PCM
Principal Care Management
Principal Care Management provides focused care management for a patient's single complex chronic condition—often in collaboration with the specialist who manages that condition.
Assess PCM for your organizationScoped workflow
How PCM works
Illustrative workflow. Specific responsibilities are agreed with each organization.
- 01
Identify
Specialist and practice identify patients with a qualifying complex condition.
- 02
Plan
A disease-specific care plan is established.
- 03
Follow up
Structured check-ins track adherence, symptoms, and barriers.
- 04
Collaborate
Coordination with the specialist and other care-team members.
- 05
Document
Activities are documented for provider review.
PCM and CCM are not interchangeable. PCM centers on one complex condition; CCM addresses multiple chronic conditions through a comprehensive plan.
Program considerations
Specialty collaboration
PCM fits naturally into specialty practices—cardiology, pulmonology, endocrinology, nephrology—where one condition is the primary driver of care needs.
Focused follow-up
Follow-up concentrates on the specific condition: symptom trends, treatment adherence, and upcoming care milestones.
Implementation, documentation, and coverage
Implementation steps, documentation standards, and reporting formats are agreed during scoping. Coverage and reimbursement vary by payer, patient, service, documentation, and applicable requirements.
Common questions
When is PCM preferred over CCM?
When one complex condition is the focus of care management, typically in a specialty setting. Eligibility is determined by the provider according to applicable requirements.
Is PCM right for your patients?
Discuss program fit, responsibilities, and implementation with Kare.