Prepared for Alabama Medical Group · 2026 Strategy Review · Confidential — not for distribution
Remote Care Service Line Optimization · Prepared for Alabama Medical Group

Turn the Panel You Already Manage Into a Profit-Generating Service Line.

How Mobile's largest independent multi-specialty group converts the Medicare panel it already manages — hypertension, type 2 diabetes, heart failure, CKD, and COPD — into recurring remote-care revenue without adding a single hire. Powered by CoachCare.

$0
24-Month Net Reimbursement
$0
24-Month Practice Margin
0
Hospitalizations Avoided
0
Program Enrollments in Active Remote Care by Month 14
Independent for 80 Years · Built to Stay That Way

2026 Starts From a Position of Strength

This is not a rescue story. Alabama Medical Group enters 2026 as it has operated since 1946 — physician-owned, multi-specialty, and independent. The strategic question is how to monetize the panel the group already manages, so the next 80 years are funded by the practice's own recurring revenue rather than by a buyer's balance sheet.

★ Verified

80 Years Independent

Founded 1946 — the largest independently owned, multi-specialty medical clinic in Mobile, Alabama, celebrating 80 years in 2026.

★ Verified

MSSP Enhanced-Track Participant

Alabama Medical Group PC appears on the CMS PY2026 ACO participant file for ACO A4894 — the Enhanced track, where the practice shares in two-sided savings its own chronic-care performance helps generate.

✓ In place

The Primary-Care Engine

11 internal-medicine physicians anchoring a 38-provider roster across internal medicine, family medicine, infectious disease, neurology, and rheumatology — with in-house lab, accredited imaging, and a walk-in clinic.

✓ In place

Veradigm EMR + Patient Portal

A Veradigm-family EMR with the FollowMyHealth patient portal already live — the digital front door a remote-care program plugs into.

One structural fact completes the picture: no remote patient monitoring, chronic care management, or principal care management program is marketed anywhere on the practice's public website today. The panel, the providers, the EMR, and the shared-savings contract are all in place — the missing piece is the service line itself.

The 2026 Window

Why This Panel, Why This Year

Three forces converge on an independent internal-medicine group in 2026: richer remote-care billing, mounting quality-reporting stakes, and consolidation pressure that makes practice-owned recurring revenue a strategic asset, not just a line item.

Live Now
CY2026

Short-Window RPM Is Now Billable

New CPT codes 99445 (2–15-day device supply) and 99470 (first 10 minutes of management) remove the 16-day floor that previously blocked episodic monitoring — so post-discharge and titration windows across the chronic panel are cleanly billable alongside the standard monthly RPM stack.

Compounding
Quality

MIPS & Shared-Savings Stakes

The same documented, between-visit touches that generate care-management revenue also move the measures Medicare grades primary care on — blood-pressure control, A1c control, follow-up after discharge. One program feeds both the fee-for-service ledger and the ACO's quality and cost performance.

Strategic
Independence

Recurring Revenue Is the Alternative

As regional systems consolidate physician practices, the durable defense is economic: diversified, recurring, practice-owned revenue from the panel the group already manages. A remote-care service line is that revenue — built on existing patients, staffed by CoachCare, owned by the practice.

Hypertension
Type 2 Diabetes
Heart Failure
Chronic Kidney Disease
COPD
The Operating Model

One Panel, One Coordinated Program

Not a point solution bolted onto one diagnosis — a named, governed service line with its own P&L and scorecard, following the multi-chronic Medicare patient the practice already knows, on the EMR the practice already uses.

The Workhorse Stack — RPM + CCM
  • RPM Device-based physiologic monitoring (blood pressure, glucose, weight, pulse ox) for the hypertension, diabetes, and heart-failure cohorts — the continuous early-warning and titration layer between visits.
  • CCM Multi-condition chronic care management for the majority of Medicare patients carrying two or more chronic conditions — the monthly longitudinal wrapper for the whole panel.
  • TCM Structured 30-day transitional care management at every hospital discharge — the billable bridge back to the practice that also protects the ACO's readmission performance.
The Focused Layer + The Engine
  • PCM Principal Care Management for the patient whose care genuinely centers on one dominant condition — a focused complement where CCM's two-condition threshold doesn't fit.
  • Engine Enrollment outreach, cellular devices, 24/7 alert triage, nurse follow-up, documentation, and billing-ready claims — operated by CoachCare, governed by Alabama Medical Group physicians.
  • Staffing An on-site enrollment specialist recruited, employed, and paid by CoachCare works the panel at the practice — embedded enrollment capacity at no cost to the group.
The ownership rule: this is the practice's service line — its patients, its protocols, its revenue. CoachCare is the practice-owned engine underneath it, and it is complementary to any care-coordination tooling the group's ACO relationship may already provide: population-level analytics tell you who needs attention; this program is the staffed, device-connected, billable layer that actually touches the patient every month.

