Onboard
We provide thorough training for you and your entire staff.
Advanced Primary Care Management
Expand Care for All Medicare Patients with Advanced Primary Care Management.
Patient Stratification Based on Need
Adapt the care provided to patients’ health needs.
Building Relationships with Patients
Offer support when patients transition between healthcare settings.
Enhanced Outcomes with On-Demand Care
Target care gaps and social determinants of health needs.
Dramatic Revenue*
Opportunities for Practices
Generate recurring revenue without overwhelming your staff.
*Results may vary by provider.
Personalized care.
Between office visits.
Advanced Primary Care Management (APCM) services let you connect with Medicare patients between office visits, focusing on preventative care and predictable engagement. We collaborate with your practice to manage the complexities of stratifying patients into levels, supporting their transitions between care settings, connecting them with Social Determinants of Health resources, creating care plans and goals, and more.
75.07
Average Patient Net Promoter Score
45%
Average Proven Patient Enrollment Rate
$288,000+
Estimated Net Revenue*
for every 1,000 eligible Medicare patients
*Results may vary by provider.
Enhance patient relationships through remote care.
APCM helps you extend care for your patients with ongoing, preventive check-ins between in-person visits. Our care managers will connect with your patients during care setting transitions, when they have socioeconomic needs, and through a 24/7 care line, keeping them continuously engaged and supported.
Patients Receive
- 24/7 access to our care line
- Convenient, digital communication
- Comprehensive care plans and goals
- Support when transitioning between healthcare settings
- Help with medication reconciliation and refills
- Appointment scheduling assistance
- Connections to community support resources
- Transportation, food, housing, and utilities
APCM patients are stratified into three levels:
Level
For patients with one or no chronic conditions ($15 reimbursement per patient, per month)*
Level
For patients with two or more chronic conditions ($50 reimbursement per patient, per month)*
Level
For patients with two or more chronic conditions who are Qualified Medicare Beneficiaries (QMB) ($110 reimbursement per patient, per month)*
*National averages
Our Process
With ChartSpan, APCM is easy. We handle the details.
Identify & Enroll
We identify eligible patients, you approve the eligibility list, and we enroll them in the program.
Engage
We reach out monthly to your enrolled patients to help them play an active role in their care management.
Intervene
We support patients at your practice in achieving positive health outcomes.
Measure
We track quality, measure performance, and support compliance.
Bill
Our RapidBill™ technology allows you to review and bill with ease.
APCM That Lightens Your Staff’s Workload
As a full-service APCM company, we manage the logistics.
All You Have to Do is
- Ensure ChartSpan has access to your EHR
- Review and approve the eligible patient lists provided by ChartSpan
- Manage clinical notifications, providing General Supervision, Incident To
Proven Results
Why partner with ChartSpan?
Take advantage of our established infrastructure for patient care programs, with consistently positive patient satisfaction and enrollment rates. Experience complimentary MVPs and Quality Improvement services and time savings for your practice.
Frequently Asked Questions
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.
Empower your providers and delight your patients!
Proactively address patient health with preventive care programs that provide more revenue for your practice and more personalized care for your patients.
A Guide to Advanced Primary Care Management
What are its requirements, and how can a practice set up an APCM program? Download our guide to find answers to those questions for your practice.
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