Chronic disease management software for care teams.
Managing patients with chronic conditions means a lot of work between visits. CareOS keeps that care-management work — care plans, follow-up, and documentation — visible, organized, and reviewable, alongside the EHR you already use.
Between-visit care for chronic conditions, in one place.
Chronic disease management lives or dies on the work that happens between appointments. CareOS keeps that work connected and visible for the whole team.
Care-plan continuity
Keep each patient’s care plan current and reviewable, so goals and follow-up don’t drift out of date.
Organized follow-up
Track the between-visit follow-up and outreach so nothing falls through the gaps.
Documentation readiness
Keep the record organized as the work happens, so it’s ready for the team to review.
Runs the programs chronic disease management uses.
CareOS supports the Medicare care-management programs practices use to manage chronic conditions — each with a visible, connected workflow.
Chronic Care Management
The core monthly program for patients with multiple chronic conditions.
Principal Care Management
Focused management of a single serious chronic condition.
Remote Patient Monitoring
Device readings and review time, organized into a workflow.
Track progress, not just activity.
Managing a chronic condition is about whether the patient is actually trending in the right direction. CareOS is built to make that progress visible across the months a patient has been managed — the approach we call Patient Progress Intelligence.
Chronic disease management software, answered.
What is chronic disease management software?
It’s software that helps a care team manage the between-visit work for patients with chronic conditions — care plans, follow-up, and documentation — in one connected place. CareOS does this alongside the EHR you already use.
How does it relate to chronic care management (CCM)?
CCM is a specific Medicare program for managing chronic conditions; chronic disease management is the broader activity. CareOS supports CCM and the related programs, and keeps the work visible across all of them.
Does CareOS make clinical decisions?
No. CareOS organizes and surfaces the care-management work for your team to review. It does not diagnose, recommend treatment, or make clinical decisions — those stay with your clinicians.
For the official Medicare definition of chronic care management, see Medicare.gov on chronic care management coverage.
See chronic disease management become visible.
Book a 15-minute conversation and we’ll show how CareOS keeps chronic-condition care visible, organized, and reviewable between visits.
How CareOS chronic disease management software supports your team
Chronic disease management software in CareOS organizes enrollment, monthly documentation and between-visit follow-up for patients living with one or more chronic conditions.
Work stays reviewable by your care team, alongside your EHR. Explore chronic care management or the CareOS platform.
Chronic disease management software FAQ
Is this the same as chronic care management? Chronic disease management software organizes the day-to-day work of managing chronic conditions; CCM is a specific program CareOS also supports.
Does CareOS replace our EHR? No. It works alongside your EHR.