Resources for care teams
By MySeema
Where APCM fits in ongoing primary care
Advanced Primary Care Management connects ongoing primary-care management activities in a monthly bundle.
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A focal point for primary care
APCM is designed around a practitioner who is responsible for a patient’s primary care and serves as a focal point for related healthcare services. It includes care-management and communication activities such as coordinating care, managing transitions, and maintaining a care plan.
A bundle, not a timer
APCM is not based on a minimum monthly time threshold. Eligibility, consent, service capabilities, and reporting requirements still matter. It is not automatically the right service for every patient or practice.
Capabilities to settle with your team
Access and continuity
Confirm who provides the required 24/7 clinical access, real-time information, and continuity of primary care.
A shared care plan
Assign responsibility for maintaining the electronic plan and coordinating transitions.
Population management
Confirm population management and performance reporting. CMS identifies Shared Savings Program participation as one pathway for the performance component.
Assign these capabilities across your team and MySeema before launch. This does not imply that MySeema supplies every APCM capability or 24-hour coverage.
A clear operating relationship
With MySeema, the partner’s team defines the clinical priorities and oversight. MySeema carries the agreed outreach, coordination, documentation, and follow-through inside the partner’s workflow.
What to agree before launch
- Which patients and clinicians are in scope.
- How patients are introduced and consent is documented.
- Which team owns clinical decisions, escalation, and follow-up.
- How services, documentation, and billing fit together.
Bring your care model. Let’s build the next step.
Discuss the population and workflow you want to support, the responsibilities your team would retain, and the next steps for a proposed scope.