Care Management

Care Management Built to Scale

Launch and scale CCM, RPM, RTM, APCM, PCM, TCM, and AWV programs without hiring staff, managing devices, or worrying about audits.

CareStream is a care management platform built specifically for independent medical practices and community-based organizations. We turn underutilized Medicare eligibility into predictable, compliant monthly revenue, while reducing operational burden on your team.

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Medicare Programs
0+
Clients Served
0%
Compliance Rate
Up to 0%
Less Operational Work
Who We Serve

Built for real-world care delivery

CareStream is designed for organizations that want care management to work in the real world

Independent primary care practices
Safety-net and community-based clinics
FQHCs and mission-driven organizations
Specialty practices managing complex, chronic patients
Practices without dedicated care management staff

If your patients need more support but your team can't take on more work, CareStream was built for you.

Programs

What We Do

CareStream enables and operates Medicare care management programs end-to-end

CCM
APCM
RPM
RTM
PCM
TCM
AWV
BHI

We handle eligibility identification, enrollment, patient engagement, monitoring, documentation, compliance, and billing workflows, through a single, unified platform.

Differentiators

What Makes CareStream Different

Most platforms give you tools. CareStream gives you leverage.

AI-Enhanced Care Management

Our AI-enhanced workflows support routine care management activities: patient outreach, check-ins, documentation, and monitoring. Your clinical team stays in control, with clear escalation for situations requiring clinical judgment.

  • AI-supported patient interactions and outreach
  • Intelligent escalation for urgent or complex cases
  • Physicians spend minutes per day, not hours

Revenue Integrity Comes First

Compliance and audit defense are built into the core of our platform.

  • Real-time documentation completeness checks
  • Automatic time and service threshold validation
  • Pre-bill claim risk screening
  • One-click monthly audit packets
If a service is not compliant, it is not billed.

Designed for Independent Practices

We eliminate double documentation, reduce staff dependency, and fit into how small and mid-sized practices actually operate.

  • No hiring or managing care coordinators
  • No fragmented vendors or workflows
  • No long implementation cycles

APCM-First, Future-Ready

For many practices, APCM replaces the complexity of traditional CCM.

  • No time tracking requirements
  • Simplified monthly billing
  • Ideal for patients with multiple chronic conditions

We support CCM where appropriate, but help practices transition to simpler, modern care models when possible.

Smart Tools That Reduce Work

Our platform is transparent, supervised, and purpose-built for healthcare.

  • AI-assisted patient conversations via SMS and phone
  • AI-generated encounter summaries and care plan updates
  • Provider-ready monthly summaries
  • Clear escalation rules and human oversight
Process

How CareStream Works

A streamlined process from identification to billing

1

Identify Eligible Patients

We continuously analyze EHR data to identify patients eligible for care management programs based on diagnoses, utilization, and payer rules.

2

Enroll Patients

Patients are enrolled through compliant phone, SMS, or in-practice workflows with documented consent.

3

Engage & Monitor

Patients receive ongoing outreach, monitoring, and education through automated workflows and connected devices when applicable.

4

Escalate When Needed

Urgent or clinically significant issues are routed to your team immediately. Non-urgent items are queued for review at your convenience.

5

Document & Validate

Every interaction is documented automatically and validated against Medicare requirements.

6

Bill With Confidence

Billing workflows are generated only after compliance checks are complete and are ready for submission or handoff to your billing team.

Revenue Potential

See Your Revenue Opportunity

Estimate the additional annual Medicare revenue available from your existing patient panel. Based on conservative participation rates and the 2026 Medicare Physician Fee Schedule.

500
1001,0002,0003,000
Annual Revenue
$186K
Monthly Revenue
$16K
Per Patient / Year
$373
Program Breakdown
APCMAdvanced Primary Care Management
$73K
CCMChronic Care Management
$31K
RPMRemote Patient Monitoring
$45K
AWVAnnual Wellness Visit
$32K
PCMPrincipal Care Management
$6K

How This Is Calculated

  • Based on the 2026 Medicare Physician Fee Schedule
  • 70% of Medicare patients assumed to have 2+ chronic conditions
  • Conservative enrollment and participation rates applied per program
  • Reflects net revenue after CareStream fees
  • Actual results vary by panel complexity and program mix

Want a Custom Projection?

We will analyze your actual patient panel and EHR data to provide a precise, practice-specific revenue estimate with no obligation.

Get My Free Estimate

This calculator provides an illustrative estimate only. Individual results depend on your patient panel, EHR data, payer mix, and program participation rates. Not a guarantee of revenue.

Security & Compliance

Enterprise-grade security
you can trust

HIPAA-compliant infrastructure
Role-based access controls
Full audit trails
Secure data storage and transmission
Get Started

Ready to launch?

See how CareStream can launch compliant, scalable care management in your practice.

Eligibility and opportunity assessment
Revenue impact overview
Go-live plan