Proactive Care Vs. Reactive Care
Core Primary Care Program
>Comprehensive primary care (16+)
>New patient evaluations
>Annual wellness exams
>Sick visits (acute and chronic complaints)
>Continuity care and longitudinal health management
>Second opinions
Chronic Disease Management Program
>Hypertension
>Diabetes (Type 1 & Type 2)
>Hyperlipidemia
>Asthma & COPD
>Obesity and metabolic syndrome
>Thyroid disorders
>Chronic kidney disease (early stages)
>Arthritis & musculoskeletal condition
>GERD & IBS
>Migraines & chronic headaches
Mental & Behavioral Health Program
>Depression screening & management
>Anxiety disorders
>ADHD (adult)
>Insomnia
>Stress management & burnout
>Medication management for stable psychiatric conditions
>Substance use screening and brief interventions
Geriatric Care Program
>Medicare Annual Wellness Visits (AWV)
>Cognitive screening (e.g., dementia)
>Fall risk assessments
>Polypharmacy management
>Coordination with caregivers and specialists
Preventive & Preventative Care Program
>Immunizations
Minor Office Procedures
>Ear wax removal
>Nebulizer treatments
Medication Management Program
>Chronic medication refills
>Polypharmacy management
>Medication reconciliation
>Prior authorizations
>Medication monitoring labs
Administrative & Care Coordination Services Program
>Referrals to specialists
>Care coordination
>Hospital discharge follow-ups
>Transitional care management (TCM)
>Chronic care management (CCM)
>Family Medical Leave Act (FMLA) forms
>School/Work notes