Your health and healthcare journey matter to Middle Georgia Heart. Through Chronic Care Management from Middle Georgia Heart, we become the partner you can trust to help manage your conditions and navigate the care you need for your health and well-being.
Take the Pain Out of Managing Your Health Conditions
Medicare patients of Middle Georgia Heart with two or more chronic health conditions are eligible to sign up for our Chronic Care Management program. When enrolled, you’re connected to a personal care coordinator who serves as a concierge to your healthcare needs.
Forget the guesswork it takes to manage your conditions—our team navigates your journey for you, providing the solutions you need to maintain your health and well-being.
Conditions Managed
Heart-Related
- Atrial Fibrillation
- Heart Disease
- Ischemic Heart Disease
- Heart Failure
- High Blood Pressure
- High Cholesterol
- Diabetes
- Obesity
Additional
- Arthritis
- Asthma
- Kidney Disease
- Osteoporosis
- Pulmonary Disease
- Stroke
The Chronic Care Services You Want, the Healthcare
Solutions You Need
Like a concierge or a personal assistant, your care coordinator takes on all the legwork to make sure you get the care you need to manage and treat your chronic conditions.
How Your Care Coordinator Assists You
Like a concierge or a personal assistant, your care coordinator takes on all the legwork to make sure you get the care you need to manage and treat your chronic conditions.
- Manages your cardiac medications
- Maintains your care plan
- Helps you establish your health goals
- Aids you on your journey to reaching the goals you set
- Communicates with you and any necessary caregivers on a routine basis
- Coordinates communication with providers inside and outside of our practice
- Ensures 24/7 access to your care and health information
Your care coordinator evaluates your case once a month, checking in to ensure all is well or action is taken whenever your condition(s) require it. You also have the ability to reach out in-between check-ins whenever you need.

Are you gaining weight all of a sudden and don’t know why? Feeling unwell and want relief? Noticing a change to your body that you want to run by someone? Talk to your care coordinator whenever necessary to get the proper medical attention.
Stay engaged with your healthcare journey through the support and solutions that keep you in the know and on track with your health.
Patient Benefits of Chronic Care Management
- Reduced healthcare costs
- Improved healthcare
- Better knowledge of your health status
- Direct contact to your care coordinator
- Relationship with a knowledgeable partner committed to your healthcare journey
- 24/7 dedicated care line: 478-787-0401
How Chronic Care Management Works
Like a concierge or a personal assistant, your care coordinator takes on all the legwork to make sure you get the care you need to manage and treat your chronic conditions.
Eligibility
Medicare patients with two or more chronic health conditions are eligible to receive chronic care management from Middle Georgia Heart.
Initial Visit
You’ll meet with your care coordinator for a thorough assessment and informative conversation about your medical history and current health status. It’s important that we understand your health status and journey completely so that we can create a comprehensive, you-centered care plan.
Monthly Check-Ins
Your care coordinator will check in with you to see how you are doing and ensure you get the medical attention you need, whenever you need it.
Solutions
Whether you need your prescriptions refilled or there has been a change in your health that requires a doctor’s assessment, your care coordinator will complete the actions necessary to ensure you receive the right care whenever the need arises.
Enjoy the Benefits of Your Own Healthcare Concierge: Talk to Middle Georgia Heart About Chronic Care Management Today: 478-787-0401