About Multiple Chronic Conditions | Resource Center
Multiple Chronic Conditions (MCC) means that a person is living with two or more chronic conditions at the same time. Currently, 1 out of 3 adult Americans have MCCs and for persons 65 and older 4 out of 5 Medicare Beneficiaries and a growing number of children have MCCs. This is the largest patient population and users of healthcare resources accounting for 64% of all clinician visits, 70% of all inpatient stays, 83% of all prescriptions, 71% of all healthcare spending, and 93% of Medicare spending.
https://multiplechronicconditions.org/ (https://multiplechronicconditions.org/)
Richard Knight and the APOL1 Action Alliance (AAA)
The APOL1 gene is recognized as a kidney risk gene. APOL1-mediated kidney disease is a rapidly progressive form of proteinuria kidney disease. Although this gene is autosomal recessive the risk comes from the genotype of both parents. Compared with other chronic kidney disease patients, those of African ancestry with a confirmed APOL1 gene variant progress to dialysis 9 to 12 years earlier. APOL1-mediated kidney disease is often associated not only with proteinuria but also with a rapid decline in eGFR, earlier onset of kidney disease (including adolescence), and leads to a mean age of kidney failure in the U.S. of 45 years. Patients are often asymptomatic. Richard Knight, co-founder of the APOL-1 Alliance (https://apol1alliance.org/), provides a patient perspective on this condition.
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12 May 2026
Neurocritical Care: Timing is Everything
Dr. Jordan Yakoby discusses how these newly established recommendations provide a structured, evidence-informed framework for delivering neurocritical care remotely. Designed for hospitals and emergency departments without continuous neurointensivist coverage. He reviews the 13 recommendations from the society that outline both minimal and optimal standards to ensure critically ill neurologic patients receive timely, expert-driven care regardless of geographic limitations.
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17 Apr 2026
Update from the 2026 Guideline for the Early Management of Patients with Acute Ischemic Stroke
Rosa Hart, a stroke certified registered nurse with the American Association of Neuroscience Nurses, describes new updates from the America Heart Association and the American Stroke Association’s January release of the 2026 Guideline for the Early Management of Patients with Acute Ischemic Stroke. This guideline replaces the 2018-2019 guideline and updates. In the same month the Centers for Disease Control and Prevention identified the top 5 causes of mortality in the United States and identified stroke as the 5th cause of death in the country. Stroke contributes to over 162,000 deaths annually and accounts for approximately 1 in 6 deaths from cardiovascular disease. It is one of the leading causes of long-term disability, occurring on average every 40 seconds.
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18 Nov 2025
MCCRC Podcast: Determinants of Health in Rural Healthcare
This Podcast highlights the rural healthcare center established by Northern Michigan University (NMU) and its impact on the rural population who reside in the upper peninsula of Michigan. Former Director James K. Haveman of the Michigan Department of Community Health under two Governors, and Elise Bur the Director of the Center discuss the evolution of the NMU Rural Healthcare Center and its impact on providing determinants of health to a unique patient population.
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1 Aug 2025
MCCRC Podcast: Cheryl Phillips, M.D, AGSF, John A Hartford Foundation
Cheryl Phillips, M.D, AGSF, is the senior program consultant for the John A Hartford Foundation’s Age-Friendly Health Systems initiative and discusses the 4Ms. What Matters, Medication, Mentation and Mobility and how these concepts interface with person-centered care planning for persons with and at risk for multiple chronic conditions. Dr. Phillips describes the administration’s policy changes with the Agency for Healthcare Research and Quality and how the John A. Hartford Foundation will continue to promote person-centered care for the nations aging population
The Centers for Medicare & Medicaid Services released a new Age Friendly Hospital Measure designed to improve the care and outcomes of older hospitalized adult patients.
