Milliman Primary Care Revenue Capture

Transforming revenue opportunities into sustainable value

Milliman’s Primary Care Revenue Capture (PCRC) helps providers and accountable care organizations (ACOs) identify, evaluate, and implement revenue opportunities that strengthen financial performance and support long-term value-based care success. Through strategic planning, operational guidance, and performance monitoring, PCRC helps organizations turn opportunities into measurable results.

Advanced Primary Care Management (APCM)

Launched by the Centers for Medicare and Medicaid Services in 2025, APCM creates new opportunities for primary care organizations to generate recurring revenue while supporting proactive, team-based care. APCM can generate approximately $100,000 to $200,000 annually per primary care provider and is rapidly emerging as a key value-based care strategy.

Driving practice performance

Generate predictable revenue while improving care delivery, patient access, and continuity of care. Organizations that effectively implement this model can strengthen financial performance while advancing their value-based care strategy.

Strengthening ACO growth and retention

Deliver greater value to participating practices while supporting recruitment, retention, and strategic growth objectives. As adoption accelerates, organizations that support implementation may be better positioned to strengthen their value-based care offerings.

Building a sustainable APCM strategy

Successfully implementing APCM requires more than understanding the opportunity. Milliman helps organizations assess readiness, build a practical implementation strategy, and establish the capabilities needed to capture long-term value.

Assess: Identify gaps in workflows, technology, and care management capabilities.
Plan: Develop a roadmap aligned with organizational goals.
Build: Implement workflows, compliance frameworks, and performance tracking.
Monitor: Track performance and support continuous improvement.