Medsien has introduced its Advanced Primary Care Management (APCM) programme, a solution aimed at assisting healthcare organisations in transitioning to the US Centers for Medicare & Medicaid Services’ (CMS) new care model. 

This model aims to enhance chronic care delivery and promote sustainable growth.

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Medsien’s APCM programme is a response to the CMS’ 2025 initiative, which introduced a new direction for Medicare reimbursement.

The traditional time-based needs have been replaced with a monthly per-patient payment model, using G0556, G0557, and G0558 billing codes.

Healthcare providers can categorise patients according to their risk levels and receive consolidated payments for a wide array of services, encompassing chronic, primary and transitional care management, virtual visits, telehealth check-ins, and remote evaluations.

The transition underscores the significance of preparedness and continuity of care, rather than administrative time tracking, enabling practices to concentrate on patient care.

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The APCM programme by Medsien presents a swift, scalable, and forward-thinking approach that allows medical practices to become operational in as little as five days.

It facilitates implementation without the requirements for additional personnel or intricate induction procedures, integrates with electronic health records (EHR) for consistent and automated record-keeping, and AI-driven workflows that streamline programme operations while ensuring compliance.

Additionally, Medsien provides a full-service delivery model that covers everything from patient identification to tailored ongoing outreach, with care delivery managed by a team of dedicated care partners.

Medsien co-founder and CEO Hamed Ahmadi said: “This programme is more than a billing opportunity, it’s a transformation in how care is delivered.

“We’ve built APCM to help practices embrace relationship-based, proactive care with confidence and scalability.”

The launch of Medsien’s APCM solution is a step towards lessening the operational burden on healthcare organisations, ensuring compliance with new regulations, and empowering them to excel in the current value-based care landscape.

This initiative is part of Medsien’s aim to enhance care, leveraging patient-centred design and intelligent systems.