On Demand: New Medicare Rules for RPM, CCM and PCM: What High-Performing Practices Need to Implement in 2026-Webinar Recording

Video Transcription

Video Summary

This webinar provides an in-depth review of the new 2026 Medicare rules for Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Principal Care Management (PCM) programs, focusing on implementation strategies for high-performing healthcare practices. Leaders Angela Orski from Prisma Health and Patricia Dixon from Capital Cardiology Associates share real-world experiences on scaling these programs effectively to improve patient outcomes without imposing undue burden on staff or budgets.<br /><br />Key updates include a nearly 10% average increase in Medicare reimbursement rates for RPM, CCM, and PCM codes and the introduction of new CPT codes allowing more flexible monitoring requirements, enabling care tailored to clinical necessity. RPM involves remote asynchronous monitoring of disease-specific peripheral data via FDA-cleared connected devices, with scalability enhanced by cellular-enabled devices that require minimal patient or provider setup.<br /><br />Angela highlights Prisma Health’s large-scale deployment spanning over 7,000 patients and 300+ physicians, emphasizing seamless Epic integration, physician workflow alignment, compliance, and the critical role of dedicated care managers in driving patient engagement and clinical success. Patricia discusses Capital Cardiology’s focus on appropriate patient selection and care coordination, resulting in improved outcomes for heart failure and cardiometabolic populations.<br /><br />Clinical outcomes presented by Dr. Wesley Smith demonstrate significant blood pressure reductions (up to 37 mmHg systolic among highly engaged patients), decreases in alert burdens over time, and notable cost savings, including a mean $12,000 per patient annual reduction in total cost of care linked to fewer hospitalizations and ED visits. The panel stresses the importance of vendor partnership selection, change management, physician champions, and patient education for sustainable program adoption. The evolving Medicare Access program also signals a shift toward value-based payment models rewarding improved patient outcomes via remote care.<br /><br />Overall, these integrated RPM, CCM, and PCM programs represent transformative care models that enhance clinical outcomes, expand patient-provider connectivity, and support financial sustainability within evolving Medicare frameworks.

Keywords

2026 Medicare rules

Remote Patient Monitoring

Chronic Care Management

Principal Care Management

Medicare reimbursement increase

CPT codes

FDA-cleared connected devices

Epic integration

patient engagement

value-based payment models