Advanced Primary Care Management Services

Advanced Primary Care Management Services (APCM) are Medicare's comprehensive care management programs that provide primary care providers with monthly reimbursement for delivering proactive, coordinated care to patients across three complexity levels, combining elements of chronic care management, care transitions, and population health management into a single bundled service.
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Product Info

Min. Group Size

100 eligible

Lives Serviced

200,000

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Proactive MD's core service is Advanced Primary Care. While most traditional onsite providers act as supplements to the healthcare system, Proactive MD positions its Health Centers as replacements for community-based primary care and... Show More
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-

Lives Serviced

-

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Our model shifts the focus away from quantity of services towards quality of care via a true value-based approach. Offering longer appointments, we are restoring the patient-provider relationship. Our providers can address any... Show More
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Company Overview

Founded

2018

Employees

600

Funding Summary

Not Provided

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About Galileo

Galileo is reimagining healthcare to help employers deliver better health outcomes, efficiently and affordably. Our connected, digital-first platform provides employees with 24/7 virtual access to a multidisciplinary care team of primary, specialty, and behavioral care experts. By leveraging our clinical expertise, we bring high-quality care to your team, helping drive improved employee engagement, retention, and productivity. We partner with health plans, employers, and benefit leaders to deliver a streamlined healthcare solution that meets the needs of the modern workforce. Show More
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Company Overview

Founded

2007

Employees

3,300

Funding Summary

Not Provided

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About Amazon One Medical

One Medical challenges the notion that delivering high-quality, accessible health care is unachievable and prohibitively expensive. In fact, we’re working to prove that just the opposite is possible — a system where quality care is affordable and available to everyone. To bring this vision to life, we rely on people-centered design, smart application of technology, and a team of talented primary care providers who have the time and tools to make the right decisions. The integration of these elements allows us to offer a seamless experience that not only saves our patients time and money but also leads to better... Show More
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Company Overview

Founded

1979

Employees

0

Funding Summary

None

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About Cerner Corporation

Together, let’s empower a healthy workforce.

Our goal is to help your organization reduce expenses, improve the health, well-being and productivity of your workforce, and attract and retain talent by offering unique benefits.

As one of the world’s largest health care companies, Cerner is focused on Population Health, helping you to know your population, engage each person, and manage their outcomes.

At Cerner, we work with 200+ employers of different sizes and industries. We live what we do as a company, providing services to more than 28,000 of...
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Company Overview

Founded

2002

Employees

5,600

Funding Summary

Not Provided

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About Teladoc Health, Inc.

Teladoc Health is the #1 most recognized and trusted virtual care brand. We have the first-mover advantage in telehealth with a platform built over 20+ years. Our platform is proven to deliver outcomes at an unmatched scale, including 20K+ visits per day. We are executing on a strategy that continues to raise the bar for virtual care for our members and 12K+ clients.

Over 102.4M people in the U.S. now have access to one or more of our services, including over a million enrollees in our chronic condition management programs. In the last year, we've enabled...
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Product Info

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-

Lives Serviced

-

Average Cost

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Firefly offers hybrid advanced primary care services. We use a care team approach -- each member who chooses to engage in Firefly APC services works with a nurse practitioner, primary care physician, behavioral... Show More
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Company Overview

Founded

2018

Employees

0

Funding Summary

Not Provided

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About Apaly Health

Apaly makes it simple for TPAs, brokers, consulting firms, and health plans to bring Advanced
Primary Care (APC) to their plan members. Our platform ensures nationwide coverage, seamless
claims-based billing, and powerful analytics—while eliminating administrative burdens.
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Company Overview

Founded

04/2007

Employees

0

Funding Summary

Not Provided

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About Vera Whole Health

Vera Whole Health started out in the business of behavior change with a vision to address the root cause of disease. We began in 2007 as a wellness studio with the mission to help people change behaviors by esteeming them through empathetic listening and applied our approach to the corporate setting in 2009. We opened our first care center in 2012 and now operate 28 care centers in nine states. Vera Whole Health, Inc. is a C-Corporation.
For on-site care centers, our target population size is 2,500 or more employees and their families, justifying a fully staffed care...
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Company Overview

Founded

2005

Employees

200

Funding Summary

Not Provided

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About WeCare tlc

Founded in 2005, WeCare tlc has transformed primary care delivery for 20 years, providing over 3 million patient visits. WeCare tlc is the only continuously held, independent, second-generation, family-owned company who offers a unique consultative approach tailored to the specific needs of organizations. As a WBENC woman-owned company, WeCare tlc is dedicated to fostering a diverse and inclusive environment for employees, patients, and clients.

WeCare tlc is a leader in advanced primary care solutions, specializing in the implementation and management of onsite, near-site, and collaborative primary care health centers for employers. We partner with businesses to...
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Product Info

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-

Lives Serviced

-

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Accolade Care is our own purpose-built Advanced Primary Care practice deployed virtually and designed from the ground up to serve patients with comprehensive care needs. Accolade Care provides video, voice, and chat-based access... Show More
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Product Info
Company Overview

Founded

2012

Employees

2,114

Funding Summary

Not Provided

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About Oscar

Health care is broken; we're trying to fix it. The Oscar team is focused on utilizing technology, design and data to humanize health care. We're a group of technology and health care professionals who looked at the current state of the US health care system, got frustrated by the horrible consumer experience, and decided to do something big about it. Backed by a renowned set of investors and advisors, we’ve set out to revolutionize health care.

