Discover Our Comprehensive Chronic Care Management Services

Horizon offers comprehensive chronic care management with a focus on personalized service. Our chronic care management services are available in various regions including Boise/Meridian and Mountain Home.

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Effective Chronic Care Management

Our chronic care management service is designed for patients discharged from hospitals or sub-acute rehab facilities with chronic conditions that increase their risk of hospitalization. We provide compassionate follow-up care soon after discharge, working closely with home health teams to support rehabilitation and ensure continuity of care. By closely monitoring our patients and collaborating with specialists, we strive to stabilize their health quickly, reduce Medicare expenses, and prevent unnecessary hospital visits.

Our team of dedicated professionals ensures comprehensive care for patients managing chronic conditions:

Where Do We Offer Chronic Care Management?

We offer professional and compassionate Chronic Care Management services throughout Idaho. If we cover your area, reach out to us! Let’s see how we can improve the quality of life for you or your family member.

We provide Chronic Care Management services in Boise/Meridian and Mountain Home.

A Personalized Plan That Works For You

Each person who works for Horizon Home Health & Hospice provides important and necessary skills that help promote your well-being. Our team of quality nurses, aides, therapists, and allied healthcare professionals, all serve a vital role on our team. As we work together with your physician, our strategy is to develop a plan of care that will maximize your independence and quality of life. Each plan is unique and each patient’s success is measured and celebrated.

Teamwork Means Success

We also know it takes a team to be successful. Each member of the team shares responsibility and contributes to the treatment plan to assure the highest quality of services are delivered with compassion and respect.

Your Physician

Oversees your treatments and the members of your unique care team.

Our Team

Our nurses, therapists, and aides help to implement treatments and collaborate to meet your goals of recovery.

The Patient

Collaborators and supports for health management and recovery goals.

Family & Caregivers

Collaborators and supports for health management and recovery goals.

Is Chronic Care Management Right For You?

Recognizing the signs that chronic care management may be beneficial can lead to improved health outcomes and quality of life. Here are a few signs that you or a loved one may be in need of chronic care management services from Horizon.

Frequent Hospitalizations For Chronic Conditions

Difficulty Managing Multiple Medications

Challenges Controlling Symptoms Of Chronic Illness

Limited Mobility Or Activities Due To Health Issues

Recent Discharge With Ongoing Health Needs

Coordination Struggles Among Healthcare Providers

Increased Need For Medical Attention

Caregiver Burnout Due To Ongoing Care Needs

Progression Of Chronic Conditions Requiring More Support

Learn About Additional Services We Offer

Looking for something different? Learn more about our other life-changing services.

Home Health

Home Health

Home Health focuses on recovery and rehabilitation. Home Health refers to a wide range of medical services provided at a patient's home to help them recover from an illness, surgery, or manage chronic conditions.

Hospice Care

Hospice Care

Hospice care, when administered at the optimal juncture, offers patients the invaluable gift of time. It affords them the opportunity to come to terms with their diagnosis, relish moments of nostalgia, bid their farewells, and put their affairs in order.

Palliative Care

Palliative Care

Palliative care is specialized medical care that focuses on providing relief from the symptoms, pain, and stress of a serious illness, regardless of the diagnosis or stage of the disease.

Wound Care

Wound Care

Comprehensive wound care services aimed at promoting healing and recovery, with personalized treatment plans tailored to meet each patient's specific needs.

Frequently Asked Questions: Chronic Care Management

Curious about Chronic Care Management? Discover how it can benefit you or a loved one managing chronic conditions. Get answers to your questions here.

Chronic care management involves coordinated healthcare services for patients with chronic conditions to improve health outcomes and quality of life.

Individuals with chronic conditions such as diabetes, heart disease, or COPD who require ongoing medical attention and support.

Services may include regular care coordination, medication management, monitoring of vital signs, and patient education on self-management.

By closely monitoring patients’ health, managing medications, and addressing symptoms promptly, chronic care management helps prevent complications that lead to hospital visits.

Services vary based on patient needs but typically include regular check-ins, personalized care plans, and access to healthcare providers as needed.

Yes, Medicare and many private insurance plans cover chronic care management services when medically necessary.

Speak with your healthcare provider to see if you qualify for chronic care management. They can help you enroll and explain the services available to you.

Benefits include improved disease management, enhanced quality of life, reduced healthcare costs, and better overall health outcomes.

Yes, chronic care management often includes strategies for managing chronic pain through medication, therapy, and lifestyle adjustments.

By providing education, tools, and resources, chronic care management empowers patients to actively participate in their own care and make informed decisions about their health.

Reach Out To Us

Boise/Meridian: (208) 888-7877
Caldwell/Nampa: (208) 455-1990
Emmett: (208) 365-1693
Twin Falls: (208) 733-2840
Mountain Home: (208) 587-6854
Fruitland/Ontario: (208) 549-2104
Burley: (208) 733-2840
Wound Care Clinic: (208) 733-2840

Boise / Meridian

Caldwell / Nampa

Mountain Home

Fruitland / Ontario

Wound Care Clinic

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