The CY2026 Billing Stack

ServiceCodes~CY2026 MagnitudeUse Across the Panel
Chronic Care Management99490 · 99439~$60 + ~$47 add'lThe longitudinal wrapper — 2+ chronic conditions
RPM setup & device supply99453 · 99454 · 99445 (new)~$20 setup · ~$52/moHTN, diabetes, HF cohorts; 99445 unlocks 2–15-day windows
RPM treatment management99457 · 99458 · 99470 (new)~$52 + ~$41 add'lMonthly review, titration, escalation
Principal Care Management99426 · 99427~$60 + ~$50 add'lSingle dominant condition ≥3 months
Transitional Care Management99495 · 99496~$200 / ~$280Every discharge back to the practice

Illustrative national non-facility magnitudes. The Value Analysis below uses MAC-locality rates auto-resolved for ZIP 36608 (carrier 10112, locality 00 — Alabama). Verify against the current CY Physician Fee Schedule.

Four Ways the Same Program Pays

One Service Line, Four Value Layers

The same infrastructure — enrollment, devices, alerts, follow-up, documentation, billing — compounds across every layer of value an independent internal-medicine group cares about.

1 · Recurring Revenue, Zero New Headcount
$2,999,184 in modeled 24-month net reimbursement — $891,459 of it practice margin — from the panel already on the schedule. Enrollment, monitoring, and documentation are CoachCare's work; the on-site enrollment specialist is staffed at CoachCare's expense. The practice adds programs, not payroll.
2 · MIPS & Quality Defense
Documented monthly touches move the measures. Blood-pressure control, A1c control, medication reconciliation, timely follow-up — the chronic-care measures that determine MIPS scoring and payment adjustments are the same behaviors the service line performs and documents every month, patient by patient.
3 · ACO Shared-Savings Contribution
Enhanced-track economics reward exactly this program. As a verified PY2026 participant in MSSP ACO A4894 (Enhanced track), the practice shares in savings driven by avoided utilization — and the model here projects ~98 avoided hospitalizations over 24 months, roughly $1.5M in acute-care cost that never gets spent. The fee-for-service revenue above is earned on top of, not instead of, that contribution.
4 · Independence Preservation
Recurring revenue is a strategic moat. After 80 years of independent operation, the strongest answer to consolidation pressure is a diversified income statement: a subscription-like care-management revenue stream that grows with the panel, owned entirely by the practice — no buyer, no employer, no equity partner required.
In the System You Already Use

Built Into the Veradigm Workflow

Alabama Medical Group runs on a Veradigm-family EMR with the FollowMyHealth patient portal — an environment CoachCare integrates with directly. Enrollment triggers, patient health history, monitored vitals, care documentation, and billing-ready claims move between the platform and the chart, so clinicians work where they already work.

Veradigm The practice's EMR + portal One chart per patient Orders & flags Vitals & documents FollowMyHealth portal Billing workflow CoachCare Remote care platform Cellular devices 24/7 monitoring Health coaches Enrollment team Billing engine FROM THE PRACTICE Enrollment flags & referrals Patient health history BACK TO THE PRACTICE Monitored vitals & alert dispositions Care summary & compliance documentation Real-time enrollment status Claims — billing-ready, every patient, every month Clinicians stay in the chart they already use — the program lives alongside it

1,000+

successful program implementations across EMR environments — including the Veradigm family the practice runs today.

Confirmed in contracting

the specific Veradigm product configuration is validated during implementation planning, with integration setup scoped before launch — no surprises after signature.

"Key to achieving a program that is efficient, effective and sustainable, is creating a seamless, intuitive user experience for the patient and provider — and that's what integration with the practice's existing EMR accomplishes."

CoachCare Value Analysis · Modeled for Alabama Medical Group

The Value Analysis

A 24-month forecast for the RPM + CCM + PCM stack: an estimated 8,500-patient Medicare panel, 38 referring providers plus one CoachCare-funded on-site enrollment specialist, MAC-locality rates for ZIP 36608, Veradigm integration. Shared-savings contribution through the ACO and the practice's APCM eligibility are not in these numbers — they are upside on top. All figures are illustrative, modeled — verify against practice data.

