Chronic Disease Solutions

What Chronic Disease Solutions does

Chronic Disease Solutions (CDS) is a privately held, CMS-approved chronic care management company founded in 2015 and headquartered in Youngsville, Louisiana. The company partners with medical practices and physicians serving Medicare beneficiaries with chronic conditions, delivering the federally mandated minimum of 20 minutes per month of non-face-to-face care coordination under CMS Chronic Care Management (CCM) directives. Services include medication reconciliation, preventative services oversight, patient monitoring (physical, mental, and social), and transitional care management. CDS operates nationwide and provides 24/7 access to care coordinators who can escalate to registered nurses or physicians, exceeding baseline CMS requirements.

The company's core technology is a proprietary CCM Software Platform designed to meet CMS regulations, providing clinical data for determining successful clinical pathways and secure messaging integration with client electronic health record (EHR) systems. Supporting CDS is an in-house clinical staff that includes RN case managers, care coordinators/medical assistants, a certified Health Coach, and physician leadership from the founding Heinen family. CDS also offers Implementation Services with a 30-60 day on-site onboarding timeline at zero cost, places dedicated Enrollment Specialists at client practices to drive consent gathering, and integrates directly with practice EHR systems to bridge patient clinical findings back to office staff.

CDS generates revenue primarily through Medicare and Medicare Advantage reimbursement for CCM services (approximately $38.35 per patient per month under CPT 99490), with additional revenue streams from Medicare Annual Wellness Visits (~$111 per visit), Private Insurance Wellness diagnostic testing including Endopat, Pulmonary Function Test, MedGem, EKG, and Psychological Testing (averaging ~$350 per patient), Medicare-reimbursable Advance Care Planning ($86 for the first 30 minutes, $75 for each additional 30 minutes), and a free Smoking Cessation Program for eligible Louisiana residents. The go-to-market is enterprise field sales targeting individual medical practices via direct phone outreach and downloadable marketing collateral. The company has no external institutional investors, operates as a family-owned business, and has not raised any funding rounds per available sources.

Name

Chronic Disease Solutions

Legal name

Chronic Disease Solutions

Website

https://chronicdiseasesolutions.com

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

Chronic Disease Solutions is a CMS-approved chronic care management company founded in 2015 in Youngsville, LA, providing 24/7 care coordination, proprietary CCM software, and clinical staff to medical practices serving Medicare patients with chronic conditions across the United States.

Ownership category

akta.pro rank

Product category

Chronic Care Management Services

NAICS

All Other Outpatient Care Centers (621498)

SIC

Services-Health Services (8000)

akta.pro primary industry

Chronic Disease Management Pathways (e.g., diabetes, CHF, COPD) (HLACAGAG)

akta.pro secondary industry

Chronic Care & Remote Patient Monitoring (RPM) Platforms (HLALABAF)

Keywords

• Chronic care management
• Care coordination services
• CCM software platform
• EHR integration solutions
• Preventative care services

Headquarters

HQ city

Youngsville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Chronic Care Management (CCM) Services: CDS provides clinical staff (nurses, care coordinators) and CCM software to medical practices. The company assists physicians in implementing CCM programs and generating revenue through Medicare/Medicare Advantage billing. Services include minimum 20 minutes per month of non-face-to-face care coordination per patient.
2. Additional Diagnostic Services: Provides in-office diagnostic testing including Endopat, Pulmonary Function Test, MedGem, EKG, and Psychological Testing. Average reimbursement approximately $350 per patient for those undergoing two or three tests, plus Medicare AWV reimbursement of $111.
3. Advance Care Planning: Medicare reimburses $86 for first 30 minutes and $75 for each additional 30-minute face-to-face visit for Advance Care Planning services.
4. Smoking Cessation Program: Free smoking cessation program for Louisiana residents who started smoking before September 1, 1988, including physician evaluation, medications, individual counseling, and 24/7 quit line support.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Chronic Disease Solutions provides Chronic Care Management (CCM) services and supporting CMS-compliant software to medical practices and physicians serving Medicare patients with chronic diseases. The company delivers 24/7 care coordination by clinical staff (nurses, care coordinators, health coaches), proprietary CCM software integrated with client EHR systems, and ancillary services such as Annual Wellness Visits, diagnostic testing, Advance Care Planning, and a free Smoking Cessation Program, enabling practices to bill Medicare for these services.

