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PharmD Live Solution

Chronic Care Management (CCM)

Proactive care. Better outcomes. Lower costs.

PharmD Live®’s CCM program connects patients, pharmacists, and providers for continuous engagement and proactive management.

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The PharmD Live® Difference

Comprehensive Support for Patients with Multiple Chronic Conditions

Chronic diseases drive 90 % of U.S. healthcare expenditures, and medication therapy problems (MTPs) such as nonadherence, adverse drug interactions and inappropriate prescribing complicate management. PharmD Live®’s CCM program addresses these challenges with a pharmacist‑led, AI‑enabled approach. Our clinicians conduct monthly care plan development, medication reconciliation and patient engagement to improve outcomes and generate recurring revenue via CCM CPT codes.

Medication Therapy Management
Monthly Care Plan and Follow‑Ups:
Remote Monitoring & Telehealth
Comprehensive Support for Patients with Multiple Chronic Conditions
Core Capabilities

Core Components of Effective Chronic Care Management

Explore the clinical, operational, and technology capabilities that work together to improve care delivery and performance.

Featured Capability

Medication Therapy Management

Pharmacists perform comprehensive medication reviews, resolve MTPs and deprescribe when appropriate

Integrated Capability Network 6 connected capabilities
Monthly Care Plan and Follow‑Ups:
Remote Monitoring & Telehealth
AI‑Driven Analytics
Care Coordination
Billing & Compliance Support

Monthly Care Plan and Follow‑Ups:

Patients receive personalized care plans and monthly check‑ins to monitor progress and adjust therapy.

Remote Monitoring & Telehealth

Integrate RPM and RTM to track vitals and adherence, enabling early intervention.

AI‑Driven Analytics

Predict nonadherence risks and recommend personalized interventions

Care Coordination

Collaborate with PCPs, specialists and care managers to ensure seamless communication and shared decision making.

Billing & Compliance Support

Automated documentation and billing workflows ensure accurate reimbursement for CPT 99490, 99439, 99487 and other codes.

Benefits & Impact

Benefits & Impact of Chronic Care Management

Benefits & Impact of Chronic Care Management

Reduced Hospitalizations & ED Visits

In a six‑month study, pharmacists resolved 2,875 MTPs and saved $8.6 million in healthcare costs, reducing hospitalizations and ER visits

Enhanced Quality Scores

CCM addresses chronic disease metrics (e.g., diabetes A1c control, hypertension management) and improves CAHPS scores through proactive patient engagement.

Financial Sustainability

Recurring CCM reimbursements create new revenue streams while aligning with value‑based care models

Improved Medication Adherence

Continuous engagement and AI alerts prevent lapses in therapy

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Why PharmD Live®

Why PharmD Live®

Our CCM solution is powered by board‑certified pharmacists who specialize in chronic disease and medication management. We leverage AI‑driven telehealth tools to monitor adherence, predict risks and provide real‑time interventions. By integrating with APCM, RPM and TCM, we ensure patients receive comprehensive, coordinated care while providers benefit from optimized workflows and higher quality performance.

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