https://www.facs.org/quality-programs/accreditation-and-verification/geriatric-surgery-verification/cms-age-friendly-hospital-measure/ (https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.facs.org%2Fquality-programs%2Faccreditation-and-verification%2Fgeriatric-surgery-verification%2Fcms-age-friendly-hospital-measure%2F&data=05%7C02%7Cawheeler%40healthcommedia.com%7Cf40b378beede4b69480f08ddc6bb77e1%7C3f4ea757b3cf448a82d0bcb2d44f9009%7C0%7C0%7C638885230671304061%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=aNniVgi8FOHNo%2B1FDqxur5EGXMFnIPNRv%2FGZMoRBa10%3D&reserved=0)
Institute for Healthcare Improvement Patient and Family Resources on Age-Friendly Care https://www.ihi.org/library/tools/patient-safety-essentials-toolkit (https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.ihi.org%2Flibrary%2Ftools%2Fpatient-safety-essentials-toolkit&data=05%7C02%7Cawheeler%40healthcommedia.com%7Cf40b378beede4b69480f08ddc6bb77e1%7C3f4ea757b3cf448a82d0bcb2d44f9009%7C0%7C0%7C638885230671326145%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=Ly0SVKbig789rpfAQ%2BREvinuw7qGoOFDqFGH6bS4hU0%3D&reserved=0)
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7 Apr 2025
MCCRC Podcast: Looking at the Patient Perspective for those with Kidney Disease with Richard Knight
In this edition of the MCCRC Podcast, Dr. Kim Kuebler sits down with Richard Knight to discuss the Patient Perspective for those with Kidney Disease.
Hear Richard's key take away’s, specific information that would have helped him to better understand how his hypertension impacted upon his kidney function, talking about the missing links in the collaborative medical management of patients with kidney disease, and much more!
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28 Feb 2025
Person Centered Care Planning for People Living with or at Risk for MCCs
In this Episode of the MCCRC Podcast, Dr. Jane Pederson moderates a discussion with Dr. Arlene Bierman and Dr. Brittany Watson on the article: Integration of palliative care in the management of multiple chronic conditions: An expert consensus paper with policy implications
In this discussion they go over key topics from the article including how palliative interventions can prevent disease exacerbation, hospitalization and reduce debility, how timely palliative interventions improve symptoms, physical functioning and quality of life, and how palliative interventions should be initiated at time of diagnosis in multiple chronic conditions.
LINK TO FULL ARTICLE: https://www.nursingoutlook.org/article/S0029-6554(24)00166-0/abstract?dgcid=raven_jbs_etoc_email
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20 Dec 2024
WEBINAR - Medication Safety: Knowledge is Power
A link to the slides mentioned in the podcast: https://hcanys.org/doclink/kuebler-medication-safety/eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJzdWIiOiJrdWVibGVyLW1lZGljYXRpb24tc2FmZXR5IiwiaWF0IjoxNzMzNDIwOTE0LCJleHAiOjE3MzM1MDczMTR9.Xg5H1OS1UAio4gUrdriWHmecDx9uMOC-ZmB2Y-Rv9I8 (https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fhcanys.org%2Fdoclink%2Fkuebler-medication-safety%2FeyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJzdWIiOiJrdWVibGVyLW1lZGljYXRpb24tc2FmZXR5IiwiaWF0IjoxNzMzNDIwOTE0LCJleHAiOjE3MzM1MDczMTR9.Xg5H1OS1UAio4gUrdriWHmecDx9uMOC-ZmB2Y-Rv9I8&data=05%7C02%7Cawheeler%40healthcommedia.com%7C08f06dc6c6264b9b445008dd21145e6e%7C3f4ea757b3cf448a82d0bcb2d44f9009%7C0%7C0%7C638703093568270333%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=SYsg6FxzPd4s0Qd%2FXXW96RbuKgkeFZ8skx0LEhnSeTk%3D&reserved=0)
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6 Dec 2024
Dr Eduardo Bruera discusses palliative care for those living with chronic conditions
Dr. Eduardo Bruera shares insights on integrating palliative care into primary care for patients living with non-reversible chronic conditions, enhancing their quality of life.
28 Oct 2024
Dr. Paul Ciechanowski discusses the benefits of integrated behavioral health models in primary care
In the fifth edition of the MCCRC Podcast, Dr. Kim Kuebler sits down with Dr. Paul Ciechanowski talks about the benefits of integrated behavioral health models in primary care, why integrated care is a preferable model to hiring psychiatrists or social workers as part of a co-located model, and much more.
