Helps YOU!
24% lower all-cause
death rates
28% less cost for healthcare
58% fewer ER visits per patient
59% fewer hospital admissions
50%-70% less hospital readmission
Care Coordination Programs

Chronic Care Management (CCM)
Chronic Care Management (CCM) gives you a dedicated medical assistant who helps coordinate care for multiple chronic conditions, working with your healthcare team to keep you feeling your best.

Remote Patient Monitoring (RPM)
Remote Patient Monitoring (RPM) uses at-home devices to track health data and alert providers to issues before they become serious.

Remote Therapeutic Monitoring (RTM)
Remote Therapeutic Monitoring (RTM) uses digital tools and patient-reported data to help providers track progress and adjust treatment plans between visits.

Principal Care Management (PCM)
Principal Care Management (PCM) provides you with a dedicated medical assistant who works closely with your specialist to help you manage one serious chronic condition and guide you through your care.

Principal Illness Navigation (PIN)
Principal Illness Navigation connects you with a dedicated care coordinator who helps you manage a serious health condition, guiding you through appointments, treatments, and next steps so nothing falls through the cracks.

Community Health Integration (CHI)
Community Health Integration connects you with a local health worker who helps address non-medical needs—like transportation, housing, or food access—that impact your health, making it easier to follow your care plan and stay well.