Advanced Primary Care Management
Enhance patient relationships through remote care
Advanced Primary Care Management (APCM) services empower your practice to stay meaningfully connected with patients between visits, driving stronger preventive care outcomes and more predictable engagement.
Our team works alongside yours to streamline patient stratification, guide seamless care‑setting transitions, connect individuals with essential Social Determinants of Health resources, and build personalized care plans that keep patients on track.
The result is a more coordinated, proactive care experience that elevates patient satisfaction and supports your practice’s growth.
Advanced Primary Care Management (APCM) expands your reach beyond the exam room, delivering continuous, preventive touchpoints that keep Medicare patients engaged between in‑person visits.
Our dedicated care managers proactively connect with your patients during care‑setting transitions, address socioeconomic needs that impact their health, and offer round‑the‑clock support through a 24/7 care line.
The result is a seamless, always‑on care experience that strengthens patient relationships and elevates outcomes.
APCM patients are stratified into three levels:
Level 2
For patients with two or more chronic conditions ($50 reimbursement per patient, per month)*
Level 3
For patients with two or more chronic conditions who are Qualified Medicare Beneficiaries (QMB) ($110 reimbursement per patient, per month)*
*Based on National Averages
Level 1
For patients with one or no chronic conditions ($15 reimbursement per patient, per month)*
Frequently Asked Questions
Still have questions? Take a look at the FAQ or reach out anytime. If you’re feeling ready, go ahead and apply.
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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.
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The same practice can offer multiple care management programs. However, patients can only enroll in one program at a time.
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Advanced Primary Care Management (APCM) comes with a high level of operational complexity and requires a robust set of capabilities.
Practices must be able to integrate HETS eligibility data, receive real‑time hospital discharge notifications, support bi‑directional clinical imaging and data exchange, and maintain comprehensive population health tools that incorporate both claims and clinical data.
They also need 24/7 clinical support, strong referral networks for community and social‑determinant resources, consistent patient check‑ins tied to care plans and goals, medication reconciliation workflows, and continuous population health analytics.
Partnering with an experienced care‑management organization can streamline these requirements, helping your practice stay compliant, secure reimbursement, and deliver a higher standard of patient care.
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Many Advanced Alternative Payment Models—such as Primary Care First, Making Care Primary, and ACO REACH—continue to allow providers to earn APCM fee‑for‑service reimbursements alongside their capitated payments. If you’d like clarity on how APCM fits within your specific AAPM, please contact us.