Health
How to Choose the Right Chronic Care Management Company for Your Practice
If you run a medical practice and you’ve been looking into Chronic Care Management Companies (CCM), you already know there’s no shortage of companies claiming they can handle it for you. Some are great. Some are not. And telling them apart isn’t as easy as it should be.
Here’s what actually matters when you’re making this decision.
What Is Chronic Care Management, and Why Does It Matter for Your Practice?
CCM is a Medicare billing program for patients with two or more chronic conditions. Patients get at least 20 minutes of non-face-to-face care coordination every month — things like medication reviews, care plan updates, specialist follow-ups, and just checking in. You get reimbursed. They get better care. On paper, it’s one of the better programs CMS has put out in recent years.
The catch? Running it in-house is genuinely hard. It takes staff time, documentation discipline, and a system that doesn’t fall apart when someone calls in sick. That’s why so many practices outsource it.
But outsourcing only works if the company you hire actually does the work properly.
The First Question to Ask Any CCM Vendor
Before you look at pricing, before you ask about software, ask this: Who actually talks to my patients?
Some companies use licensed clinical staff, RNs, MAs, LPNs. Others hand calls off to people with minimal training. That difference matters more than almost anything else on their pitch deck. Your patients have diabetes, COPD, heart failure. Every month, they have a conversation. that a person must be competent.
Request details. What qualifications do your care coordinators possess? How many cases do they typically handle? You can know something if a seller is unable to provide clear answers to such inquiries.
Key Factors to Evaluate When Comparing CCM Companies
Clinical Quality and Staff Credentials
This is the one you can’t compromise on. A CCM company is an extension of your practice. If they give bad advice or miss a red flag on a patient call, that reflects on you.
Look for companies that staff licensed clinical professionals, not just call center agents reading scripts. Ask if they have supervisory RNs overseeing care coordinators. Ask what their escalation process looks like when a patient reports a symptom that needs attention.
Integration With Your EHR
The documentation from CCM calls needs to get into your records. If it doesn’t, you’re creating compliance risk and gaps in the patient chart.
Some companies have tight EHR integrations. Others email you a PDF every month and call it a day. Neither is automatically wrong, but you need to know what you’re getting and whether your team has bandwidth to handle manual entry.
Billing Transparency
CCM billing isn’t complicated, but it’s specific. The time has to be documented. The consent has to be on file. The care plan has to be in place.
A competent vendor takes care of all of this and explains what was charged and why. Businesses that don’t disclose how they track time or who gets credit for recorded minutes should be avoided. Shared billing arrangements can work if both parties understand what they’re getting into.
Patient Consent and Enrollment Rates
Getting patients to actually say yes is harder than it sounds. Some CCM companies have strong outreach processes and get 40-60% enrollment from eligible panels. Others struggle to break 20%.
Find out what their typical enrollment rate is. Find out how they deal with reluctant patients. Be wary if they can’t provide you with data from actual practices.
Reporting and Visibility
It should never be necessary for you to question what is going on with your patients. Good CCM partners report regularly on who they have reached out to, what was said and what action to take. Users can view their dashboards anytime.
When a company thinks that a partnership is a monthly report issued on the 28th, it’s not.
Red Flags Worth Paying Attention To
There are some things you should be wary of:
Revenue figures that are guaranteed before they visit your panel. Without knowing how many qualified patients you have and how engaged they are, no one can guarantee you a certain sum of money.
No references from practices your size. A company that is effective for a 20 provider health system may not be effective for a single internist. Specifically request references in your specialty and practice size.
Vague about compliance. HIPAA, Medicare billing rules, state scope-of-practice laws, all of this applies. If they wave off compliance questions, that’s a problem.
Pushy about starting immediately. Good companies know onboarding takes time. Anyone rushing you through contract signing without a proper setup period is prioritizing their numbers over your patients.
How Long Does It Take to See Results From a CCM Program?
It’s likely going to take three to six months to put together a clear picture. Enrollment and acclimating patients to the calls take up the first month or two. You’ll be able to tell by the third month if the business is working hard or merely going through the motions.
Don’t judge a CCM vendor by month one. Do judge them by month four. If you are looking for chronic care management companies, Telihealth offers some amazing services, check them out now!
FAQs
What should a medical practice look for in a chronic care management company?
Check on licensed clinical personnel (not just call center employees), well-defined EHR documentation, transparent billing, and a measurable enrollment rate of similar practices. Inquire directly about who will be speaking to your patients and their qualifications. Adhering to Medicare billing requirements and HIPAA should be a no-brainer from the initial start-up.
How much does chronic care management reimbursement typically pay per patient per month?