Enrolled Patients Under Active Remote Care

Monthly active program enrollments · physician referrals (5/provider/mo, 70% acceptance) + 1 on-site enrollment specialist (80/mo) + telephonic outreach, net of discharges — each program caps at its eligibility ceiling

Monthly Economics — Revenue, Fees, Margin

Net reimbursement (after denials, coinsurance bad debt) vs. CoachCare fees; month 1 absorbs one-time setup, and margin is positive from month 2 onward

24-Month Net Reimbursement Mix

$3.0M total across the three-program stack — CCM leads, exactly what a multi-chronic primary-care panel should produce

The Financial Summary

ProgramYear 1Year 224-Month
RPM net reimbursement$488,171$800,671$1,288,842
CCM net reimbursement$471,616$1,044,730$1,516,347
PCM net reimbursement$86,811$107,184$193,996
Total net reimbursement$1,046,599$1,952,585$2,999,184
Practice margin (after fees)$301,843$589,616$891,459
Includes an on-site enrollment specialist staffed at CoachCare's expense — embedded value already reflected in the fees above, never billed to the practice.

Figures are illustrative and modeled — verify against practice data. Full model available as a companion workbook.

Scenario Explorer — Build Your Own Forecast

Adjust the assumptions and watch the 24-month forecast recompute live. Directional, calibrated to the CoachCare Value Analysis engine — the companion workbook remains the source of truth.
24-mo net reimbursement
$3.00M
24-mo practice margin
$0.89M
Program enrollments at month 24
1,721
Hospitalizations avoided
~98
61,280

Billed Claims / Units

Recurring, subscription-like professional-fee volume over 24 months.

153,580

Physiologic Readings

A continuous clinical picture of the HTN, diabetes, HF, CKD, and COPD panels between visits.

~98

Hospitalizations Avoided

≈ $1.5M in avoided acute cost at $15K per admission — utilization relief the ACO's shared-savings math rewards.

13.6

FTE-Years Absorbed

≈ 28,200 care-team hours of monitoring, outreach, and documentation handled by the service line — not by practice staff.

Read the Plateau Correctly

The Model Hits Its Ceiling — On Purpose

Every enrollment curve above flattens: total program enrollments plateau at ~1,721 from month 14 onward. That is not outreach running out of steam — with 38 referring providers, a full-time enrollment specialist, and telephonic outreach, enrollment capacity outruns the eligible pool in every program. The constraint is the eligibility definition, not outreach capacity.

ProgramEnrollment CeilingHow It's DefinedSaturates
PCM1068,500 × 5% eligible × 25% conversionMonth 5
RPM7658,500 × 30% eligible × 30% conversionMonth 10
CCM8508,500 × 40% eligible × 25% conversionMonth 14
Total plateau~1,721Sum of program enrollments, from month 14

Deliberately conservative eligibility and conversion assumptions. Every point of eligibility or conversion the practice's real chart data supports beyond these raises the ceiling — and the forecast — directly.

Verified Eligible · Not Yet Modeled

APCM — The Unmodeled Upside

Advanced Primary Care Management (G0556–G0558) is Medicare's bundled monthly payment for exactly the panel this program manages — and its value-model participation requirement is one Alabama Medical Group already meets, as a verified PY2026 MSSP Enhanced-track participant (ACO A4894). A further slice of the panel sits eligible for APCM entirely outside this forecast: nothing above includes it. The CCM-vs-APCM mix is a design decision to make together at proposal stage — and it can only add to what is modeled here.

The growth conversation, correctly framed: raising this forecast isn't about more outreach — it's about widening the definition. Validate real eligibility against chart data in discovery, then decide where APCM fits.
Implementation

Chartered in 30 Days.
Enrolling by Day 45.

CoachCare operates as the service line's engine — enrollment outreach, device logistics, 24/7 monitoring, and billing-ready documentation — while Alabama Medical Group physicians govern protocols and every clinical decision. Full-service delivery means launch requires no new practice headcount; month 1 carries the one-time setup, and the program runs margin-positive from month 2 onward.

The first 90 days, modeled: 67 active program enrollments by month 1, 178 by month 2, 330 by month 3 — concentrated in the CCM wave and the hypertension/diabetes RPM cohorts. Illustrative; the actual funnel is set in protocol design.
Schedule the Working Session
0–30 Days

Charter the Service Line

Named owner, P&L, scorecard; Veradigm integration scoped and the exact product configuration confirmed in contracting; billing configuration; protocol sign-off for the HTN, diabetes, HF, CKD, and COPD pathways.

