Principal Care Management (PCM)

What is Principal Care Management (PCM)?

PCM is a program established by CMS to reimburse practices for providing focused, monthly care coordination for patients with a single high-risk chronic condition. The goal of PCM is to actively manage and stabilize the most pressing health issue a patient faces—helping prevent complications and avoidable hospitalizations, especially within the Medicare population. This targeted approach supports proactive care and improved outcomes for patients dealing with serious, ongoing health concerns.​

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What is required to complete a PCM?

• 1 or more Chronic Conditions

• 30 minutes of monthly monitoring by a member of the healthcare staff

• Individualized Care Plan

• Medication Reconciliation

• Care Transition Assistance

• Preventive Screening Encouragement

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Goals of Principal Care Management (PCM)

• Engage members in preventive medicine

• Empower patients to manage health

• Reduce ER and Hospital visits

 

Why partner with PCI for CCM?

• 50%+ patient engagement rates across multiple physician practices

• Comprehensive quality reporting and actionable data

• Improved Overall patient care

• Experienced, highly trained PCM staff dedicated to personalized care

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 Reach out to us to see how our Chronic Care Management program can support your practice and improve patient care.