The standard CPT code 99490 is used for Medicare to reimburse for 20 minutes of care coordination per patient per month at the range of $62 to $64 per month. More complex and/or time consuming situations are handled with other codes: 99439 (more complex) and 99491 (more time). Geographical location and practice setting have an impact on reimbursement. Once you’ve checked your qualification panel, a CCM business should be able to give you an estimate of how much money you’ll be able to make each month. First of all, if anyone quotes a number to you before that evaluation, they haven’t added up the numbers.
Health
One-Day Dental Implants: How the Process Works
Missing teeth can affect the way you eat, speak, and feel about your smile. Dental implants are a popular option for replacing missing teeth because they are designed to provide a stable foundation for replacement teeth. Traditional implant treatment often involves several appointments and a healing period before the final tooth is attached. However, some patients may qualify for a faster approach commonly called one-day or same-day dental implants. The American Dental Association notes that while some patients must wait several months before replacement teeth are attached, others may be able to have implants and replacement teeth placed during the same visit. People searching for one-day dental implants in Harrisonburg, VA may be interested in restoring their smile without spending a long period with a visible gap. While this treatment can shorten certain parts of the process, it is important to understand that the implant still needs time to heal inside the jawbone.
What Are One-Day Dental Implants?
One-day dental implants are a treatment approach in which a dental implant is placed and a replacement tooth may be attached during the same appointment. They are sometimes known as same-day dental implants or immediate-load implants. The main difference compared with a traditional approach is that patients may not have to wait several months before having a visible tooth placed over the implant. However, getting a tooth on the same day does not mean that the implant has completely healed in one day. After implant placement, the surrounding jawbone still needs time to grow around and stabilize the implant. This process is called osseointegration and may take several months. For patients, a detailed examination is needed before deciding whether this faster treatment approach is appropriate.
Step 1: Your Dental Implant Consultation
The process begins before the day of implant placement. Your dentist first needs to determine whether your mouth can safely support an implant. During a dental implant consultation, the dentist may examine your gums, teeth, bite, and jawbone. Dental imaging may also be used to understand the amount of bone available and plan the position of the implant. Your medical history is important as well. Your dental provider should know about health conditions, medications, smoking habits, and previous dental procedures that could affect healing. This planning stage is especially important with one-day implants because the implant needs good stability when it is placed. Immediate loading is generally considered when the implant has sufficient initial stability. A careful evaluation helps determine whether same-day treatment is a practical option for your individual needs.
Step 2: Removing a Damaged Tooth If Necessary
Some people considering implants still have a damaged or failing tooth in place. In certain cases, that tooth may be removed before the implant is inserted. Whether the implant can be placed immediately after extraction depends on the condition of the area, including the available bone and surrounding tissues. Your dentist will examine the site carefully before creating a treatment plan. If there is not enough healthy bone or the area needs additional healing, implant placement may need to happen at a later appointment. The goal is not simply to complete treatment as quickly as possible. Creating a stable foundation is essential for the long-term health of the implant.
Step 3: Placing the Dental Implant
During implant placement, the dental implant is carefully positioned in the jawbone. It acts as an artificial root for the replacement tooth. The exact position and angle of the implant are important because they affect the stability, function, and appearance of the final restoration. With immediate-load dental implants, the dentist evaluates whether the implant is stable enough to support a tooth shortly after placement. Not every implant can be loaded immediately, which is why treatment planning and initial implant stability are important factors. Once the implant is in position, the next step depends on the stability of the implant and the treatment plan created for the patient.
Step 4: Adding a Replacement Tooth
One of the main reasons patients are interested in one-day implants is the possibility of leaving the dental office with a replacement tooth instead of an obvious gap. Depending on the case, temporary teeth or another appropriate restoration may be attached to the implant during the same visit. The restoration is designed to improve appearance and provide limited function while the implant heals. Patients should understand that the tooth placed on the day of surgery may not always be the final restoration. Additional appointments may still be needed once the jawbone and gums have healed. This approach can be especially helpful when a missing tooth is in a visible area of the smile.
Step 5: Allowing the Implant to Heal
Even though the implant and replacement tooth may be placed during one visit, healing continues for weeks or months afterward. During osseointegration, bone develops around the dental implant and helps hold it securely in place. This healing process is one of the reasons dental implants can provide a strong foundation for replacement teeth. Patients need to follow their dentist’s instructions carefully during this period. Depending on the procedure, softer foods may be recommended temporarily while the mouth heals. The ADA notes that a liquid or soft-food diet may sometimes be needed after oral surgery or implant treatment. Protecting the implant during healing can help give the surrounding bone and tissues the time they need to recover.
