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Best Chronic Care Management Software in 2025
Chronic conditions like diabetes, heart disease, and hypertension are major health challenges that demand constant attention. Managing these long-term health issues requires more than just reactive treatment – it demands proactive, personalized, and coordinated care.
Enter Chronic care management (CCM) software, which has evolved into a must-have tool for healthcare providers looking to optimize patient outcomes, reduce costs, and streamline care delivery.
In 2025, the best chronic care management software doesn’t just track vital signs – it transforms how healthcare professionals manage, monitor, and engage with patients with chronic diseases. Let’s dive into the top software solutions changing the game for chronic care management.
Top Chronic Care Management Software Options in 2025
1. Cerner PowerChart Chronic Care Management
Why It's the Best:
For many years, Cerner has led the healthcare technology industry, and in 2025, their PowerChart product is still a shining example. It is perfect for controlling chronic illnesses and expediting the delivery of care because it is designed to concentrate patient data and provide seamless care coordination.
Important features:
- Tracking data in real-time for ongoing health monitoring
- Plans for integrated care in the management of chronic diseases
- Using predictive analytics to evaluate patient risk and enhance results
- Telehealth and remote monitoring features
What Makes It Unique:
The ability of Cerner PowerChart to function across many healthcare systems and its interoperability make it stand out. For big health networks trying to provide reliable, superior treatment, it’s ideal.
2. Optum Care Management Solutions
Why It’s the Best:
Optum’s state-of-the-art care management solutions use predictive analytics to detect high-risk patients and take action before issues worsen. For people who are concerned in both patient involvement and cost reduction, it’s a great option.
Key Features:
- Using advanced risk stratification to find people who are at risk
- Instruments for smooth specialized care coordination
- Integrated communication tools to maintain patient interest
- Continuous care through remote patient monitoring
What Makes It Unique:
To ensure that no patient is overlooked, Optum employs predictive analytics to make better informed and proactive decisions on patient care.
3. Allscripts Care Management
The best thing about it is:
Allscripts is still the best option for healthcare providers who need to keep long-term patients involved in their care and on track with their plans. It makes sure nothing is missed by integrating easily into current workflows.
What's important:
- Care plans that can be changed to fit each chronic disease.
- Real-time feedback and help with clinical decisions.
- Monitoring from afar and automatic follow-ups.
- Reporting based on data to keep track of results and raise quality scores.
What Makes It Unique:
Allscripts is very flexible, so healthcare workers can change the software to best meet the needs of their patients while also improving the coordination of care.
4. Healthfirst CareSmart
The best thing about it is:
Health first’s CareSmart app is designed to help with managing long-term care. It has advanced tools for keeping an eye on patients from afar and making personalized care plans. It works especially well for taking care of high-risk patients who have more than one disease.
Key Features:
- Remote monitoring of chronic illnesses such as diabetes and hypertension.
- Tracking medication usage to cut down on hospital readmissions
- Getting patients to talk by sending them notes and alerts
- Connecting to smart phones and wearable tech for real-time data
What Sets It Apart:
CareSmart is very focused on long-term care, which lets them come up with very specific solutions that meet the most important needs of patients with complicated, multifaceted diseases.
5. Vivify Health
Why It’s the Best:
By combining remote monitoring with telehealth, Vivify Health takes a modern method to managing long-term care. Health care professionals can check on patients’ health at any time, from anywhere with the app.
Key Features:
- Monitoring of chronic disease measures in real-time, such as blood pressure and glucose levels
- Virtual care and telehealth options allow for check-ins from afar.
- Care plans that are made just for people with special needs
- automated alerts to let care teams know when a patient is worried
What Makes It Unique:
Because it works with telemedicine, Vivify Health stands out for healthcare workers who want to provide real remote care. Being able to keep an eye on patients from home helps keep them out of the hospital and out of the hospital again.
6. CareSync
Why It’s the Best:
CareSync’s cloud-based platform makes it easy for patients, providers, and workers to stay in touch, which makes managing long-term care easier. It works great for smaller practices or healthcare providers who want an easy-to-use, low-cost option.
Key Features:
- Care plans that are tailored to the needs of each patient
- Tools to help families and caregivers work together to provide better support
- Patients and doctors can safely message each other and work together.
- Automatic prompts and follow-ups for medications
What Makes It Unique:
CareSync is known for being simple and easy to get to. This makes it a great choice for practices of any size that want to make managing chronic care easier without having to deal with the hassles of bigger, more expensive systems.
7. MDTech Health
Why MDTech Health Is the Best:
MDTech has a state-of-the-art digital health tool meant to make managing long-term care easier. By mixing wearable tech with data analytics, MDTech ensures that providers can be proactive about care delivery.
Key Features:
- Tracking info from wearables and phones in real-time
- Predictive intelligence to find early signs of problems
- Telehealth programs that work together to keep people involved
- Communication between patients and care teams that works well
What Sets It Apart:
Wearable tech built into MDTech’s chronic care management makes it a top choice for providers who want to use real-time data to make smart decisions about patient care.
8. eClinicalWorks Chronic Care Management
Why It’s the Best:
eClinicalWorks is well known for its robust EHR system, and its chronic care management software is no exception. It provides a comprehensive suite of tools that make it easy for healthcare teams to manage and monitor chronic patients.
Key Features:
- Tracking info from wearables and phones in real-time
- Predictive intelligence to find early signs of problems
- Telehealth programs that work together to keep people involved
- Communication between patients and care teams that works well
What Sets It Apart:
eClinicalWorks stands out for its deep integration with EHR systems, enabling seamless workflow management while improving the coordination of chronic care services across multiple specialties.
9. Wellinks
Why It’s the Best:
For people with long-term lung diseases like asthma and COPD, Wellinks is an expert in managing their care. Their platform has advanced tracking tools that help keep flare-ups and hospital stays from happening.
Key Features:
- Monitoring of breathing parameters, like oxygen levels, from afar
- Symptom tracking and interesting tools for teaching patients
- Easy communication with care teams so that quick action can be taken
- Predictive analytics to find situations that are getting worse early
What Makes It Unique:
Wellinks has a platform that is very specific to respiratory conditions. This makes it the best choice for controlling diseases like COPD and asthma, where getting help early is very important.
10. Medtronic Care Management Solutions
Why It’s the Best:
Medtronic has long been a leader in medical equipment. Its chronic care management solutions bring that experience to the digital health space. The company’s platform lets you handle complicated, long-term conditions with advanced remote monitoring and predictive analytics.
Key Features:
- Medtronic’s medical gadgets can be connected so that data collection goes smoothly.
- Vital signs and signs of chronic diseases can be monitored from afar
- Predictive analytics to find people who are at risk
- Real-time alerts to keep care teams up-to-date and involved
What Makes It Unique:
Medtronic is different because it works with medical equipment to give a full picture of a patient’s health. This makes it perfect for taking care of very sick patients and avoiding problems.
Conclusion
The next big thing in managing long-term care is here: in 2025, the tools that healthcare providers can use will be smarter, easier to use, and more useful than ever.
These tools are made to improve outcomes, make work easier, and lower costs. They include seamless remote monitoring, predictive analytics, and real-time patient interaction.
The right CCM software can change how you care for people with diabetes, heart disease, COPD, or other long-term illnesses.
The systems above are some of the best in their field. They offer custom solutions that can be used to meet the changing needs of managing chronic care.
Make a smart choice, and give your business the tools it needs to improve patient care in 2025 and beyond.
