In this model, APCM provides the payment foundation, while technology-enabled partners provide the operational layer needed to deliver on its promise at scale. (Forbes) 

By Eve Cunningham, Forbes, Contributor | Dr. Eve Cunningham is a physician leader in senior and women’s health.

April 24, 2026 at 07:00am EDT Apr 24, 2026 at 10:46am EDT – Advanced Primary Care Management (APCM) is Medicare’s effort to address these gaps at scale. Launched January 2025 (HCPCS G0556–G0558), APCM pays practices a per-patient, per-month fee for a defined bundle of services: 24/7 access, patient-centered care plans, care-transition management, enhanced asynchronous communications, population-level management and quality reporting. The codes are tiered for complexity, with higher payments for patients who have multiple chronic conditions and for low-income seniors. Importantly, APCM removes the burdensome time-tracking requirements that limited adoption of prior care-management codes and introduces predictable, subscription-like revenue without requiring patients to pay a retainer.

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SOURCE: https://www.forbes.com/sites/evecunningham/2026/04/24/concierge-medicine-was-built-for-the-few-heres-how-to-open-it-to-the-many/

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