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Company Overview

Founded

1990

Employees

0

Funding Summary

Not Provided

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About Advanced Health Center

Advanced Health Center | Integrative & Functional Medicine is a company based out of 46 S. Glebe Rd. Arlington ,Virginia, 22204 United States. Advanced Health Center : Integrative & Functional Medicine | Primary Medical Care | Kind Acupuncture | Modern Chiropractic | Recovery Physical & Sports Medicine | Traditional Chinese Medicine (TCM) | Nutritional & Herbal Medicine | Fertility Support | Bio-Identical Hormone Therapy | Natural Remedies | Weigh-Loss Management. We just don’t treat diseases, we treat the “Whole-Body” and believe you should be Kind to your Mind, Body & Spirit.
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Founded

Employees

0

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Not Provided

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About Advanced Primary & Geriatric Care

AT ADVANCED PRIMARY CARE, WE ARE COMMITTED TO PROVIDING OUTSTANDING PATIENT CARE, WITHOUT BILLING INSURANCE. MOST OF OUR PATIENTS HAVE HEALTH INSURANCE, BUT IT IS NOT REQUIRED AT OUR OFFICE. OUR PRACTICE IS A MEMBERSHIP MODEL, LIKE NETFLIX OR SAM'S. YOUR MONTHLY MEMBERSHIP INCLUDES A WIDE RANGE OF MEDICAL SERVICES, WITHOUT ANY COPAYS OR ADDITIONAL FEES. WE ALSO WORK INCREDIBLY HARD TO OBTAIN AFFORDABLE PRICING FOR SERVICES THAT NEED TO BE HANDLED OUTSIDE OUR OFFICE. WE SHARE THESE WHOLESALE PRICES WITH OUR PATIENTS, SO THAT THEY CAN STOP WORRYING ABOUT MEDICAL BILLS AND FOCUS ON KEEPING THEMSELVES AND THEIR FAMILIES... Show More
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Founded

Employees

0

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About Advanced Primary Care

The patient-centered alternative that gives you more control over your health and wellness by courageously defying the way things have always been done.
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Company Overview

Founded

2012

Employees

0

Funding Summary

Not Provided

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About Advanced Urgent Care

Advanced Urgent Care combines high quality medical care with compassionate care. We provide treatment like an emergency room and beyond an urgent care clinic. - Board-Certified Internal Medicine Or Family Physician with Emergency Room Experience . - Comprehensive, On-site Very Advanced Diagnostic Equipment. - Up to 70% saving compared to Same Hospital-Based Emergency room Visit. - Minimum Waiting. No appointments. - Open 365 days a year.
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Company Overview

Founded

2008

Employees

0

Funding Summary

Not Provided

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About Avance Care

Since 2008, Avance Care has been an innovative primary care provider offering convenient, cost effective health care services. We operate a system of primary care practices across North Carolina and utilizes a proprietary operating platform comprised of sophisticated information technology systems and highly developed workflow processes and procedures. Our unique operating system has enabled us to generate industry-leading patient satisfaction rating, quality of care, and efficiency.
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Company Overview

Founded

2015

Employees

145

Funding Summary

Not Provided

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About Catalyst Health Group

Catalyst Health Group enables primary care to be the difference-maker in patients’ lives that it was always meant to be. As the creator of Texas’ largest clinically integrated network for primary care providers, Catalyst’s team supports more than 1.5 million patients in every moment that matters. Our work improves patient health and reduces overall costs in sustainable, scalable ways. Together, we help communities thrive.

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Founded

Employees

0

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About CenterWell Senior Primary Care

CenterWell Senior Primary is a network of one-stop doctor’s offices that offer complete care for Medicare and Medicare Advantage patients, with a focus on senior primary care. Each location is home to a cross-disciplinary Care Team staffed by doctors, care coaches, behavioral health specialists, clinical pharmacists and other professionals who offer 24/7 holistic care.
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Company Overview

Founded

2008

Employees

0

Funding Summary

Not Provided

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About Elite Health

EliteHealth provides patients with an in-depth map of their health and just as importantly, an action plan to improve it. With all in-house diagnostic testing, we are committed to provide you with all the results. By combining the latest scientific technology with an unparalleled level of personal care and attention, EliteHealth delivers an incomparable patient experience.
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Frequently Asked Questions

What is Advanced Primary Care?

Advanced primary care is an enhanced healthcare delivery model that provides comprehensive, coordinated, and personalized primary care services with extended appointment times, proactive wellness management, care team collaboration, and improved patient access to support better health outcomes and patient experience.

What is Advanced Primary Care Management?

Advanced primary care management is a comprehensive healthcare approach that coordinates and optimizes primary care delivery through care team collaboration, population health strategies, chronic disease management, preventive care protocols, and data-driven patient engagement to improve health outcomes while reducing costs and enhancing the patient experience.

How many Levels of Advanced Primary Care Management are there?

There are three levels of Advanced Primary Care Management (APCM) under Medicare's program that launched in 2025: Level 1 (G0556): For patients with one or zero chronic conditions Level 2 (G0557): For patients with two or more chronic conditions Level 3 (G0558): For patients with two or more chronic conditions who are also Qualified Medicare Beneficiaries (QMB) These three levels allow providers to stratify patients based on their medical complexity and provide appropriate care management services, with different reimbursement rates corresponding to each level of patient needs.

What is Advanced Access in Primary Care?

Advanced access in primary care is a scheduling and care delivery model designed to provide patients with timely access to their healthcare providers by offering same-day or next-day appointments for urgent needs, reducing wait times, eliminating appointment backlogs, and improving overall patient access to care through optimized scheduling practices and workflow management.

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