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Programs

A coordinated portfolio of care programs.

Six programs with distinct purposes. Some are ongoing; TCM and AWV are episodic. Eligibility and combinations are always determined patient by patient.

Program comparison
ProgramPurposeCadenceDevice
RPMRemote Patient MonitoringConnect relevant home measurements with a defined monitoring and follow-up workflow.OngoingProgram-appropriate device
CCMChronic Care ManagementCoordinate between-visit care for patients managing multiple chronic conditions.OngoingNot required
BHIBehavioral Health IntegrationConnect behavioral-health coordination with the patient's broader medical care.OngoingNot required
PCMPrincipal Care ManagementOrganize focused care management around a complex, high-risk chronic condition.OngoingNot required
TCMTransitional Care ManagementCoordinate outreach and follow-up during the transition from a qualifying care setting.EpisodicNot required
AWVAnnual Wellness VisitsOrganize preventive-care planning, health-risk assessment, and follow-up workflows.EpisodicNot required

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