Principal Care Management: A Win-Win Opportunity for Patients and Practices

Who benefits?

Patients with a single, high-risk, or complex condition expected to last for at least 3 months are ideal candidates for Principal Care Management (PCM). This program allows them to receive comprehensive, coordinated care while managing their chronic condition, leading to improved outcomes and overall well-being.

For medical practices, PCM presents a new revenue stream by compensating them for the additional time and effort invested in managing complex patients. This compensation model recognizes the value of ongoing care coordination and proactive interventions, enabling practices to better support their high-risk patients while receiving appropriate financial recognition.

What services count?

The beauty of PCM lies in its flexibility. Any activity directly related to managing a patient's complex condition within the 30-minute monthly timeframe counts. This includes:

• Phone calls: Checking in on the patient's progress, addressing concerns, and providing ongoing education.

• Care plan updates: Tailoring the plan to evolving needs and treatment responses.

• Email and portal communication: Engaging the patient in their care and ensuring seamless communication.

• Collaboration with other providers: Coordinating care with specialists and therapists for a holistic approach.

• Overseeing transitions of care: Smoothly navigating between different care settings, such as clinical discharge or home healthcare.

Why consider PCM now?

With many practices facing reduced patient volumes due to the pandemic, PCM offers a valuable opportunity to diversify revenue and secure ongoing income. Additionally, physicians and mid-level providers can readily deliver PCM services remotely, making it a convenient and flexible option.

Reimbursement and potential:

Physicians can earn $85 per patient per month, while clinical staff members receive $40. This translates to significant potential revenue. For example, ten hours per week of PCM services provided by a physician, NP, PA, or CNS could generate over $5,000 per month, a much-needed boost for any practice.

Ready to explore PCM?

PCM offers a win-win situation for both patients and practices. If you're looking to improve patient outcomes, increase revenue, and adapt to the changing healthcare landscape, PCM could be the perfect solution.