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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.

These conditions, such as diabetes, hypertension, or COPD, often pose significant risks of complications or functional decline if not properly managed. At Macie Medical, our chronic care clinic provides chronic disease treatment in Houston, Texas, through personalized care plans, regular monitoring, and patient education to enhance quality of life.

Why Chronic Care Matters

  • Symptom Management: Improves daily comfort and functionality. Complication Prevention: Reduces the risk of serious health events like heart attacks or strokes.
  • Lifestyle Support: Offers guidance on diet, exercise, and stress management to enhance overall health.
  • Continuous Monitoring: Tracks progress to adjust treatments as needed.

Services Offered at Our Chronic Care Clinic

Macie Medical’s chronic care clinic offers a wide range of services to support chronic disease treatment in Houston, Texas:

  • Hypertension Management: Regular blood pressure monitoring and lifestyle counseling to reduce risks of heart disease and stroke.
  • Diabetes Care: Personalized plans with blood sugar monitoring, medication management, and dietary guidance to control diabetes effectively.
  • Obesity & Weight Management: Expert support from Dr. Aniekwena, a board-certified obesity medicine specialist, to achieve sustainable weight loss and improve health outcomes.
  • Asthma & COPD Management: Comprehensive care to reduce flare-ups and improve lung function through medication and lifestyle adjustments.
  • Medication Management: Ensuring proper adherence, monitoring for drug interactions, and adjusting prescriptions for optimal results.
  • Preventive Health Screenings: Routine check-ups and tests to detect complications early and maintain overall well-being.
  • Lifestyle & Nutritional Counseling: Therapy for chronic illness in Houston, TX, with personalized advice on diet, exercise, and stress management to promote healthier habits.


Our acute and chronic disease care in Houston ensures prompt treatment for sudden health concerns alongside ongoing chronic care, providing a seamless healthcare experience.

Why Choose Macie Medical for Chronic Care Management in Houston?

Macie Medical is a trusted provider of houston chronic conditions care, offering:
  • Expert Leadership: Led by Dr. Judith Aniekwena, double board-certified in internal medicine and obesity medicine, our team delivers specialized, patient-centered care.
  • Personalized Treatment Plans: We create customized care plans tailored to your specific conditions, goals, and lifestyle.
  • Ongoing Support: Regular follow-ups, care coordination, and therapy for chronic illness in Houston, TX, ensure continuous management of your health.
  • Convenient Access: Our chronic care clinic offers in-person and telehealth appointments, serving Houston, Katy, and surrounding areas.
  • Advanced Technology: We use tools like the InBody 580 body composition analyzer and partnerships with Withings and Freestyle Libre for precise monitoring.

Residents of Houston rely on Macie Medical for chronic disease treatment and chronic care management in Houston, Texas, because of our commitment to compassionate care and measurable results.

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.

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Dr. Judith Aniekwena MD

Who Needs Chronic Care Management?

Chronic care management in Houston, Texas, is designed for individuals with two or more chronic conditions that pose significant health risks. Common conditions qualifying for CCM include:

  • Diabetes
  • Hypertension (High Blood Pressure)
  • Heart Disease
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Asthma
  • Arthritis
  • Depression
  • Cancer


Adults and seniors in Houston or Katy seeking chronic disease care can benefit from our chronic care management program, to improve quality of life and reduce complications. If you’re managing multiple chronic conditions, our chronic care clinic provides the support you need to stay healthy and active.

What to Expect During Your Chronic Care Visit

Your chronic care management visit at Macie Medical begins with:
  • Initial Assessment: A detailed evaluation of your medical history, current conditions, and lifestyle factors to create a customized care plan.
  • Personalized Care Plan: Developed with achievable health goals, including medication regimens, lifestyle changes, and preventive strategies.
  • Care Coordination: Our team assigns a care coordinator to facilitate communication with specialists and other providers for seamless care.
  • Ongoing Monitoring: Monthly check-ins (in-person or via telehealth) to track progress, adjust treatments, and address new concerns.

Our acute and chronic disease care in Houston ensures that both sudden health issues and long-term conditions are managed effectively under one roof.

Benefits of Chronic Care Management

Choosing Macie Medical for chronic disease treatment in Houston, Texas, offers numerous benefits:
  • Improved Symptom Control: Effective management reduces discomfort and enhances daily functioning.
  • Complication Prevention: Early interventions minimize risks of serious health events.
  • Enhanced Quality of Life: Chronic illness therapy in Houston, TX, supports independence and well-being.
  • Personalized Support: Tailored plans address your unique health needs and goals.
  • Continuous Care: Regular monitoring ensures treatments evolve with your health.

Our chronic care clinic is committed to helping you live a healthier, more fulfilling life through expert care and ongoing support.

Start Your Chronic Care Journey with Macie Medical

Take control of your health with chronic care management in Houston, Texas, at Macie Medical. Our team is here to provide chronic disease treatment, tailored to your needs. Call +1 (713) 300-3905 or book online to schedule your consultation today!

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.

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