Care
Coordination shouldn’t depend on heroics
- Portal messages, phone calls, scripts, and refills spread across inboxes and sticky notes
- Clinicians and staff doing hours of care between visits that no system sees or supports
- High-risk patients slipping through the cracks because no one has a full view
- Month-end care-management billing that feels like forensic work, not a workflow
- Valuable care work going unbilled because no one has time to document it—work you’re already doing, revenue you’re not capturing
Care makes this work visible, organized, and sustainable—without turning your clinicians into time-trackers.
What Care adds under the waterline
Built on a solid picture and real outcomes
Care doesn’t work in a vacuum. It’s most powerful when it’s built on clear assessments and visible outcomes.
Assess
Provides the whole-person context and documentation at intake.
Monitor
Shows whether symptoms and functioning are changing over time.
Care
Uses both to prioritize outreach, coordinate the team, and support the care-management models that keep continuous care funded.
Examples of what Care can support
Built for behavioral health and primary care practices that want to deliver excellent care sustainably.
Supporting care-management models—not replacing them
Care supports, not dictates, care-management models. You choose which models fit your patients and payers; our role is to help you run them in a way your team can live with.
Chronic Care Management
(CCM 99490 / 99487 / +99489)
Collaborative Care Management
(CoCM 99492–94)
Behavioral Health Integration
(BHI 99484)
Advanced Primary Care Management
(APCM — codes vary by payer)
General Primary Care Management
GPCM — behavioral health adjustments pending)
Sustainable continuous care, not a productivity stunt
We don’t believe in squeezing more output from already depleted clinicians. Care is designed so the coordination and care-management work you’re already doing becomes safer, more organized, and financially supportable.
If a care-management model doesn’t fit your values, your staffing, or your payers, we’ll tell you upfront. We’re far more interested in sustainable excellence than in “maximizing revenue” at the cost of your team.
Common questions about Care
Will our clinicians have to track every minute?
No. Care is being designed so that most tracking is inferred from normal workflows and team activity, not from clinicians manually entering every minute. We’ll work with you to keep it practical and defensible.
Can we use Care without Monitor?
Technically, pieces may be usable alone, but we recommend pairing Care with Monitor because most care-management models assume routine measurement. We’ll design a rollout plan with you based on your readiness.
How do we know if care-management models are right for us?
That’s a big part of the practice assessment. We’ll look at your panel, payer mix, and staffing, and be honest if care-management codes aren’t a good fit.
When will Care be available?
Care is planned for early access beginning in 2026. Joining the Care waitlist is the best way to stay in the loop and be considered for pilot cohorts.
What kind of revenue can care-management models generate?
It varies by practice size, payer mix, and patient panel. We’ve seen practices generate meaningful recurring revenue — sometimes enough to fund additional staff or expand capacity. The key is that this revenue comes from work you’re likely already doing, just not documenting systematically. We’ll model realistic scenarios for your specific situation in a practice checkup.
What staff roles typically handle care-management work?
Most practices use care coordinators, nurses, MAs, or dedicated care managers. Care routes tasks to the right people based on role and capacity. Clinicians stay focused on clinical decisions; support staff handle coordination, check-ins, and documentation. You don’t need to hire new roles — you need to organize the work you’re already doing.
Can we start with just a few patients in care management?
Absolutely. Most practices start small — your most complex patients, or a specific population where you know coordination is falling through the cracks. You learn the workflow, demonstrate value, and expand when you’re ready. We don’t push you to scale faster than makes sense for your team.
How does Care handle patients seeing specialists outside our practice?
Care helps you coordinate across the full care team, including external specialists. You can track referrals, document coordination calls, and ensure nothing falls through when multiple providers are involved. That coordination work is exactly what care-management codes are designed to reimburse.
Want continuous care to feel organized and sustainable?
Care is for practices already doing care-management work—or wanting to—but needing a better way to organize it and keep their people whole. If that's you, let's explore whether Care belongs in your future.