Who May Be a Good Candidate for One-Day Implants?
Not every patient is a candidate for one-day dental implants. A good candidate generally needs enough healthy jawbone to provide strong support for the implant. Gum health is also important because the tissues surrounding the implant need to remain healthy. The position of the missing tooth, bite pressure, number of teeth being replaced, and overall health may also influence whether immediate placement is appropriate. Some patients may require additional treatment, such as bone grafting, before an implant can be placed securely. In these situations, trying to complete implant treatment in a single day may not provide the best foundation for a long-term result. Individual treatment planning is more important than choosing the fastest option available.
What Are the Benefits of One-Day Dental Implants?
One of the biggest potential advantages is convenience. Instead of waiting for a visible replacement tooth, some patients may be able to receive an implant and tooth restoration during the same visit. This can also help patients feel more comfortable smiling or speaking during the healing period, particularly when the missing tooth is in the front of the mouth. Fewer stages before receiving a visible tooth may also make the overall experience feel more manageable. However, patients should remember that “one-day” describes the timing of implant placement and the initial restoration. Follow-up appointments and continued healing are still essential parts of treatment.
What Happens After the Procedure?
After implant placement, patients should follow all instructions provided by their dental professional. Some swelling, discomfort, or tenderness can occur after dental surgery. Dental procedures involving surgery can also carry risks such as bleeding and infection, making proper follow-up care important. Patients should also avoid placing unnecessary pressure on the new restoration while the implant is healing. Dietary recommendations and oral hygiene instructions may vary depending on the treatment. Regular follow-up appointments allow the dentist to check the implant, gums, bite, and progress of healing. Once the implant has healed properly, the dentist can determine whether any temporary restoration needs to be replaced with the final dental crown or other restoration.
Are One-Day Dental Implants Right for You?
One-day dental implants can provide a convenient option for certain patients who want to replace missing teeth without waiting months for a visible restoration. However, successful treatment depends on much more than speed. If you are researching one-day dental implants, a professional examination can help determine whether you have enough healthy bone and gum tissue for immediate implant treatment. Your dentist can also evaluate your bite, overall oral health, and treatment goals before recommending the right approach. Some patients may qualify for implant placement and a replacement tooth during the same appointment, while others may benefit from allowing additional healing time between stages. The best implant treatment is one that focuses on stability, proper healing, comfort, and long-term function rather than simply completing the procedure as quickly as possible.
Health
7 Healthy Foods That Increase Testosterone Levels
Testosterone is a vital hormone in the human body, regulating muscle growth, bone density, mood, energy levels. While testosterone is mainly associated with men, women also produce it in slightly lower concentrations.
Testosterone levels normally fall with age, but lifestyle factors, particularly diet, can impact the body’s ability to maintain hormonal equilibrium. Certain foods, such as eggs, leafy vegetables, lean meat, and whole grains, can provide essential nutrients that promote testosterone synthesis or help reduce conditions that could inhibit it, such as inflammation or nutrient deficiencies.
This article explores the 7 best foods that can effectively help maintain healthy testosterone levels as part of a balanced diet.
- Fatty fish
Fatty fish, including salmon, sardines, and mackerel, are some foods packed with vitamin D and omega-3 fatty acids. Vitamin D is particularly significant, as low levels have been associated with lower testosterone levels. Omega-3 fatty acids also support heart health and could help reduce inflammation, which could indirectly enhance hormone synthesis.
- Eggs
Eggs are highly nutritious, providing high-quality protein, healthy fats, and essential nutrients like vitamin D, all of which support hormone health. The yolk contains cholesterol, a key building block the body uses to produce testosterone and other steroid hormones. In addition, eggs support overall energy and muscle maintenance, which are indirectly linked to hormonal balance. Including whole eggs in your daily diet can help maintain healthy testosterone levels over time.
- Leafy greens
Vegetables like spinach, kale, and Swiss chard are high in magnesium. Magnesium plays an important part in various biological processes, including hormone management. Some research suggests that magnesium supplementation could be linked to increased testosterone levels, particularly in individuals with low magnesium levels or those who engage in regular physical activity.
- Nuts and seeds
Nuts and seeds, like almonds, walnuts, pumpkin seeds and Brazil nuts, are full of zinc, magnesium, selenium and healthy fats, all of which promote testosterone synthesis. Pumpkin seeds are particularly abundant in zinc, while Brazil nuts contain selenium, a mineral required for normal testicular function and hormone production.
However, besides boosting testosterone production, nuts and seeds can also help improve libido, thus further enhancing personal wellness.