Product overview

Chronic Disease Solutions offers a unified Chronic Care Management (CCM) platform providing 24/7 care coordination services for Medicare patients with chronic diseases, compliant with CMS regulations. The core CCM Software Platform supports clinical documentation, secure EHR communication, and care pathway tracking. Additional services include Annual Wellness Visits, Private Insurance Wellness diagnostic testing (Endopat, Pulmonary Function Test, MedGem, EKG, Psychological testing), a free Smoking Cessation Program for eligible Louisiana residents, and Medicare-reimbursable Advance Care Planning including Healthcare Power of Attorney and Living Will documentation. Supporting services include a certified Health Coach, Implementation Services (30-60 day onboarding), and Enrollment Specialist placement. The company operates from Youngsville, LA and provides services nationwide.

Differentiator

Problem solved

Functional benefit

Products and services

• Chronic Care Management (CCM) Services A CMS-approved care coordination service providing Medicare patients with at least 20 minutes per month of non-face-to-face care, including medication reconciliation, preventative services monitoring, patient condition monitoring, and clinical guidance. Operates 24/7 and is delivered to U.S. medical practices serving Medicare beneficiaries with chronic diseases.
• CCM Software Platform Proprietary software designed to meet CMS regulations, providing clinical data for determining successful clinical pathways and secure messaging communication with client EHRs and office staff. Deployed to client medical practices.
• Annual Wellness Visits Implementation of a Medicare Annual Wellness program in physician offices, including scheduling management and examinations. Average Medicare reimbursement is approximately $111.00 per visit.
• Private Insurance Wellness (Diagnostic Testing) In-office diagnostic testing including Endopat (endothelial function assessment), Pulmonary Function Test, MedGem indirect calorimeter (metabolic rate measurement), EKG, and Psychological testing. Average reimbursement approximately $350.00 per patient.
• Smoking Cessation Program Free smoking cessation program for Louisiana residents who started smoking before September 1, 1988, including physician evaluation, prescribed medications, individual counseling, and 24/7 quit line access.
• Advance Care Planning (ACP) Medicare-reimbursable service ($86 first 30 minutes, $75 each additional 30 minutes) helping patients design medical treatment plans for terminal illness, including Healthcare Power of Attorney and Living Will documentation.
• Health Coach Services Certified health coach on staff who creates tailored health plans for patients referred by care coordinators, focused on promoting healthy lifestyle choices.
• Implementation Services On-site implementation at no cost, including workflow identification, CCM participant identification, staff training, and EHR integration. Timeline is 30-60 days.
• Enrollment Specialist Placement Placement of an Enrollment Specialist at physician practices to increase consent gathering rates and reduce administrative burden on office staff.

Quantifiable outcome

• Reduces patient overall out-of-pocket expenses through better coordination leading to fewer visits
• +2 more outcomes

Segments2 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators2 records

Recent moves5 records

Expansion highlights6 records

Direct peers

• ChartSpan Medical Technologies: ChartSpan is a direct CCM vendor for medical practices, providing enrolled care coordination, software, and EHR integration. It competes head-to-head with CDS in the same CPT 99490-driven chronic care management market.
• ThoroughCare: ThoroughCare offers a care coordination platform (CCM, RPM, AWV, BHI) sold to physician practices. It directly overlaps CDS' product mix with a software-plus-services model targeting the same Medicare billing workflows.
• Wellbox: Wellbox provides outsourced chronic care management and annual wellness visit services to physician practices, combining clinical staff placement with patient outreach. Its CCM-as-a-service model is the closest analog to Chronic Disease Solutions.
• Vivify Health: Vivify Health delivers remote patient monitoring and connected care platforms used by providers for chronic disease patients. It overlaps CDS on chronic care pathways and virtual care delivery, though tilted more toward RPM devices.
• Health Recovery Solutions (HRS): HRS provides RPM and care management software used by practices, hospitals, and payers to monitor chronic patients at home. It competes for the same physician-practice budget for chronic disease management tools and services.
• Vesta Healthcare: Vesta operates a 24/7 clinical care management service for Medicare and dual-eligible patients with chronic conditions, often partnering with home care providers. Its mission-driven, family-of-caregivers model parallels CDS' physician-led service ethos.
• HealthCare Synergy: HealthCare Synergy provides care management and CCM program support to physician practices and FQHCs. It is a smaller, similarly positioned competitor focused on Medicare care coordination compliance.

Broad incumbents

• CipherHealth: CipherHealth offers a broader care coordination and patient outreach platform for health systems, with CCM-related modules. It is a broad incumbent with overlap in automated care coordination but a much larger enterprise footprint than CDS.
• Caregility: Caregility provides a teleICU and virtual care platform that includes chronic care use cases for health systems. It is a broader incumbent in virtual care with overlap on provider-integrated chronic condition support, but a different primary buyer.

Others

• Modivcare: Modivcare provides non-emergency medical transportation, personal care, and monitoring services to managed care plans, serving complex Medicare and Medicaid members. It is an adjacent, larger-scale services player touching the same chronic-population value chain.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Chronic Disease Solutions