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Illustration comparing declining fee-for-service reimbursement against rising CCM and RPM revenue, showing how care management programs protect Medicare practice income in 2026.

Does Your Practice Depend Too Much on Fee-for-Service? How CCM and RPM Protect Your Revenue in 2026

Key Takeaways • CMS finalized a -2.5% efficiency adjustment to work Relative Value Units (RVUs) for non-time-based services in 2026, compressing reimbursement across thousands of ...
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Medical practice administrator reviewing a UHC policy warning document alongside an RPM health dashboard showing positive patient outcomes, illustrating the contrast between UHC's 2026 RPM coverage cuts and Medicare fee-for-service expansion

UnitedHealthcare’s Proposed 2026 RPM Coverage Cuts: What It Means for Your Practice and Why Medicare Fee-for-Service Still Has You Covered

Key Takeaways • UnitedHealthcare (UHC) announced plans to restrict RPM coverage to only two conditions: heart failure and hypertensive disorders of pregnancy, across its Medicare ...
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Split-screen image showing an elderly patient using a pulse oximeter with a blue heartbeat waveform overlay on the left representing Remote Patient Monitoring, and a standing adult doing a knee lift exercise beside a physical therapy tablet app on the right representing Remote Therapeutic Monitoring

RTM vs. RPM: What the 2026 CPT Code Changes Mean for Your Practice

Key Takeaways • RTM and RPM are distinct programs. They monitor different data types, can serve the same patient populations, but cannot be billed together ...
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RPM Logix Trifecta Model Analysis-Integrating GLP-1 Therapy with RPM and CCM for Medicare Compliance

RPM + CCM + GLP-1: The New Chronic Care Trifecta for Medicare Patients

Key Takeaways • The RPM + CCM + GLP-1 Trifecta bridges the “management gap” for Medicare patients, ensuring that high-cost medications are backed by continuous ...
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CMS ACCESS Model physician reimbursement comparison — RPM Logix FFS vs outcome-based payment analysis

Is the CMS ACCESS Model Worth It for Primary Care Physicians? An Honest Look at the Numbers

Key Takeaways The ACCESS Model offers significantly lower reimbursement rates ($180–$420/year) compared to traditional RPM and CCM programs ($1,500–$2,400/year). Enrollment in ACCESS creates “billing exclusivity,” ...
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CMS ACCESS Model 2026 — RPM Logix Population Health Analytics for physician practices

CMS ACCESS Model for Outcome-based Chronic Care

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 ...
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