- Garlic
Garlic includes allicin, a compound that could help lower cortisol levels. Cortisol is a stress hormone that, when raised over an extended period of time, can inhibit testosterone synthesis. Garlic could help regulate stress-related hormonal responses, thereby indirectly supporting testosterone balance.
- Lean meats
Low-fat meats of beef, chicken, and turkey are excellent sources of high-quality protein and zinc, both of which are essential for testosterone production and overall muscle health. Zinc, in particular, plays a direct role in hormone synthesis and immune function. However, regularly consuming processed or high-fat meats could increase inflammation and cardiovascular risk, so it is best to prioritize fresh, lean options as part of a balanced diet.
- Whole grains
Whole grains such as brown rice, oats, and quinoa could support testosterone levels by promoting stable blood sugar and reducing insulin spikes, which can affect hormone balance. They also provide essential nutrients like magnesium and fiber, helping maintain overall metabolic health linked to optimal testosterone production.
Conclusion
Maintaining healthy testosterone levels does not depend on a particular superfood, but rather on regularly adopting nutrient-dense foods that promote hormone synthesis. Consuming foods such as fatty fish, eggs, leafy greens, nuts, seeds, and lean meats can all contribute to a positive hormonal balance.
At the same time, restricting sugar, ultra-processed meals, and alcohol is essential for avoiding endocrine disturbances. A balanced, whole-food diet paired with healthy lifestyle choices provides a practical and long-term strategy to boost testosterone levels.
Citations
Health
Male Alexithymia: Why Some Men Struggle to Name Their Emotions
The Feeling You Can’t Quite Name
You know that feeling. Something’s off, but you can’t quite point to it. Your chest feels tight. Your jaw’s been clenched all day. You’re snapping at your partner over something small, and later you can’t even explain why. Ask “what’s wrong” and the honest answer is usually just: “I don’t know. I’m fine.”
Except you’re not fine, and ignoring these mental health struggles only makes it harder. You just don’t have the words for whatever this is.
That gap between feeling something and being able to name it has an actual clinical term: alexithymia. And here’s the part that surprises most people. Research suggests men experience this at roughly twice the rate women do. Not because men feel less. Because a lot of them were never handed the vocabulary in the first place.
So What Exactly Is Alexithymia, Anyway?
The word comes from Greek, roughly translating to “no words for emotion.” It’s not a diagnosis on its own, and it’s not the same thing as being quiet or reserved. Plenty of quiet men know exactly what they’re feeling; they just don’t announce it. Alexithymia is different. It’s a genuine difficulty identifying, describing, and processing emotional states, even internally.
Think of it like this: emotions are showing up at the door, knocking loudly, but nobody inside the house speaks their language. The feeling is there. The translator is missing.
Psychologist Ronald Levant coined the phrase “normative male alexithymia” back in the 1990s, and honestly, it’s one of those concepts that once you hear it, you start seeing it everywhere. Levant’s argument wasn’t that men are wired differently at some biological level. His point was about socialization. Boys, generation after generation, get raised on a fairly narrow emotional diet. Anger is allowed. Frustration, sure. Maybe pride. But sadness, fear, tenderness? Those often get quietly discouraged, sometimes without anyone meaning to do it.
“Big boys don’t cry.” “Walk it off.” “Man up.” You’ve heard these. Maybe you said them to a kid at some point without thinking twice. Multiply that kind of messaging across a childhood, and you end up with grown men who have a full internal weather system running, but only one or two words to describe any of it.
It’s Not the Same as Being Stoic
Here’s where people get it twisted, and it’s worth clearing up. Being stoic means you feel something and choose not to show it. That’s a decision. It can even be a strength in certain situations, like staying calm during a crisis.
Alexithymia is not a choice. It’s more like the emotional signal is coming through garbled, and you genuinely can’t decode it. There’s a meaningful difference between “I feel sad, but I’m keeping it to myself” and “something feels heavy, but I couldn’t tell you what it is or why.”
One is restraint. The other is a communication breakdown between the body and the conscious mind.
And look, this matters because the fix is completely different depending on which one you’re dealing with. You can’t just tell someone to “open up” if they don’t have access to the material in the first place. That’s like asking someone to read a paragraph in a language they were never taught. The intention might be there. The skill isn’t.
Why This Happens (And Why It’s Not a Character Flaw)
Let’s get one thing straight before we go further. This isn’t about men being broken, emotionally stunted, or somehow deficient. That framing does more harm than good, and as modern psychotherapy demonstrates, what’s happening here is a learned pattern, not a personality defect.
