The hypertension, type 2 diabetes, heart failure, CKD, and COPD patients your clinicians already care for can generate a recurring, margin-positive revenue line — with the enrollment, device, monitoring, and billing workload carried by CoachCare, not your staff.
Foster City Medical Center is not starting from zero. The practice already carries the two hardest assets in value-based primary care: a longitudinal Medicare panel it actually manages, and verified participation in two-sided shared-savings risk. What's missing is the service line that converts both into recurring revenue.
Foster City Medical Center appears in the CMS PY2026 Medicare Shared Savings Program participant file under ACO A2098, "The Accountable Care Organization, Ltd." — the ENHANCED track, the program's highest two-sided risk level.*
Full-spectrum primary care plus walk-in urgent care under one roof in Foster City — no hospital owner, no private-equity sponsor. This strategy is built to keep it that way.
A multi-clinician internal-medicine and family-medicine roster, Medicare accepted alongside a broad commercial payer panel, and telehealth already offered — the substrate remote care programs bill against.
No RPM, CCM, or PCM program is marketed anywhere on the practice's website — no legacy vendor to displace, and none of this revenue is being captured today.
The chronic-disease work — checking blood pressures, following A1c trends, adjusting meds between visits — is already happening inside this practice. Medicare now pays specifically and recurringly for that work. A remote care service line is how the practice starts collecting.
*Participant match is by exact legal business name in the public CMS PY2026 participant file (the file does not publish TINs or addresses); confirm entity identity in discovery. Source: CMS Shared Savings Program ACO Participants dataset, file modified Feb 2026.
Care-management billing is the fee-for-service path Medicare deliberately built for practices that manage panels — and the 2026 code set, the practice's live risk contract, and the economics of independent primary care all point the same direction.
New CY2026 codes 99445 (2–15-day device supply) and 99470 (first 10 minutes of management) remove the 16-day floor that used to block short monitoring windows — post-discharge stabilization, medication starts, and titration checks are now cleanly billable alongside the standard monthly RPM codes.
Through ACO A2098, the practice participates in the Shared Savings Program's ENHANCED track — upside and downside on total cost of care, this performance year. Every avoided admission and better-controlled chronic patient now has a second payoff beyond fee-for-service: shared-savings performance the practice participates in.
Independent primary care can't hire its way to new revenue. This model adds a recurring service line at a modeled ~48% practice margin with the enrollment specialist, devices, 24/7 monitoring, and billing engine funded and operated by CoachCare — no new practice staff required.
Not a gadget program bolted onto one condition — a named service line over the whole multi-chronic Medicare panel, with the practice's clinicians governing every protocol and clinical decision, and CoachCare operating everything underneath.
| Service | Codes | ~CY2026 Magnitude | Use in This Practice |
|---|---|---|---|
| Chronic Care Management | 99490 · 99439 | $62.10 + ~$47 add'l | The multi-chronic workhorse — 2+ conditions, 20 min/month |
| RPM setup & device supply | 99453 · 99454 · 99445 (new) | ~$20 setup · ~$52/mo | Connected BP cuffs, scales, glucometers; 99445 unlocks 2–15-day windows |
| RPM treatment management | 99457 · 99458 · 99470 (new) | $50.66 + ~$41 add'l | Monthly review, titration, escalation |
| Principal Care Management | 99426 · 99427 | $66.08 + ~$50 add'l | Single dominant high-risk condition, ≥3 months |
| Transitional Care Management | 99495 · 99496 | ~$200 / ~$280 | Every discharge — additive; not in the forecast below |
Dollar figures shown for 99457, 99490, and 99426 are MAC-locality rates auto-resolved for zip 94404 (Noridian JE, California locality 05); remaining magnitudes are illustrative national non-facility figures. Verify against the current CY Physician Fee Schedule.
The forecast below counts only the first layer. The other three ride on the same infrastructure at no additional cost.
