Chronic conditions, actually managed.

Diabetes, blood pressure, weight — these don't get fixed in one visit. They need consistent monitoring, medication adjustments, and lifestyle support. We're built for the long game.

📈 Continuous monitoring🏠 Home devices included👨‍⚕️ Same clinician every time

Chronic conditions we manage

Long-term care for the conditions that need consistent attention.

Each program combines NY-licensed clinicians, evidence-based medication management, and lifestyle coaching — coordinated through one place so nothing falls through the cracks.

🩸

Diabetes Management

Type 1, Type 2, and gestational diabetes. Continuous glucose monitor support, insulin adjustment, lifestyle coaching.

Manage diabetes →

❤️

Hypertension Management

Home BP monitoring, medication titration, lifestyle changes. The slow killer that's actually easy to control.

Lower my BP →

⚖️

Weight Loss & Obesity

Evidence-based programs including GLP-1 medications (Ozempic, Mounjaro, Zepbound) when appropriate, plus coaching.

Weight programs →

🛡️

Diabetes Prevention

CDC-recognized Diabetes Prevention Program (DPP) for prediabetes — 12-month structured lifestyle program covered by most plans.

Prevent diabetes →

Why telehealth is uniquely good for chronic care

Conditions that need check-ins, not exams.

Chronic conditions are managed through trends, not single visits. Your blood pressure today matters less than your average over the past month. Your A1c at this visit tells us about the past 3 months. Telehealth makes the frequent, brief check-ins that drive results actually feasible.

What our chronic care includes

Home monitoring devices when needed (BP cuffs, glucometers, CGMs) — often covered by your plan
Real-time data review by your clinician between visits
Medication adjustments based on trends, not snapshots
Health coaches for lifestyle change (sleep, nutrition, activity, stress)
Coordination with cardiologists, endocrinologists, and other specialists in NYC
Lab ordering through Quest, LabCorp, or in-network sites
Pharmacy coordination — we handle prior auth, refills, and cost questions

How a chronic care program works

Built for the long game.

Enrollment visit

60-minute intake. Full history, current medications, labs reviewed, goals set together.

Set up monitoring

We arrange devices (BP cuff, glucometer, CGM, scale) through your plan, usually $0.

Regular check-ins

Brief 15-20 minute visits monthly or quarterly. Your clinician reviews trends, adjusts as needed.

Annual deep-dive

Yearly comprehensive review — labs, screenings, medication review, goal-setting for the next year.

FAQ

Common questions.

Does NY Medicaid cover chronic care?

Yes — and it covers it well. NY Medicaid Managed Care plans cover the visits at $0 for most members, and they cover home monitoring devices (BP cuffs, glucometers, CGMs in many cases), lab work, and most chronic disease medications with little or no copay.

Do I lose my current specialist if I join your program?

Not at all. Many of our patients keep their cardiologist, endocrinologist, or nephrologist. We coordinate with them — we don't try to replace them. Specialists often welcome having a PCP-level coordinator handle the day-to-day.

What devices do you provide?

Depending on your condition and plan: home blood pressure cuffs, glucometers, continuous glucose monitors (CGMs), connected scales. Most are mailed to you and covered by your plan. We help you set them up.

How often will I have visits?

Typical cadence: monthly for the first 3 months while we get things stable, then quarterly for ongoing management. Plus an annual comprehensive review. More frequent if needed; less frequent if you're rock-solid.

Can I message my clinician between visits?

Yes — portal messages get answered within 1 business day for routine clinical questions. Urgent issues (severe BP spike, blood sugar crisis) get same-day response or on-call support.

Your numbers should be heading in the right direction.

Enroll in a chronic care program with a NY-licensed clinician.