Think about how emotional vocabulary usually gets built. As kids, most of us learn feeling words through mirroring. A parent notices you’re upset and says something like “you seem really frustrated right now” or “that must have hurt your feelings.” Over time, kids absorb that language and start applying it to their own internal experience.
Now picture a childhood where that mirroring mostly happened around anger and excitement, but rarely around sadness, anxiety, or vulnerability. The emotional vocabulary for those states just never gets built. It’s not that the feelings disappear. They still happen. They just show up as something else: irritability, physical tension, restlessness, or a general sense that something’s wrong without any label attached.
This is where it gets interesting from a cultural standpoint too. Different communities, generations, and even regions have wildly different norms around what men are allowed to express. A guy raised in a household that valued toughness above almost everything will likely carry a different emotional toolkit than someone raised in a more expressive environment. None of this is destiny, though. It’s conditioning, and conditioning can shift.
The Body Knows Before the Brain Does
Here’s a practical trick used in individual therapy sessions, and it’s one of the more useful tools available for building emotional vocabulary. Instead of asking “how do you feel,” which can hit a wall fast for someone with limited emotional vocabulary, they ask a different question entirely.
“What’s happening in your body right now?”
That single shift changes everything. Because even when someone can’t identify an emotion by name, they can almost always tell you something concrete. Tight shoulders. A knot in the stomach. Shallow breathing. Restless legs. Clenched jaw. These are data points, and they’re often the emotion’s actual fingerprint, showing up in physical form before the brain has caught up enough to slap a label on it.
Once you’ve got the physical sensation named, you can start working backward toward the feeling underneath it. Tightness in the chest paired with an urge to leave the room might be anxiety. A heavy feeling in the stomach that shows up around certain conversations might be dread, or maybe grief that never got processed. It takes some practice, but the body tends to be a far more honest narrator than the mind, especially if you’ve spent years without the words.
If you want to try this yourself, next time something feels off, skip the “how do I feel” question for a second. Ask instead: where do I feel this, physically, right now? You might be surprised how much information shows up once you stop trying to name the emotion directly and just describe the sensation instead.
A Quick Word on Why This Actually Matters
You might be wondering why any of this matters. Isn’t this just one more thing to overanalyze?
Fair question. But the stakes here are higher than they look. When emotions don’t have language attached to them, they don’t just quietly disappear. They tend to leak out sideways, through irritability, withdrawal, physical symptoms, or strained relationships where a partner keeps asking “what’s going on with you” and getting nothing but a shrug in return. Unprocessed emotional experience has a way of finding an exit, even when the front door stays locked.
There’s also a relational cost that’s easy to underestimate. Partners, friends, even kids often interpret emotional silence as distance or disinterest, when really it’s more like static on the line. The signal’s there. It’s just not coming through clearly. That misunderstanding alone causes a lot of unnecessary friction in relationships that otherwise have plenty going for them.
The Good News: This Is Very Learnable
Here’s the part that should feel encouraging rather than discouraging. Alexithymia, particularly the normative version shaped by upbringing and culture, responds well to structured support. This isn’t a life sentence. It’s more like learning a new skill later in life than most people expect to be possible, like picking up an instrument as an adult instead of as a kid. Slower going at first, sure, but entirely possible.
Therapy plays a big role here, and it’s worth reframing what that actually means. This isn’t just “talk therapy” in the sense of sitting on a couch discussing your week. Think of it more as emotional-vocabulary-building. A good therapist will often start with the body-first approach mentioned earlier, helping you connect physical sensations to specific emotional states, then gradually build out a richer internal language from there.
Approaches that focus on somatic awareness, or ones drawing from emotion-focused therapy, tend to work particularly well for this. So does simple, consistent practice: journaling about physical sensations, naming feelings out loud even when it feels awkward, or working with a therapist who understands that “I don’t know how I feel” is a starting point, not a dead end.
Fair warning: this stuff often feels clunky at first. Kind of like trying on a new pair of shoes that don’t quite fit right yet. That’s normal. Nobody builds an emotional vocabulary overnight, and expecting fluency right away just sets people up to give up too soon.
Where to Go From Here
If any of this sounds familiar, whether it’s you, a partner, a friend, or a family member, the takeaway isn’t “something’s wrong with you.” It’s closer to “you were handed an incomplete toolkit, and it’s fixable.”
Working with a therapist who understands normative male alexithymia can make a real difference here, not by forcing emotional openness overnight, but by slowly building the language and awareness that maybe never got the chance to develop earlier on. It’s less about becoming a different person and more about finally having the vocabulary to describe the person you already are.
That heaviness, that tension, that “I don’t know what’s wrong” feeling? It usually does have a name. Sometimes it just takes the right kind of support to find it.
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