Advanced Primary Care Management (APCM) makes medicine more fair

Extend great care to all your Medicare patients — with fair compensation. Phamily makes it easy.

Better care, better compensation.

Medicare launched APCM in 2025 to support proactive care delivered at scale (to thousands or tens of thousands of patients at once). APCM compensates you for extending between-visit care to all your Medicare primary care patients. And with Phamily, you can scale that care easily and profitably.

Achieve better health outcomes for your patients

Build trusted relationships with your patients

Patients are more likely to comply with medication regimens or lifestyle changes

1 month

to start driving revenue

90%

engagement with industry-leading satisfaction scores

$578k

annual revenue per 1,000 patients

50%

profit margin to reinvest in your practice

Get fair compensation for between-visit care.

How much time do your staff currently spend doing between-visit work for free?

Admin Activities

• Medical refills
• Prior authorizations
• Chart reviews
• Chart preparation
• Chart updates
• Lab reviews

Care Coordination

• Referrals
• ER follow-up
• Discharge follow-up
• Communication with providers

Care Management

• Phone calls
• Text messages
• Voicemails
• Follow-up
• Symptom Management
• Triage and care

Advanced Primary Care Management (APCM) can bring your practice to the next level...

Get fairly compensated for between-visit work

No time tracking or a chronic diagnosis required

Ease administrative burdens

Generate annual revenue of $578,000 per 1,000 patients enrolled

What is the difference between APCM vs. CCM?

Advanced Primary Care Management and Chronic Care Management are two similar Medicare programs. They both use fee-for-service reimbursement to drive value-based outcomes by compensating providers for between-visit work. However, there are important distinctions between how these programs work, and which patients qualify.

APCM with Phamily’s AI copilot

Phamily’s AI-powered care management platform enables just one care manager to support more than 500 patients, providing each of them with the consistent, quality care they deserve.

We'll help you every step of the way

• We’re the implementation experts — our workflows have been optimized against hundreds of practices just like yours
• Enroll patients without an office visit — we’ve got signups covered with tried and tested methods that immediately enroll up to 40% of eligible patients
• White-glove support — we’ll get your APCM plan up and running in the first 30 days so you can start driving revenue right away

Explore our APCM Resources

How Smart Health Systems Expand Access & Increase Patient Retention, Profitably

In this webinar, we’ll provide a roadmap to VBC-readiness that attendees can learn from and follow, with insights from the administrator of an independent hospital that successfully improved care and operational sustainability across its entire ambulatory care network.

What Happens When Every Patient Gets Care Management?

For Julia Boothe, MD, proactive care management has reshaped how her team delivers care. Learn how she has transformed care in her rural Alabama community by making high-quality care management accessible to all her patients, while creating a significant revenue stream and operational efficiencies for her practice.

Inside a High-Quality, Patient-Focused CCM Program

Partner at Regional Family Medicine, Lonnie Robinson, MD, FAAFP, thought a Chronic Care Management (CCM) program could help support patients between visits and close care gaps. He saw rapid adoption — enrolling 500 patients in just a couple of days.

The 4 Barriers Stalling Care Transformation

Patients with chronic conditions need help and support every day, but care management has always been too expensive to scale across every patient who needs it. That changed in 2025 when CMS introduced Advanced Primary Care Management (APCM). APCM pays you to manage all your Medicare patients — not just the sickest few — turning proactive care into a source of net operating income. So, why aren't more organizations already doing it?

How Independent Community Hospitals Can Weather the Coming Storm

Independent hospitals are the lifeblood of their communities. We’re betting on them to survive the coming economic crisis and continue their mission.

You Have 5 Days a Year With Your Patients. Who Has the Other 360?

Your patients walk in your doors and see your physicians maybe four or five times a year. What happens the other 360 days? You don't really know. Nobody in your organization does. The distance between what your metrics capture and what patients actually experience is where the real risk to your health system lives.

A Guide to Building Passive Income for the Physician-Led Practice

Unlock sustainable revenue without sacrificing patient care — or burning out providers and staff.

Phamily’s Public Comment on the CMS Request for Information; Health Technology Ecosystem

We can’t talk about an evolution in health tech without talking about an evolution in payment models and financial policy.

Mental Health and Chronic Condition Management

When we think about managing chronic conditions, we often focus on medications, labs, and lifestyle changes. But mental health plays a critical (and sometimes overlooked) role. Anxiety, depression, and emotional stress can make it harder for patients to stick to treatment plans, attend appointments, and stay motivated. That’s why integrating mental health into chronic condition care isn’t just beneficial—it’s essential.

Good Care Shouldn’t Begin in the Emergency Room

Over a decade ago, my father suffered a heart attack. In the weeks that followed, he received an overwhelming amount of care: hospital visits, specialists, medications, and lifestyle changes that were suddenly top priorities. But what struck me most was the glaring absence of professional support before his heart attack.

Why Independent Practices Need to Survive — and Thrive

Patients can receive great care in many different settings, from a large national health system to the office of a single rural physician. So why is there so much concern about the decline of independent practices?

5 Things to Consider When Evaluating APCM

Advanced Primary Care Management (APCM) is a new Medicare program that lets medical providers bill for between-visit work. Done well, APCM can improve patient outcomes while compensating healthcare organizations for pursuing value-based initiatives. However, APCM isn’t a good fit for every practice. Here are 5 things to consider to determine if APCM is right for you.

Have more questions? Check out our APCM FAQ.

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Talk to us

Whether you want to learn more about Advanced Primary Care Management (APCM), understand staffing options, or demo the Phamily platform, our experts are here to help.