Chronic Care
Management Simplified

Smart Care 360 enables care plan development with monthly communication to patients
and other treating health professionals for patients with 2 chronic conditions or more.
Chronic Care Management (PCM) services are rendered to patients remotely and provide
patients with 24/7 access to a clinician, and a monthly care plan and updates.

CCM with MRG Health

MRG Health gets patients successfully enrolled in Chronic Care Management (CCM) with a preconfigured disease specific care plans combination of software and services that puts provider organizations on the fast track to receiving reimbursements while keeping patients compliant and healthy.

If you have a chronic disease, you need to take your medications regularly. This order-online pharmacy will save you from having to stand in long lines to get your important medications. Now you can buy all items on Curahealth pharmacy. This platform ensures that you always have what you need. The service is reliable and the delivery is always on time.

MRG Health gets patients successfully enrolled and Health systems launched and eligible for reimbursement up to $118 per patient per month in weeks. You can also use our platform simultaneously for Remote Patient Management (RPM), Principal Care Management Transitional Care Management & Chronic Care Management all within one Platform and Virtual Visits.

Blood Pressure Monitoring

Smart Care 360 syncs with FDA approved blood pressure monitors. This feature tracks your blood pressure wherever you are, making it possible to obtain an early diagnosis to any complication and better control your health. Preventing any complications will cut you health care costs drastically.

Enhance Medication Adherence

MRG Health's CCM on improves medication adherence through reconciliation, reminders, and patient education, leading to better outcomes for chronic conditions.

Address Social Health Factors

MRG Health's CCM on addresses social determinants of health, connecting patients with community resources for more holistic and supportive chronic care.

Integrate Behavioral Health

MRG Health's CCM with integrates behavioral health screenings and support, addressing the mental and emotional well-being of patients managing chronic conditions.

Utilize Remote Monitoring

MRG Health's CCM on utilizes remote monitoring to proactively track patient data, enabling early intervention and improved stability for chronic conditions.

Personalized Care Plans

MRG Health's CCM on emphasizes personalized care plans tailored to individual needs, preferences, and goals, enhancing patient engagement and condition management.

Improve Care Team Communication

MRG Health's CCM solutions on facilitate secure and efficient communication between all care team members, ensuring coordinated and comprehensive chronic care delivery.

Benefits

For Practices

For Patients

Monthly Medicare Reimbursement for Practices​

Chronic Care Management (CCM) is a Medicare-approved program that helps healthcare providers deliver continuous, coordinated support to patients with multiple chronic conditions. It enhances patient care while strengthening practice efficiency and engagement..

Support for Patients with Multiple Chronic Conditions

CCM is specifically designed for patients living with *two or more chronic conditions*, such as diabetes, hypertension, COPD, or arthritis. By providing continuous care and management, CCM helps reduce complications, hospitalizations, and emergency visits...

Personalized and Comprehensive Care Plans

Every CCM patient receives a *customized care plan* tailored to their specific health needs. These plans include medication tracking, lifestyle recommendations, and scheduled follow-ups to ensure consistent, coordinated care..

Improved Care Coordination Across Providers​

With *centralized documentation* and communication tools, CCM allows for better *collaboration among healthcare teams*. This reduces the risk of duplication, medical errors, and missed follow-ups—enhancing both safety and efficiency..

Increased Patient Engagement and Satisfaction​

CCM encourages regular contact between patients and their care team through monthly check-ins and ongoing education. This leads to *higher patient engagement*, better treatment adherence, and improved long-term health outcomes..

Easily Integrated into Existing Workflows​

MRG Health’s platform makes it simple to *implement a Medicare-compliant CCM program* within your current operations. It’s easy to onboard patients, manage documentation, and submit claims—all from one platform that also supports *RPM, PCM, and TCM* services...

Interested in learning more about what patients are eligible to participate and how CCM is relevant to your practice?

(FAQs) – Chronic Care Management

Chronic Care Management at MRG Health is a coordinated care service designed to support patients with two or more chronic conditions. Our CCM program helps manage ongoing health needs through regular check-ins, care planning, and personalized support—improving outcomes and quality of life.

Patients with two or more chronic conditions that are expected to last at least 12 months—and that place the patient at risk of functional decline or death—are eligible for CCM services through MRG Health.

Our CCM program includes 24/7 access to care coordination, medication management, monthly health check-ins, appointment scheduling, and personalized care planning—all delivered by a dedicated care team.

Patients enrolled in CCM experience improved management of their chronic conditions, reduced hospital visits, better medication adherence, and a stronger connection with their care team.

Yes, MRG Health’s Chronic Care Management services are reimbursable through Medicare and many private insurance providers when provided in compliance with federal guidelines.

Smart Care 360-MRG Health
New Technologies That Deliver.

MRG Health provides a complete solution that helps improve patient outcomes while increasing practice revenue and cost.

