Your care team, always within reach - even from your kitchen table.
KaiCare Ai connects the care you get between visits to the doctors and nurses who already know your history. No new app to learn. No waiting room. Just steady, watchful support - the same friendly team, every time.
Cared for at home
Reviewed by your team
What chronic care management actually means for you
It's coordination between your visits
When you live with more than one ongoing condition, a lot happens between appointments - refills, test results, new symptoms, other specialists. Your physician's office asked KaiCare Ai to help keep all of it connected, so nothing slips through the cracks.
It's a real person who knows your plan
Each month a KaiCare clinical team member checks in, reviews how you’re doing against the plan your doctor set, and helps with whatever is in the way - a medication question, a follow-up you forgot, a symptom you weren’t sure was worth a call.
A typical month with KaiCare Ai
No dashboards to check, no forms to fill out. Here's what actually happens on your end and behind the scenes.
Your team calls to check in
A KaiCare medical assistant calls to see how you're feeling, how your medications are going, and whether anything has changed since last month. No waiting room, no travel - just a phone call at a time that works for you.
Your care plan stays up to date
Your doctor sets the plan for each condition. Your care team keeps it current between visits - noting changes, new goals, and anything your physician should review.
The moving parts get handled
Refills, specialist appointments, test results, and messages to your doctor’s office are coordinated for you - so you’re not the one chasing every detail.
Your doctor sees the full picture
Your provider gets a clear summary of how the month went, so your next visit starts from what actually happened - not from scratch.
Support that fits into your life
A phone call, not an app
Chronic care management happens over the phone. There's nothing to download and nothing to log in to - your team reaches out to you.
Help between appointments
Questions about a medication, a refill that ran out, an appointment you need scheduled - your care team helps sort it out without waiting for your next visit.
One team that knows you
You work with the same familiar KaiCare team members, so you never have to re-explain your history or start over with someone new.
A few things worth knowing
Chronic care management is billed through Medicare or your insurance, the same way other care from your doctor's office is billed. Depending on your plan there may be a small monthly copay - your care team can walk you through your specific coverage before you start.
A member of your clinical team checks in on how you're feeling, reviews your medications and goals, answers questions, and helps with anything that needs following up - like a refill, a referral, or a message to your doctor.
Chronic care management is generally for people managing two or more ongoing conditions. Your doctor decides whether it’s a good fit for you - we simply help carry out the plan they set.
Yes. This is voluntary care. You can pause or stop at any time by letting your care team or doctor's office know.
No - it's designed to support the visits you already have, not replace them. Your doctor stays in charge of your care; we help keep everything coordinated in between.
Learn more about CCM
Chronic Care Management: Your Guide to Better Health Without the Guesswork (or the Stress Sweat)
Chronic Care Management (CCM) helps patients with multiple chronic conditions get the ongoing support they deserve — and yes, Medicare covers it. Here's everything you need to know about CCM, the 2026 CPT codes, and why ignoring your chronic conditions is a worse strategy than ignoring your check engine light.
Simplify Your Clinical Practice: A Step-by-Step Guide to Outsourcing Chronic Care Phone Follow-Ups
Drowning in chronic care phone calls? Learn how to strategically outsource patient follow-ups without sacrificing quality — and maybe even reclaim your lunch break.
Exploring Better Choices: Top Alternatives to Popular Full-Service Chronic Care Management (CCM) Vendors
Feeling locked into a one-size-fits-all CCM vendor? Discover the key alternatives to popular full-service Chronic Care Management platforms and learn what to look for when choosing a partner that truly fits your practice's needs.