Foster City Medical Center runs on Epic — and CoachCare integrates directly and bi-directionally with Epic. Your clinicians enroll and monitor remote-care patients inside built-in Epic workflows, without learning a new system: the whole program lives in the Epic environment.
Enrollment flags and trigger orders sit inside the clinical workflow; CoachCare's team enrolls qualified Medicare patients on the practice's behalf, with enrollment status visible in Epic in real time.
Device readings land as discrete vitals in the chart — not PDFs — alongside an integrated care summary and audit-ready compliance documentation in the record.
The CoachCare billing engine assembles documentation and generates claims automatically — every patient, every month. Your billers submit; nobody reconstructs 20-minute logs.
from enrollment flag to a patient receiving billable RPM and care-management services.
CoachCare is the only care-management platform integrated with Epic that provides automated claims creation via its billing engine.
"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 our integration with Epic accomplishes."
Epic integration fees are already reflected in the forecast below at catalog pricing ($4,000 one-time setup). The practice's exact Epic instance and hosting arrangement are confirmed as a routine step in contracting.
A 24-month forecast for the RPM + CCM + PCM stack: a 2,000-patient Medicare panel (an estimate — credible range 1,600–2,700, the first discovery-validation item), six referring clinicians, one CoachCare-funded on-site enrollment specialist, MAC-locality rates for zip 94404. TCM, APCM, and shared-savings dollars are not in these numbers — they are upside on top. All figures are illustrative, modeled — verify against practice data.
| Program | Year 1 | Year 2 | 24-Month |
|---|---|---|---|
| RPM net reimbursement | $207,261 | $270,378 | $477,640 |
| CCM net reimbursement | $229,655 | $325,139 | $554,795 |
| PCM net reimbursement | $30,322 | $33,520 | $63,842 |
| Total net reimbursement | $467,239 | $629,037 | $1,096,276 |
| Practice margin (after fees) | $215,206 | $300,648 | $515,854 |
| Includes an on-site enrollment specialist staffed at CoachCare's expense — embedded value already reflected in the fees above, never deducted from practice margin. | |||
Figures are illustrative and modeled — verify against practice data. Full model available as a companion workbook.
Recurring, subscription-like professional-fee volume over 24 months.
A continuous clinical picture of the hypertension, diabetes, and heart-failure panels between visits.
≈ $378K in avoided acute cost at $15K per admission — accruing to shared-savings performance.
~7,540 care-team hours of monitoring, outreach, and documentation handled by the service line.
CoachCare operates as the service line's engine — enrollment outreach, device logistics, 24/7 monitoring, and billing-ready documentation — while Foster City Medical Center's physicians govern protocols and every clinical decision. Full-service delivery means launch requires no new practice headcount, the Epic integration follows CoachCare's standard build, and the one discovery item that sharpens this forecast — a chart count to validate the panel estimate — is a first-week question.
Run a chart count to validate the 2,000-patient Medicare panel estimate (discovery item #1). Charter the service line, stand up the Epic integration and billing configuration, sign off protocols for the hypertension, diabetes, heart-failure, CKD, and COPD pathways.
The CoachCare-funded on-site enrollment specialist begins working the panel; connected devices ship to the first RPM cohorts; CCM enrollment runs in parallel. PCM reaches its modeled ceiling by month 3.
RPM saturates its modeled ceiling in month 6, CCM in month 7 — from there the model holds ~405 active program enrollments and ~$52K/month in net reimbursement at a ~48% practice margin.
With real enrollment data by complexity tier, weigh the CCM-versus-APCM mix that the practice's verified shared-savings posture makes available — and revisit the panel definition if the chart count supports a larger in-scope population.
The service line described on this page runs on infrastructure already proven at national scale.
Over 400 managed conditions for 500,000+ patients.
Providers committed to remote care excellence.
Successful program implementations.
Care plan coding and billing generating over 5 million claims.
Over 100 million vitals recorded and 4 million+ care actions enabled.
Every number on this page traces to the CoachCare Value Analysis workbook or cited public data. The key assumptions: