Care Management
Care Management services help patients with ongoing health conditions stay organized, supported, and connected to their care team. A dedicated care manager works alongside your primary care provider to coordinate treatment, review medications, and help prevent avoidable hospital visits.
Meet your care manager
Meet Brittany Losoya, RN!
Brittany is a Registered Nurse who supports our practice through Care Management services. She earned her RN degree from Oakland Community College. In her role, Brittany helps patients coordinate and manage their care by bridging the gap between traditional office visits, ensuring continuous, proactive, and holistic support with a strong focus on preventive care and sustainable lifestyle changes.
Brittany conducts comprehensive patient assessments that address medical, psychological, and social needs in order to develop individualized care plans. She works closely with patients and their specialists to coordinate care across the healthcare system and connects patients with appropriate community resources to support better outcomes.
Care coordination support
Meet Cindy Dixon, RN.
Cindy supports patients with care transitions, prior authorizations and paperwork. She helps with FMLA, disability and office forms, as well as durable medical equipment orders.
Call the office to ask how our nursing team can help coordinate these requests.
Education
Brittany gives patients and their families guidance on chronic disease self-management, medication understanding, and ways to take an active role in their health. Through regular check-ins, she monitors progress, tracks adherence to treatment plans, and helps identify potential concerns early, before they become urgent.
Community resources
Brittany helps patients access essential resources such as food and financial assistance, mental health services, and community programs, to address non-medical barriers to health.
Care transitions
She supports smooth transitions between healthcare settings and back to primary care, helping promote continuity of care and reduce hospital readmissions.
Programs
Two programs, matched to your conditions.
Chronic Care Management (CCM)
Designed for patients with two or more long-term conditions (such as diabetes, heart disease, or arthritis) expected to last at least 12 months. CCM focuses on managing these conditions together to improve overall health and quality of life.
Principal Care Management (PCM)
Designed for patients with one serious, complex, or high-risk condition (such as cancer or advanced heart disease) that requires close monitoring and coordination.
What services are included?
Your care manager helps with:
- A personalized care plan outlining health concerns, treatment goals, medications, and needed support services
- Ongoing coordination and communication with your healthcare team between office visits
- Medication reviews to ensure medications are taken safely and correctly
- Support during care transitions, such as returning home after a hospital stay
Who is eligible?
You may qualify if:
- You have two or more chronic conditions (for CCM) or one complex condition (for PCM) expected to last at least one year
- You agree to participate and provide consent for monthly care management services
How to get started
Simply ask your provider if Care Management services are right for you.
Costs and coverage
Coverage depends on your plan.
- Benefits and eligibility vary by plan.
- Medicare Part B may cover chronic care management for eligible patients.
Copayments or coinsurance may apply, depending on your plan. As always, please check with your insurance provider for a full explanation of benefits.
Check your plan and ask the team about care management coverage. Medicare explains Part B chronic care management benefits.
Prior authorization
What to expect when a medication needs approval first.
Some medications need approval from your insurer before they're covered. The process can take time, and it sometimes requires trying other medications first.
We submit the request
Your provider sends the paperwork your insurer needs.
Review times vary by insurer
We follow up with your insurer so you know where things stand.
If it's denied, you can appeal
Ask your insurer about the appeal process, required information and deadlines. Our team can help coordinate the next steps.
Questions
Care management questions
How do I request care management?
Ask your provider whether it's right for you, or call either office.
Is care management covered by my insurance?
Coverage depends on your plan, eligibility and the services provided. Medicare Part B may cover chronic care management for eligible patients. Contact the office and your insurer to check your benefits.
Who will help me with a prior authorization?
Our nursing team helps coordinate prior authorizations and keeps you updated.
Talk to your provider about care management.
Lake Orion 248‑690‑9181
Lapeer 810‑284‑1034