Our Team Strives to enhance your Chronic Patients' experience and EXTEND physician reach through Collaborative Team-based Care. Our robust care team exceeds the time limitations often experienced within the clinical setting. We achieve excellence in health outcomes and quality metrics using SMART Goals and active collaborative communication techniques.

GMP care management services offered:

• Chronic Disease Management
• Behavioral Health
• Community Health/Social Needs Connection

Care Management Expectations:

• Comprehensive care is delivered using SMART goals that are developed by a dedicated care coordinator in alignment with the patient's physician's initial care plan.
• Extensive library of resources and educational material.
• Promote compliance with primary care scheduled visits to ensure continuity of care.
• Reduction in ER Visits through appropriate education of conditions and utilization of Primary Care when sick
• Promote the appropriate utilization of specialist services in alignment with the patient's care plan.
• Care Coordination with all providers within the care team, including specialists and home health-based providers.

The GMP Difference

• User-friendly referral systems
• Assistance with hospital transition of care needs
• Options for embedding team members into practice
• EASY, efficient case conference options
• Triad of Services: Chronic Condition Management, Behavioral Health, and Social Needs to address the patients’ entire needs