In today’s evolving healthcare landscape, the need for targeted, proactive care is more critical than ever—especially for patients dealing with a single high-risk or complex chronic condition. Principal Care Management (PCM) is a Medicare-supported service that allows providers to offer structured, ongoing support to these patients, improving health outcomes while opening new avenues of revenue. At Merit Evexia, we offer a fully managed PCM program that makes it simple for your practice to deliver exceptional, compliant care—without increasing the workload on your staff.
🎯 What Is Principal Care Management?
PCM is specifically designed for patients who have one serious chronic condition expected to last at least three months and place them at significant risk of hospitalization, functional decline, or death. Unlike Chronic Care Management (CCM), which supports patients with two or more conditions, PCM focuses on delivering intensive care coordination for a single condition that is currently the patient’s primary concern.
This program is ideal for individuals with conditions like uncontrolled diabetes, congestive heart failure, COPD, or cancer—patients who require focused, high-touch management to stabilize their health and prevent complications.
💡 How Merit Evexia Simplifies PCM for You
Our end-to-end PCM solution allows healthcare providers to implement and scale this service with ease. Here’s how we help:
- Patient Identification & Enrollment
We help you identify eligible patients and obtain the required consent. - Personalized Care Planning
Our team develops condition-specific care plans tailored to each patient’s needs and goals. - Monthly Outreach & Monitoring
We maintain regular communication with patients, monitor progress, and address barriers to care. - CMS-Compliant Documentation
Every minute is documented according to Medicare guidelines to ensure full reimbursement. - Billing & Reporting
We handle coding, claims submission, and revenue tracking—so your practice gets paid promptly.
🩺 Why PCM Matters
- Provides focused care for high-risk patients with serious chronic conditions
- Improves patient satisfaction and adherence through regular, personalized engagement
- Reduces avoidable ER visits and hospital readmissions
- Offers a new monthly revenue stream with minimal in-practice effort
- Keeps your practice aligned with value-based care models
📞 Partner with Merit Evexia
At Merit Evexia, we become an extension of your care team. Our goal is to help you offer more comprehensive support to patients while simplifying your clinical and administrative burden. With our fully managed PCM program, you’ll deliver better care, improve outcomes, and grow your practice—without added stress.
Contact us today to learn how Principal Care Management can benefit your patients and your practice.
