The Centers for Medicare & Medicaid Services (CMS) recently announced significant changes to how primary care providers will be paid starting in 2025. During our recent webinar, we explored the new Advanced Primary Care Management (APCM) services and what these changes mean for healthcare organizations. This new payment model represents an important step toward recognizing and supporting comprehensive primary care delivery, moving beyond the traditional fee-for-service approach to better align with how modern primary care teams actually work.
APCM introduces three new payment levels based on patient complexity and social needs, offering monthly payments ranging from approximately $15 to $110 per patient. Unlike current chronic care management codes, APCM eliminates burdensome time-tracking requirements while expanding eligibility to more patients. Key features include the ability to provide 24/7 access to care, comprehensive care management, and enhanced communication opportunities – all without specific time thresholds. During the webinar, we addressed numerous questions about implementation, from practice eligibility and documentation requirements to how APCM works alongside existing programs like ACOs and RPM.
For practices considering APCM implementation, now is the time to begin assessing readiness and planning for these changes. While CMS has provided the framework, successful adoption will require thoughtful preparation around workflow adjustments, staff training, and technology infrastructure. MD Revolution stands ready to support healthcare organizations in this transition, offering both the technology platform and clinical services needed to succeed with APCM. To learn more about how your organization can prepare for APCM, we encourage you to watch the full webinar recording and complete our readiness assessment.
