Principal Care Management Simplified

At MRG Health, we understand that managing a single chronic illness can be challenging. For patients with multiple chronic conditions, the complexity increases. That’s where our Principal Care Management (PCM) service comes in offering personalized, coordinated care to help patients navigate their health journey effectively.
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What Is PCM?

Principal Care Management is a Medicare-reimbursed program designed for patients with one serious chronic condition. Unlike Chronic Care Management (CCM), which addresses multiple conditions, PCM focuses on a single, high-risk condition, providing intensive, personalized care to improve health outcomes and quality of life.

CPT Code
What it covers?
Billing Frequency
TYPE 1
Compensates providers (physicians, PAs, NPs, allergists) for 30 minutes of caring for a patient with one serious chronic condition
Once per patient every calendar month
TYPE 2
Reimburses providers for 30 minutes of clinical staff time directed by a provider for patient care on a patient with one serious chronic condition
Once per patient every calendar month

MRG Health streamlines patient enrollment and helps healthcare organizations quickly launch and qualify for Medicare reimbursement programs. The all-in-one platform supports Remote Patient Monitoring (RPM), Principal Care Management (PCM), Transitional Care Management (TCM), Chronic Care Management (CCM), and Virtual Visits improving care delivery and operational efficiency.

Team-Based Care Approach

We cover the full spectrum of qualified healthcare professionals to meet your patient population’s needs ALL in one platform.

Increase Revenue with Medicare Reimbursement

Healthcare practices can boost revenue through Medicare by offering Principal Care Management (PCM), which supports chronic care patients with ongoing, reimbursable services and improved care coordination.

Focus on High-Risk Chronic
Conditions

PCM manages one high-risk chronic condition—like diabetes or heart disease—at a time, allowing for more focused, effective care and reducing the risk of complications.

Enhanced Care Coordination and Patient Communication

PCM improves care coordination through personalized care plans, regular follow-ups, and ongoing communication—leading to better decision-making and chronic condition management.

Faster Program Implementation and Integration

MRG Health’s platform makes it easy to launch a Medicare-compliant PCM program in weeks—streamlining enrollment, care planning, and billing for fast, seamless integration.

Improved Patient Engagement and Satisfaction

PCM boosts patient engagement through regular check-ins, education, and personalized care—leading to better treatment adherence, improved outcomes, and stronger patient-provider relationships.

Scalable Solution for Healthcare Practices

PCM is scalable for any practice size and integrates with RPM, CCM, and TCM—helping expand care services while staying compliant with CMS guidelines.

Benefits

For Practices

  • Grow Revenue with PCM Services
  • Focused management for conditions like diabetes and heart disease.
  • Clear care plans for improved communication and fewer errors.
  • Launch a Medicare-compliant PCM program in weeks with MRG Health.
  • Easy to expand for solo practices or large health systems, with integration for RPM and CCM.
  • Regular check-ins and personalized care boost satisfaction and compliance.
For Patients
  • Tailored care for your specific chronic condition.
  • Regular check-ins and remote tracking to catch issues early.
  • Fewer hospital visits and better management of your condition.
  • Virtual visits and regular follow-ups for ongoing support.
  • Better management of medications for effective treatment.
  • Guidance and support to help you manage your health with confidence.

Comprehensive Patient Support​

PCM provides round-the-clock support for patients managing chronic conditions. With regular check-ins and continuous care, patients feel more secure and supported throughout their treatment..

Reduced Risk of Hospital Readmissions

With focused, proactive care, patients enrolled in PCM experience fewer hospital readmissions. By managing chronic conditions effectively, PCM helps prevent unnecessary emergencies and hospital stays.

Enhanced Patient-Provider Communication

PCM fosters stronger relationships between patients and their healthcare providers through consistent, real-time communication, making it easier to address concerns and make timely adjustments to care plans.

Cost-Effective Healthcare

By reducing hospital visits, ER trips, and avoidable complications, PCM helps lower the overall healthcare costs for patients, while also improving the quality of care they receive.

Increased Patient Empowerment

Patients are more involved in their care with regular health updates, education, and personalized treatment plans. This empowerment leads to better adherence to treatment and lifestyle changes.

CMS-Approved Program

MRG Health’s PCM solution is CMS-approved, ensuring your practice is compliant with the latest Medicare regulations. This guarantees that your practice receives proper reimbursement while delivering high-quality care.

Interested in learning more about what patients are eligible to participate and how PCM is relevant to your practice?

SCHEDULE AN ASSESSMENT

(FAQs) – Principal Care Management

Principal Care Management (PCM) is a Medicare-supported care coordination service for patients with a single chronic condition. It focuses on helping patients manage their condition between regular office visits through ongoing support and structured care.

Patients with one high-risk chronic condition—such as diabetes, heart failure, or COPD—that is expected to last at least three months and requires continuous medical management are eligible for PCM services.

MRG Health’s PCM program includes monthly check-ins, medication review, symptom monitoring, care planning, and ongoing communication between the patient and a dedicated care team.

PCM helps patients stay on track with their treatment plans, avoid unnecessary hospital visits, and manage their condition more effectively—all while receiving personalized care and attention.

Yes, Principal Care Management is covered by Medicare and many insurance providers, provided it is delivered by a qualified healthcare professional and meets eligibility criteria.

