Expand Care for All Medicare Patients with Advanced Primary Care Management.

Advanced Primary Care Management incorporates elements of many other care management programs, like Chronic Care Management, Transitional Care Management, and Principal Care Management. However, Advanced Primary Care Management is available to all Medicare patients regardless of their number of chronic conditions, needs to be overseen by providers who intend to be the focal point of primary care for their patients, and includes advanced, complex service-level capabilities, like patient stratification, support with transitioning between healthcare settings, and connections with community resources and home care.

The same practice can offer multiple care management programs. However, patients can only enroll in one program at a time.

APCM is operationally complex, with several advanced capability requirements. Practices will need to integrate HETS database eligibility data, hospital discharge notifications, bi-directional electronic clinical imagining and data capabilities, population health inclusive of claims and clinical data, 24-hour clinical care, referral networks to community and social determinant resources, regular patient check-ins on care goals and care plans, medication reconciliation, and ongoing population health analytics. Organizations that are experienced in care management can help you fulfill the many requirements of APCM so you can receive reimbursements and serve your patients.

Many Advanced Alternative Payment Models, like Primary Care First, Making Care Primary, or ACO Reach, still allow providers to receive APCM fee-for-service reimbursements for patients as well as capitated payments. Reach out if you’d like more information on your specific AAPM.