Programs to evaluate
RPM, CCM, APCM, or TCM may merit evaluation depending on the clinical need, responsible practitioner, payer mix, patient preference, and operating requirements. The goal is not to force every patient into every program.
Request an assessment HOME-BASED PRIMARY CARE · CALIFORNIA
PrimeVital helps practices operate a low-burden, patient-permissioned care model that reduces duplicate calls and makes provider updates more useful.
Request a 10-day payer and population assessmentWHO THIS IS FOR
Practices caring for seniors and home-based patients with chronic conditions, post-discharge needs, medication complexity, functional changes, caregiver involvement, or high need for continuity beyond the visit.
RPM, CCM, APCM, or TCM may merit evaluation depending on the clinical need, responsible practitioner, payer mix, patient preference, and operating requirements. The goal is not to force every patient into every program.
Patient list preparation, enrollment workflow, outreach coordination, evidence tracking, escalation routing, reporting, and revenue-cycle handoffs around the practice’s clinical model.
Clinical eligibility, treatment decisions, thresholds, escalation authority, practitioner oversight, final documentation, coding, and billing decisions.
THE 90-DAY PILOT
After a written go recommendation, the pilot is deliberately narrow: typically 25–75 selected patients, a provider-approved escalation protocol, weekly launch reviews, monthly claims-readiness work, and an end-of-pilot expansion or stop recommendation.
Identify a small patient population with a meaningful between-visit care need.
Map existing outreach, preferred channel, language, timing, and patient cost-share questions.
Set one accountable outreach plan and provider-approved escalation pathway.
Operate the pilot with weekly launch review, monthly quality review, and an end-of-pilot recommendation.
WHAT WE MEASURE
The scorecard follows the full path from a potential population to appropriate retention and clinical follow-through.
START WITH A FEASIBILITY REVIEW
The assessment can result in a go, a no-go, or a recommendation to solve a workflow or payer issue first.
DESIGN A PRACTICAL STARTING POINT