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Solutions

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  • Principal Care Management
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LUCAS KRAUSE
PhD MSC
 IT Infrastructure & Architecture 
Lucas is a 20+ year experience enterprise Cloud Solutions Architect who has worked with fortune 100 companies and is competent in the following: Enterprise API Gateways – AWS | Azure | Salesforce | Mulesoft | Apigee | IBM Cloud | Anypoint | Cloud Data Warehouse – Snowflake | DBT | Cloudara | Airflow | Kubernetes | AWS | Looker | Prometheus | Full-Stack / Cloud Native – C# / Java / React / Angular / Golang / Python – Cloud DBs – Dynamo / Mysql / Postgres / MSSql / Oracle / Netezza
RENE HINOJOSA
MBA
Compliance & Regulatory 
Experienced Director of Strategic Development with a demonstrated history of spearheading initiatives throughout the healthcare system. Skilled in Physician Relations, Software Documentation, Healthcare Management, Healthcare, and Public Speaking. Strong program and project management professional with years of a proven track record that showcases a creative and proficient skill-set in problem solving.
TY UMOH
MD MBA
Investor Relations & Finance 
Ty has a bachelor’s degree in Accounting & Finance from the University of Houston and a Master’s degree in Economics and Corporate Finance from Rice University. Previously, Ty worked as a senior consultant at FTI Consulting, Inc., advising various stakeholders of troubled and distressed companies across a wide range of industries, including financial services, hospitality, gaming, commercial real estate, energy & oil field services, construction, infrastructure, and municipal-related assets. Additionally, my prior experience includes roles at BNY Mellon and Ocean Park Advisors, LLC’s Investment Bank where I was involved in equity and debt capital raising transactions as well as M&A assignments, liquidity forecasting and assessments, business plan due diligence, development of waterfall and recovery analyses, stakeholder negotiations, plan of reorganization development, M&A/transaction advisory including purchase and sale negotiations and seller due diligence support, board/shareholder representation, developing executive compensation/bonus plans, and ad-hoc strategic and operational assessments.
JAVI MALCOLM
MD 
Strategic Development
Dr Malcom’s Medical Professional qualities are based on 10+ yrs. of participation and exposure to numerous resources as an ER Medical Business Co-Founder, IT Market Leader, Mentor, Red Cross Humanitarian Participant, Graduate of Masters Studies, Graduate of Medical Doctorate (M.D.), Hospital Administrator, and member of the Physician Executive Team. My unique background and combination of these attributes & skills have created a unique innovative space that helps reinforce my ability to grasp the different areas of healthcare that positively impact the hospital ecosystem and be a valuable member of the C-Suite team, as DHR Health’s Chief Medical Information Officer, Physician Executive Leadership Committee, and the Cerner Advisory Committee.
Dr. Jill Taylor
DO Pharmacologist
Chief Clinical Officer​

It is important to learn about the doctor with whom you trust your health. A combination of formal education, training, and experience form Dr. Taylor’s credentials, which uniquely qualify her to provide you with the best approach to achieving your optimum health

Here are a few highlights:

  • Specializing in Family Practice. Fully licensed in Texas
  • Graduated New York Institute of Technology, New York College of Osteopathic Medicine 1989
  • Worked in Medical, Drug, and Disease Research for three years as a Pharmacologist
  • Worked in academic medical research for three years
  • Holds patents in Disease Research
  • Has publications in several Medical Journals
  • Speaks Medical Spanish
NARIO CANTU
Pharmacist
Senior Executive Director
Dispensing, assessing and monitoring medications, in patients requiring pharmaceutical therapy. Providing and assessing point of care testing. Providing excellent service and customer satisfaction. Drug information and education. hospital readmission prevention consultant, transition care provider, medication reconciliation provider, pharmacogenomic testing, point of care testing. Medication Therapy Management, medication adherence and legislative advocate as it pertains to pharmacy and patient care.
SABRINA RUNBECK
MPH, MHS, PA-C
Director People & Clinical Outcomes 

Physician Assistant turned Entrepreneur with Bachelor in Neuroscience, Masters in Public Health and Health Sciences, After working 80 hours a week as a cardiothoracic surgery physician associate, my workload took a toll on my personal and professional life. That was when I realized my life needed to change. I ended up taking a deep dive into performance sciences and positive intelligence. As a result, I cut down my clinical hours by 30% and increased my income by 50%.

Reggie Abraham
PhD, MHA, MBA
Managing Director  
UTHealth-MRG Health

Experienced Healthcare Executive with a demonstrated history of working in a hospital setting and various other health care facilities. Skilled in Healthcare Operations, EHR & PM Systems, Budgeting, HR Management, Strategic Planning, and Revenue Cycle Management, . Strong business development professional with a Doctorate in Management and Organizational Leadership, Master’s in Healthcare Administration, Master’s in Business Administration. Exceptional track record of establishing strong leadership teams and developing effective operational efficiencies in healthcare operations. Establish and maintain good working relationships with physicians, staff, vendors, government agencies, managed care companies, and clients.

KYLE CHRISTOPHER
Vascular General, Cardiac, OB Sonography
Founder/CEO - Strategic Development  
Assists Physicians and Healthcare Executives in Leveraging Virtual Care Management Technologies, NEW Billable CPT Codes, and Value Based Care Models to Improve Clinical Outcomes and Create NEW Revenue streams. Kyle holds a Bachelors of Science in Business Administration with a minor in marketing, and a Degree in Vascular, General, Cardiac, and Obstetrical Sonography. His philanthropy work focuses on veteran affairs, single mothers, first responders, and mentoring terminally ill and at-risk youth through organizations such as Beauty for Freedom, Ferrari Kid, Southwest Keys Program, ICON Talks, and Living Beyond A Dream.