LUCAS KRAUSE
PhD MSC
 IT Infrastructure & Architecture 
Lucas is a 20+ year experience enterprise Cloud Solutions Architect who has worked with fortune 100 companies and is competent in the following: Enterprise API Gateways – AWS | Azure | Salesforce | Mulesoft | Apigee | IBM Cloud | Anypoint | Cloud Data Warehouse – Snowflake | DBT | Cloudara | Airflow | Kubernetes | AWS | Looker | Prometheus | Full-Stack / Cloud Native – C# / Java / React / Angular / Golang / Python – Cloud DBs – Dynamo / Mysql / Postgres / MSSql / Oracle / Netezza
RENE HINOJOSA
MBA
Compliance & Regulatory 
Experienced Director of Strategic Development with a demonstrated history of spearheading initiatives throughout the healthcare system. Skilled in Physician Relations, Software Documentation, Healthcare Management, Healthcare, and Public Speaking. Strong program and project management professional with years of a proven track record that showcases a creative and proficient skill-set in problem solving.
TY UMOH
MD MBA
Investor Relations & Finance 
Ty has a bachelor’s degree in Accounting & Finance from the University of Houston and a Master’s degree in Economics and Corporate Finance from Rice University. Previously, Ty worked as a senior consultant at FTI Consulting, Inc., advising various stakeholders of troubled and distressed companies across a wide range of industries, including financial services, hospitality, gaming, commercial real estate, energy & oil field services, construction, infrastructure, and municipal-related assets. Additionally, my prior experience includes roles at BNY Mellon and Ocean Park Advisors, LLC’s Investment Bank where I was involved in equity and debt capital raising transactions as well as M&A assignments, liquidity forecasting and assessments, business plan due diligence, development of waterfall and recovery analyses, stakeholder negotiations, plan of reorganization development, M&A/transaction advisory including purchase and sale negotiations and seller due diligence support, board/shareholder representation, developing executive compensation/bonus plans, and ad-hoc strategic and operational assessments.
JAVI MALCOLM
MD 
Strategic Development
Dr Malcom’s Medical Professional qualities are based on 10+ yrs. of participation and exposure to numerous resources as an ER Medical Business Co-Founder, IT Market Leader, Mentor, Red Cross Humanitarian Participant, Graduate of Masters Studies, Graduate of Medical Doctorate (M.D.), Hospital Administrator, and member of the Physician Executive Team. My unique background and combination of these attributes & skills have created a unique innovative space that helps reinforce my ability to grasp the different areas of healthcare that positively impact the hospital ecosystem and be a valuable member of the C-Suite team, as DHR Health’s Chief Medical Information Officer, Physician Executive Leadership Committee, and the Cerner Advisory Committee.
Dr. Jill Taylor
DO Pharmacologist
Chief Clinical Officer​

It is important to learn about the doctor with whom you trust your health. A combination of formal education, training, and experience form Dr. Taylor’s credentials, which uniquely qualify her to provide you with the best approach to achieving your optimum health

Here are a few highlights:

  • Specializing in Family Practice. Fully licensed in Texas
  • Graduated New York Institute of Technology, New York College of Osteopathic Medicine 1989
  • Worked in Medical, Drug, and Disease Research for three years as a Pharmacologist
  • Worked in academic medical research for three years
  • Holds patents in Disease Research
  • Has publications in several Medical Journals
  • Speaks Medical Spanish
NARIO CANTU
Pharmacist
Senior Executive Director
Dispensing, assessing and monitoring medications, in patients requiring pharmaceutical therapy. Providing and assessing point of care testing. Providing excellent service and customer satisfaction. Drug information and education. hospital readmission prevention consultant, transition care provider, medication reconciliation provider, pharmacogenomic testing, point of care testing. Medication Therapy Management, medication adherence and legislative advocate as it pertains to pharmacy and patient care.
SABRINA RUNBECK
MPH, MHS, PA-C
Director People & Clinical Outcomes 

Physician Assistant turned Entrepreneur with Bachelor in Neuroscience, Masters in Public Health and Health Sciences, After working 80 hours a week as a cardiothoracic surgery physician associate, my workload took a toll on my personal and professional life. That was when I realized my life needed to change. I ended up taking a deep dive into performance sciences and positive intelligence. As a result, I cut down my clinical hours by 30% and increased my income by 50%.

Reggie Abraham
PhD, MHA, MBA
Managing Director  
UTHealth-MRG Health

Experienced Healthcare Executive with a demonstrated history of working in a hospital setting and various other health care facilities. Skilled in Healthcare Operations, EHR & PM Systems, Budgeting, HR Management, Strategic Planning, and Revenue Cycle Management, . Strong business development professional with a Doctorate in Management and Organizational Leadership, Master’s in Healthcare Administration, Master’s in Business Administration. Exceptional track record of establishing strong leadership teams and developing effective operational efficiencies in healthcare operations. Establish and maintain good working relationships with physicians, staff, vendors, government agencies, managed care companies, and clients.

KYLE CHRISTOPHER
Vascular General, Cardiac, OB Sonography
Founder/CEO - Strategic Development  
Assists Physicians and Healthcare Executives in Leveraging Virtual Care Management Technologies, NEW Billable CPT Codes, and Value Based Care Models to Improve Clinical Outcomes and Create NEW Revenue streams. Kyle holds a Bachelors of Science in Business Administration with a minor in marketing, and a Degree in Vascular, General, Cardiac, and Obstetrical Sonography. His philanthropy work focuses on veteran affairs, single mothers, first responders, and mentoring terminally ill and at-risk youth through organizations such as Beauty for Freedom, Ferrari Kid, Southwest Keys Program, ICON Talks, and Living Beyond A Dream.