Here are links to the references Dr. Ciechanowski used in the podcast:
Clinical inertia:
https://escholarship.org/content/qt7fd7r9r5/qt7fd7r9r5.pdf (https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fescholarship.org%2Fcontent%2Fqt7fd7r9r5%2Fqt7fd7r9r5.pdf&data=05%7C02%7Cawheeler%40healthcommedia.com%7Ceeda155cc3834dc6796308dcee09ba73%7C3f4ea757b3cf448a82d0bcb2d44f9009%7C0%7C0%7C638646973348377843%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=KF0qVEapCTvPfea1jX6zt76Zdm5vbrCF6C17PQd7bVA%3D&reserved=0)
Two clinical trials that support collaborative care by research groups:
https://jamanetwork.com/journals/jama/fullarticle/198486 (https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjamanetwork.com%2Fjournals%2Fjama%2Ffullarticle%2F198486&data=05%7C02%7Cawheeler%40healthcommedia.com%7Ceeda155cc3834dc6796308dcee09ba73%7C3f4ea757b3cf448a82d0bcb2d44f9009%7C0%7C0%7C638646973348405149%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=B22k5K1KM2sHyjmiHDFXG0QDBIZZo%2Bnw1VKn8TEUuUw%3D&reserved=0)
https://www.nejm.org/doi/full/10.1056/NEJMoa1003955 (https://nam02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.nejm.org%2Fdoi%2Ffull%2F10.1056%2FNEJMoa1003955&data=05%7C02%7Cawheeler%40healthcommedia.com%7Ceeda155cc3834dc6796308dcee09ba73%7C3f4ea757b3cf448a82d0bcb2d44f9009%7C0%7C0%7C638646973348426363%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=zCoPVdohKz77mcudym4KC5LVoUGyHgN2HGkvwyOK6Io%3D&reserved=0)
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16 Oct 2024
Dr. Irina Koyfman discusses Chronic Care Management - Do’s, Don’ts, and Everything in Between.
In the fourth edition of the MCCRC Podcast, Dr. Kim Kuebler sits down with Dr. Irina Koyfman to talk about Chronic Care Management (CCM), getting in depth on what CCM really is, why specialists should consider doing CCM, and the future of CCM. Visit The Multiple Chronic Conditions Website here: https://multiplechronicconditions.org/
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16 Aug 2024
Dr. Matthew Sorenson discusses how the human immune system relates to Multiple Chronic Conditions
In the third edition of The MCCRC Podcast, Dr. Kim Kuebler sits down with Dr. Matthew Sorenson to talk about how the human body is impacted by chronic conditions, the different types of cells in the immune system, and the factors impacting immune health. Visit The Multiple Chronic Conditions Website here: https://multiplechronicconditions.org/
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3 Jun 2024
Dr. Glenna Crooks discusses her research on helping overloaded people remaining in the workforce
In this second edition of The MCCRC Podcast, Dr. Kim Kuebler sits down with Dr. Glenna Crooks to talk about her most recent research on helping overloaded people remaining in the workforce, along with her most recent book "The NetworkSage: Realize Your Network Superpower."
Order "The NetworkSage: Realize Your Network Superpower" here: https://www.amazon.com/NetworkSage-Realize-Your-Network-Superpower/dp/1532029624 (https://www.amazon.com/NetworkSage-Realize-Your-Network-Superpower/dp/1532029624)
The MCCRC Podcast EP #2: Dr. Glenna Crooks, PhD
Visit The Multiple Chronic Conditions Website here: https://multiplechronicconditions.org/
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14 May 2024
Dr Julian L. Gallegos discusses the link between diabetes and low testosterone in men
In this first edition of The MCCRC Podcast, Dr. Kim Kuebler sits down with Dr. Julian L. Gallegos to talk about T2DM, Obesity, and Hypogonadism.
Visit The Multiple Chronic Conditions Website here: https://multiplechronicconditions.org/ (https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqa0s5MkE2b1ktcFJlQXNmSjZma3hKUU9NdXpSZ3xBQ3Jtc0trUXIyX3Vnd1FVTUxKMEwzejVmdlZkbUFuYUxnb1BsWEg2N3prUUtETVdUTHBVaEQ0by0tUktJVFpndlRGYW80dGYwTFdtMXZDTFF2cDE3a3h3LUs2LXc1ZWFoTWRadXFOd3JQQTJ3RXB5bjJhS1czTQ&q=https%3A%2F%2Fmultiplechronicconditions.org%2F&v=yBfhFzrw-_I)
The MCCRC Podcast EP #1: Dr. Julian L. Gallegos, PhD, MBA, FNP-BC, CNL, CMHE, FAUNA
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YouTube views
988
Score snapshot 15 Sept 2025
Podcast Authority Score: 16 / 100
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Quality
5
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0
YouTube
66
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