31–90 Days

Launch the First Cohorts

The CCM wave across the multi-chronic panel plus RPM for the hypertension and diabetes cohorts; the CoachCare-funded enrollment specialist on site at the Mobile campus; TCM live on every discharge.

91–180 Days

Scale to the Ceilings

Enrollment extends across the Mobile and Saraland locations; RPM approaches its modeled 765-patient ceiling around month 10; monthly scorecard reporting to practice leadership.

181–365 Days

Widen the Definition

Re-validate eligibility against real chart data, decide the CCM-vs-APCM mix on the verified-eligible slice of the panel, and align program reporting with the ACO's quality and cost measures.

About CoachCare

The Experience to Get It Right

The service line described on this page runs on infrastructure already proven at national scale.

500,000+

Patient Management Expertise

Over 400 managed conditions for 500,000+ patients.

10,000+

Clinician Success

Providers committed to remote care excellence.

1,000+

In-Market Success

Successful program implementations.

5M+

Operational Excellence

Care plan coding and billing generating over 5 million claims.

100M+

Unprecedented Scale

Over 100 million vitals recorded and 4 million+ care actions enabled.

Transparency

Assumptions & Sources

Every number on this page traces to the CoachCare Value Analysis workbook or cited public data. The key assumptions:

Population sizing
  • ~8,500 Medicare patients estimated for Alabama Medical Group (plausible range 7,000–9,900), triangulated two ways: ~22 adult primary-care clinicians × ~450 Medicare patients each bounds the panel near 9,900, and 8,500 represents roughly a 10% share of Mobile County's ~80–90K Medicare beneficiaries — credible for the market's largest independent multi-specialty group. This is a modeling estimate, not a chart count — validate against practice data in discovery.
  • Full 8,500-patient panel in scope from Year 1; program eligibility 30% (RPM), 40% (CCM), 5% (PCM); enrollment conversion 30% (RPM), 25% (CCM/PCM) — yielding enrollment ceilings of 765 (RPM), 850 (CCM), and 106 (PCM) active patients, reached at months 10, 14, and 5 respectively.
  • Enrollment pathways: physician referral (5 referrals/provider/month across 38 providers at 70% acceptance), one on-site enrollment specialist at 80 enrollments/month staffed at CoachCare's expense, and telephonic outreach.
  • "Program enrollments" counts each program a patient is enrolled in; unique patients are fewer, since many patients enroll in RPM and CCM together (approximately RPM census + 30% of other-program census under the model's 70% dual-enrollment assumption).
  • Not modeled anywhere above: ACO shared-savings contribution and the APCM-eligible slice of the panel — both are upside on top of the forecast.
Rates & revenue mechanics
  • CY2026 Physician Fee Schedule rates auto-resolved by MAC carrier/locality for ZIP 36608 (carrier 10112, locality 00 — Alabama); 2.5% denial rate; 20% coinsurance with 25% coinsurance bad debt; 1.5% monthly attrition.
  • Month 1 carries the one-time program implementation and Veradigm EMR integration setup, which is why modeled month-1 economics are slightly negative (−$3,303); monthly margin is positive from month 2 onward and cumulative margin turns positive in month 2.
  • Fees reflect proposed program pricing for Alabama Medical Group, including the CoachCare-funded on-site enrollment specialist. Code-level capture assumptions (e.g., share of managed months billing 99457, add-on unit rates) are itemized in the companion Value Analysis workbook.
Verified facts & vintages (July 2026)
  • Founded 1946; self-described largest independently owned, multi-specialty medical clinic in Mobile, Alabama; celebrating 80 years in 2026 (practice website, retrieved July 2026).
  • MSSP participation: "Alabama Medical Group PC" appears on the CMS Accountable Care Organization Participants file (PY2026 vintage, published January 2026) as a participant in ACO A4894, Enhanced track, agreement period 2. Confirm current status at time of decision.
  • EMR: Veradigm-family confirmed via crawl data and the practice's FollowMyHealth patient portal (a Veradigm product); the specific product configuration is confirmed in contracting.
  • Provider roster: 23 physicians + 15 advanced-practice providers per the practice's public roster (July 2026); the homepage cites "33 providers" — the modeled 38 uses the roster count; reconcile in discovery.
  • No RPM, CCM, PCM, or APCM program is marketed on the practice's public website (checked July 2026); program absence is inferred from public silence and should be confirmed in discovery, including any care-coordination tooling supplied through the ACO relationship.
  • New CY2026 RPM codes 99445 and 99470 per the CY2026 Physician Fee Schedule final rule; verify current-year values against the fee schedule.