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Two paths rise and meet in a heart. The paths are the guidance we give between doctor visits: medications, appointments and follow-ups kept on track. The heart is why we do it.
Chronic care management · Sarasota area
Someone watching out for residents every month, so small problems are caught before they become ER trips.
ClearPath gives assisted living residents with ongoing health conditions a dedicated care team between doctor visits. We work alongside the physicians who already care for them, at no cost to the community or its physicians.
- Covered by Medicare Part B
- Residents keep their own doctors
- Stop any time
What residents get
Steady support between doctor visits
Chronic care management is a Medicare program for people living with two or more ongoing health conditions. Here is what every enrolled resident receives.
A familiar face
The same care coordinator each month, under the direction of our nurse practitioner.
A personal care plan
Goals, medications and what to watch for, covering all of their conditions, with a copy for them.
Medication help
Refills, pharmacy questions and making sure medicines are taken as prescribed.
Early warning
Changes in symptoms, weight, mood or falls are passed to a clinician the same day.
Coordination
Doctors, specialists, pharmacies, labs and community staff stay connected and informed.
Back home safely
After an ER visit or hospital stay we gather records, check medications and set follow-ups.
Appointments and services
Scheduling, transportation, medical equipment and preventive care that is due.
24/7 access
A member of the care team can be reached day or night for health questions.
Behavioral health support
Care for mood and well-being, too
Depression, anxiety and loneliness are common in later life, and they can make every other condition harder to manage. For residents who need it, ClearPath adds monthly behavioral health support alongside their chronic care.
- Monthly check-ins on mood, sleep and well-being, using simple, standard questionnaires
- A behavioral health care plan with goals the resident helps set
- Coordination with their therapist, counselor, prescriber and community staff
- Quick follow-up from our nurse practitioner when mood or behavior changes
How it works
Behavioral health support is optional and has its own sign-up. It is covered by Medicare Part B, and standard coinsurance may apply. Residents can join chronic care, behavioral health support or both, and stop either one at any time.
In a crisis?
If someone is thinking about suicide or in emotional crisis, call or text 988 to reach the Suicide & Crisis Lifeline any time. For an emergency, call 911.
How it works
Four steps from first visit to steady care
- 1
Introduce
We meet with the community's leadership, then share information with residents and families.
- 2
Choose to enroll
Our nurse practitioner meets each interested resident. The resident or their representative decides whether to join.
- 3
Monthly care
A dedicated care coordinator checks in every month and handles the follow-up that keeps care on track.
- 4
Everyone informed
Physicians and families get updates, and urgent concerns go to the right clinician the same day.
For assisted living communities
More support for your residents, less chasing for your staff
Our team does the monthly work. Your staff keep doing what they do best.
What your community gains
- Changes in health are spotted early, helping prevent avoidable ER visits and hospital stays
- Smoother returns after hospital stays, with records gathered and medications reconciled
- Fewer calls for your staff to pharmacies, physician offices and specialists
What families notice
- Someone checks on their loved one every month
- Updates on care plan changes and upcoming appointments, with the resident's permission
- A care team that answers day or night
No cost, no strings
No fees, equipment or software for the community to buy
No change to your existing physician relationships
No exclusivity. Step away at any time.
For residents' physicians
Your patients stay your patients
We work between your visits and report back to you. There is no cost to you and nothing to sign.
How it helps you
- Monthly updates on what happened between visits: symptoms, falls, ER trips and medication changes
- Fewer routine calls to your office about refills, appointments and records
- Patients arrive with medications reconciled and concerns already flagged
- Prompt follow-up after hospital and ER discharges
Our boundaries
- We never replace you as the resident's physician
- We never change your orders or medications. Any concern is sent to you.
- We never enroll a resident you already provide chronic care management for. We check first.
- We never ask you to pay, sign a contract or change how you practice
Prefer to provide chronic care management to your own patients? Tell us, and we step aside for them.
For residents and families
Clear, voluntary and on your terms
Joining is always the resident's choice. They keep their own doctors, and they can stop at any time.
Who can join
- Has Medicare Part B
- Lives with two or more ongoing conditions, such as diabetes, heart disease, COPD, arthritis, kidney disease or memory loss
Chronic care management is covered by Medicare Part B. Standard Medicare coinsurance may apply and is often covered by supplemental insurance.
What it costs the community and physicians
Nothing. ClearPath is paid through Medicare for the care we provide to enrolled residents.
Questions
Frequently asked questions
What is chronic care management?
It is a Medicare program for people living with two or more long-term health conditions. A care team supports them every month between doctor visits, keeping medications, appointments and follow-ups on track.
Will my loved one have to change doctors?
No. Residents keep their primary care physician and specialists. We work alongside them and keep them informed.
Does it cost anything?
There is no cost to the community or to physicians. For residents, the program is covered by Medicare Part B. Standard Medicare coinsurance may apply, and supplemental insurance often covers it. We explain this before anyone enrolls.
Who is on the care team?
A licensed nurse practitioner oversees each resident's care. Trained care coordinators handle the monthly check-ins and follow-up, and pass any clinical concern to the nurse practitioner right away.
What is behavioral health support?
It is an optional add-on for residents living with depression, anxiety or other behavioral health needs. Each month we check in on mood and well-being, keep a behavioral care plan up to date, and coordinate with their therapist, prescriber and community staff. It does not replace counseling or therapy; it helps everyone involved stay connected.
Can a resident stop the program?
Yes, at any time, for any reason. Just let the care coordinator or our office know.
What if the resident's doctor already provides this service?
Medicare allows only one practice to provide chronic care management each month. We ask every resident before enrolling, and if their doctor already provides it, we step aside.
Contact
Let's talk about your community
We serve assisted living communities in the Sarasota area. Reach out to schedule a conversation or ask a question.
(863) 452-7823Monday to Friday, 9 am to 5 pm
info@clearpathchroniccare.comWe reply within one business day
Sarasota, FloridaServing Sarasota and nearby communities
Please do not send medical details by email. We will call you back to talk privately.