The program is covered by Medicare for traditional Medicare patients of the hospital’s primary care clinics—Lutcher Family Clinic, Poche Medical Clinic and St. James West Bank Clinic. The patient must have at least two chronic conditions and have had a recent Annual Wellness Visit or visit with their primary care physician.Once starting the program, patients can expect to develop a continuous relationship with the hospital’s Care Coordinators. These registered nurses work with patients to create a personalized care plan and goals. They will remain in contact to revisit goals and discuss referrals, consults and test results. In addition, enrolled patients have 24/7 support as needed through a nurse hotline.