What could APCM be worth to your practice?

Enter your traditional Medicare patients and get a monthly figure. Same model we used for the estimates on the fax. Gross, before staff time. Nothing is stored.

Traditional Medicare patients seen in the last 12 months Share of eligible patients who enroll: 30%

30% is what outside care-management companies typically reach. 45% is shown alongside as a stretch target.

Advanced assumptions

Share with two or more chronic conditions (%) Dual-eligible share (%)

Dual-eligible means Medicare plus Medicaid. National average about 15%; higher in low-income areas.

Share of duals who are Qualified Medicare Beneficiaries (%) Share of patients whose other coverage pays the 20% coinsurance (%)

Medigap, employer retiree or Medicaid coverage. About three in four traditional Medicare beneficiaries (KFF, 2023 data).

—per month at 30% enrollment

—per month at 45% enrollment

—ceiling: every eligible patient enrolled

—ceiling counting only patients whose coverage pays the 20%, so they never see a bill

Basis: Level 1 — patients × $16.37, Level 2 — × $53.78, Level 3 (QMB) — × $117.24, 2026 national non-facility rates. Annual at the selected enrollment: —. Of the no-copay ceiling, — per month comes from QMB patients, who cannot be billed cost-sharing at all.

Take the 3-minute survey What APCM actually requires