By joining PrimeCare Managers ACO, independent primary care practices will have an added advantage to flourish in the future, as health care payment evolves to a platform of volume and value. Our healthcare world view recognizes the power of primary care, aligned directly with payers such as Medicare and direct-to-employer relationships.

PCM manages all aspects of an Accountable Care Organization.

• Handles the forming and application process with CMS

• Works with CMS to provide continuous, on-site practice transformation and support for doctors, nurses, and practice staff

• Ensures all partner physicians meet necessary ACO, meaningful use, and EHR and quality reporting requirements

• Provides customized technology to optimize existing EHRs and patient claims data

• Creates software, platforms, and applications to assist with patient outreach, engagement, and treatment

• Helps doctors build high-value referral networks

• Identifies at-risk patients

• Coordinates admission, discharge, and transfer status of patients

The Department of Health and Human Services announced in 2014 that Medicare will shift 50 percent of Medicare reimbursements towards alternative payment models like ACOs by 2018. Medicare Advantage payers are following by also shifting to value-based payments. In January 2015, the sustainable growth rate, or “SGR,” was replaced by Congress, which voted to give doctors a 5 percent bonus for participating in alternative Medicare payment systems like ACOs.

An ACO is a new regulatory model which empowers primary care physicians to drive, define and capture the value they create for the health care system through enhanced patient access, identification of at-risk patients, care coordination, chronic disease management, prevention, and care team interventions to fill gaps in care. In an ACO, primary care physicians continue to receive payments for their services; plus, you get additional revenue by sharing any savings from fewer avoidable emergency room visits, hospitalizations, and unnecessary and potentially harmful procedures.

PCM’s ACO empowers primary care physicians to remain independent, gain insight into their patients’ care, and share in the savings generated by their ACO. Doctors who work with PCM keep their independence — you are our partners. We are not consultants. We are not affiliated with any hospital or health system. Our interests are 100 percent aligned with our partner doctors; we succeed only when we help our practices generate shared savings.

PrimeCare Managers puts doctors back in control of healthcare. PCM partners with
independent, primary care physicians. As an Accountable Care Organization (ACO),
PCM provides care technology, business transformation services, and the upfront
capital for independent physician practices to succeed in value-based health care.