The problem in numbers
Medicare beneficiaries live with two or more chronic conditions
are actively enrolled in a CCM program today
the standard CCM contact: a phone call, once a month
can pass before a care team notices a decline
A lightweight check-in layer that runs between appointments, designed to fit inside the team you already have.
No IT project. Live in days.
App-based check-ins where patients enter symptoms, vitals, and changes between visits.
Drifting patients get filtered against thresholds and prioritized for near real time review.
Who to call, who’s stable, and why — every morning.
Less box-checking. More meaningful call time. CCM that scales.
Billing-ready records, without entering the revenue cycle.
Here’s what changes day to day.
Care teams carry more than they can manually reach.
A clearly organized daily panel: Elect who to call, who’s stable, and why.
Check-ins sent automatically between visits. Routine manual outreach minimized.
Progress notes drafted from each interaction, with the clinician signing off.
Emerging trends made visible so care teams can act earlier.
Aetonix’s platform is built to complement your EHR. Multiple integration pathways, up to bidirectional data exchange, let us match the lift to what your team can absorb.
We read from your EHR (demographics, problems, medications) to seed each patient record.
Updates exchanged in both directions on a set cadence, with no live connection to maintain.
Live read and write-back: check-in results and signed notes flow straight into the chart.
Built for FQHCs, hospitals, health systems, and ACOs.
Walk us through your CCM program. We’ll show you what we’re seeing across partner programs.