A person sits at a desk using two monitors; one displays a security alert, and the other shows health dashboard charts and statistics related to Medicare Fee-for-Service and 2026 RPM coverage.
Key Takeaways•UnitedHealthcare (UHC) announced plans to restrict RPM coverage to only two conditions: heart failure and hypertensive disorders of pregnancy, across its Medicare Advantage, commercial, and Medicaid plans.•The policy has…
Key Takeaways•RTM and RPM are distinct programs. They monitor different data types, can serve the same patient populations, but cannot be billed together for the same patient in the same…
A Venn diagram labeled GLP-1, CCM, and RPM overlaps at the center with "Chronic Care Trifecta." Blurred in the background, two people hold hands—highlighting the unified impact of RPM, CCM, and GLP-1 in chronic care.
Key Takeaways • The RPM + CCM + GLP-1 Trifecta bridges the “management gap” for Medicare patients, ensuring that high-cost medications are backed by continuous physiological data and clinical oversight.…
A healthcare professional discusses outcome-based chronic care with an older woman, showing her information on a clipboard in a bright, indoor setting.
Key Takeaways The ACCESS Model is a 10-year CMS initiative shifting chronic care from volume-based to outcomes-based reimbursement. CMS is introducing Outcome-Aligned Payments (OAPs) to reward measurable clinical improvements in…
Wooden blocks with various healthcare, technology, and automotive icons are stacked in front of rising blue arrows and a red upward graph line, symbolizing growth in multiple sectors like BHI Integration and G0558 Reimbursement.
Key Takeaways APCM (Advanced Primary Care Management) includes 13 required service elements that practices must meet. Integrating Behavioral Health Integration (BHI) enhances holistic patient care. Care teams help patients navigate…
A person in an orange shirt touches a virtual screen displaying a rising financial chart, highlighting the projected rpm reimbursement increase 2026 with upward arrows and glowing data points.
Key Takeaways CMS increased RPM and CCM reimbursement rates by 7–21% for 2026. New billing codes expand the revenue potential of remote care programs. Practices can convert previously uncompensated care…
Major 2026 Updates to RPM, CCM, BHI, and APCM Remote Patient Monitoring (RPM) For Calendar Year (CY) 2026, CMS finalized important updates to the Remote Physiologic Monitoring (RPM) and Remote…
A hand places a wooden block with a medical cross above four blocks displaying sad, worried, neutral, and happy face icons, symbolizing Better Outcomes for CHF Patients through Remote Patient Monitoring.
The Centers for Medicare and Medicaid Services (CMS) is proposing key changes to the 2026 Medicare Physician Fee Schedule that could significantly increase the profitability of Advanced Primary Care Management…
A doctor discusses paperwork with a patient at a desk, with a clipboard, pen, and stethoscope visible in the foreground—highlighting the impact of Remote Patient Monitoring on care.
The 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule introduces billing changes that could significantly boost the ROI and clinical flexibility of your RPM program. But to take full advantage,…
A doctor gently holds a patient's hand, offering comfort and support—a compassionate approach that reflects the principles of Value-Based Care. The patient wears a hospital wristband.
Key Takeaways APCM and CCM programs complement each other in value-based care models. Combining programs allows providers to serve more patients while improving care quality. Integrated care management supports better…
