PCM programs built for practices managing a single complex condition at scale.
PCM allows practices to focus care coordination around a primary condition — such as heart failure, COPD, or diabetes — without diluting effort across unrelated diagnoses.
Symptom monitoring, fluid management, medication optimization.
Exacerbation prevention, inhaler adherence, pulmonary rehab coordination.
Glucose management, lifestyle coaching, complication prevention.
Any serious condition requiring focused longitudinal management.
Tailored care pathways for each primary condition.
Documentation tied to specific condition goals.
Regular patient touchpoints focused on the primary diagnosis.
Time tracking and billing support per program requirements.
Pair with monitoring when clinically appropriate.
Track condition-specific metrics and improvements.
Cardiology, pulmonology, endocrinology, and other specialties.
Populations with a dominant primary condition.
When CCM feels too broad for your patient needs.
PCM succeeds when it delivers focused care coordination for high-complexity patients. Here's what that looks like:
Focused coordination drives deeper patient relationships and better adherence.
Condition-specific focus means less documentation sprawl and clearer goals.
PCM supports monthly billing for ongoing condition-specific management.
Let's discuss how PCM fits your specialty practice and patient population.
