Chronic Care Management in Houston, TX

Close-up of a man preparing a medical device, symbolizing self-care and chronic disease management support in Houston, TX.

Managing a chronic condition can be challenging, but with the right healthcare support, you can lead a healthier and more active life. At Macie Medical, we provide expert chronic care management (CCM) in Houston, TX, ensuring patients with long-term health conditions receive continuous, coordinated care. Our goal is to help you maintain your well-being and prevent complications through proactive, patient-centered management.

Schedule an appointment today and take control of your health.

What is Chronic Care Management (CCM)?

Chronic care management is a specialized healthcare service for individuals living with two or more chronic conditions that are expected to last at least 12 months or longer. It involves ongoing medical care, treatment coordination, and lifestyle support to help manage long-term illnesses effectively.

Common Chronic Conditions We Manage: 

  • Diabetes
  • Hypertension (High Blood Pressure)
  • Heart Disease
  • Asthma
  • Obesity & Metabolic Disorders
  • Depression & Anxiety

If you are managing any of these conditions, our dedicated care team is here to help.

Why Choose Macie Medical for Chronic Care Management in Houston?

At Macie Medical, we believe in a holistic, patient-first approach to managing chronic illnesses. Our services go beyond treating symptoms, we focus on preventing complications and improving quality of life.

What Sets Us Apart? 

  • Board-Certified Physicians – Experienced in chronic disease management and preventive care.
  • Personalized Treatment Plans – Tailored to your specific health condition and lifestyle.
  • Care Coordination – Seamless communication with specialists, pharmacies, and healthcare providers.
  • Lifestyle & Nutrition Counseling – Helping you make healthier choices to manage your condition.

Conveniently located in Houston, TX, we provide continuous, high-quality care for long-term health management.

Meet Dr. Judith Aniekwena, MD

Dr. Judith Aniekwena is a leading Primary Care Physician in Katy, TX and it's environs. With dual board certifications in Internal Medicine and Obesity Medicine. She is an active member of the American College of Physicians, Obesity Medicine Association, Texas Medical Association and Harris County Medical Association.

Our Chronic Care Management Services

Comprehensive Care Planning 

  • Individualized care plans for managing chronic illnesses
  • Regular health assessments and follow-ups
  • Preventive screenings and lifestyle adjustments

Medication Management 

  • Prescription monitoring and adjustments
  • Coordination with pharmacies for refills
  • Education on medication side effects and adherence

Coordinated Specialist Referrals 

  • Direct referrals to cardiologists, endocrinologists, nephrologists, and more
  • Ongoing collaboration with specialists for seamless care

Remote & In-Clinic Monitoring 

  • Blood pressure, glucose, and respiratory monitoring
  • Telehealth check-ins for convenience and accessibility
  • Early intervention for worsening symptoms

Patient Education & Lifestyle Support 

  • Nutrition counseling and weight management
  • Exercise programs designed for chronic conditions
  • Smoking cessation and mental health support

We work closely with each patient to provide a comprehensive, proactive approach to chronic disease management.

Schedule Your Chronic Care Management Consultation in Houston, TX

With our comprehensive, patient-first approach, we provide high-quality care that includes coordinated specialist referrals, medication management, and preventive health screenings. Our goal is to help you take control of your chronic condition and live a healthier, more fulfilling life.

Take control of your health today. Call (713) 300-3905 or Book Online Now!

Frequently Asked Questions (FAQs)

Who qualifies for chronic care management?

Patients with two or more chronic conditions that require ongoing medical attention and are expected to persist for at least 12 months qualify for CCM services.

This depends on your condition. Most patients require monthly follow-ups, while others may need more frequent visits based on their health status.

Yes! Many Medicare, Medicaid, and private insurance plans cover CCM services. Contact our office to verify your coverage.

Macie Medical provides same-day and urgent care appointments for patients requiring immediate attention.

Testimonials

Why patients

choose Macie Medical

Google rating score: 5.0 of 5 based on 8 reviews