A care plan built for you
Your physician designs the plan; we keep it alive — updated as your conditions change, medications shift, and goals evolve.
Chronic Care Management
Living with multiple chronic conditions? You shouldn't manage them alone.
Chronic Care Management is for patients with two or more long-term conditions — diabetes, hypertension, heart disease, COPD, chronic pain, and more. A care coordinator from our team checks in weekly, keeps your plan up to date, and stays in touch with your physicians.
What's inside
The complete CCM program — already built.
A coordinator who knows you
The same person calls you every week. They remember your story, your meds, your family situation — and they coordinate with your specialists.
Medication management
We track what you're on, what's changed, and what's working. Updates go back to your prescribing physician.
Specialist coordination
Got a cardiologist, an endocrinologist, and a PT? We pull updates from each one into a single care plan you can follow.
Acute change response
Symptoms changing? Meds making you feel worse? Your coordinator escalates to your physician within hours, not days.
Insurance reimbursable
Covered under Medicare Part B (CPT 99490) and most major private plans.
Why clinics switch to Sayf
More revenue, fewer no-shows,
and a coordinator team you didn't have to hire.
Fewer trips to the ED
Patients with active CCM have measurably lower acute-care visits. Issues get caught early and managed where you live.
One care plan, not five
When you have multiple specialists, you can end up with conflicting advice. We're the layer that pulls it together.
Less stress for your family
Adult children and spouses can be looped in. Your coordinator becomes a known contact for the whole family.
Better control of your conditions
Weekly check-ins lift adherence to medication and lifestyle changes — the things that actually change long-term outcomes.
How CCM runs at your clinic
A 14-day rollout, then it runs itself.
01
Consent call
We talk about your conditions, your goals, and confirm coverage.
02
Plan from your physician
Your physician designs the care plan; our team takes it from there.
03
Weekly coordinator
Same person, same time, every week. Calls, video, or in-app chat — your choice.
04
Plan evolves with you
Meds change, conditions shift, life happens. We keep the plan current.
Ready to run CCM?