The New Standard for Proactive Care in Neurology

Turn chronic care management into consistent revenue and improved patient outcomes, all done on your behalf.

Turn chronic care management into consistent revenue and improved patient outcomes, all done on your behalf.

Turn chronic care management into consistent revenue and improved patient outcomes, all done on your behalf.

Your patients need more than just episodic office visits.

Your neurology patients require continuous support, but care stops when they walk out the door. Chronic Care Management (CCM) and Principal Care Management (PCM) are Medicare programs designed to close this gap.

What is Chronic Care Management (CCM)?

CCM is designed for patients with two or more chronic conditions. Under CCM, Medicare reimburses your clinic for delivering 20+ minutes of non-face-to-face care each month.


CCM ensures your highest-risk patients receive continuous attention.

What is Principal Care Management (PCM)?

PCM focuses on patients who have one primary chronic condition that drives most of their medical needs. Under PCM, Medicare reimburses for 30+ minutes of non-face-to-face care each month.


PCM helps your practice deliver consistent support to patients who need focused management for a single, complex issue.

What You Get with Our CCM & PCM Service

We become an extension of your clinic, allowing you to deliver higher-quality care between visits while generating predictable monthly revenue.

Better Patient Outcomes

We provide patients with consistent outreach, medication reviews, symptom monitoring, and care plan updates.

Better Patient Outcomes

We provide patients with consistent outreach, medication reviews, symptom monitoring, and care plan updates.

Better Patient Outcomes

We provide patients with consistent outreach, medication reviews, symptom monitoring, and care plan updates.

New Recurring Medicare Revenue

Generate more than $100K annually with just 500 patients.

New Recurring Medicare Revenue

Generate more than $100K annually with just 500 patients.

Zero Staff Burden

No hiring, no extra workload, no disruption.

Zero Staff Burden

No hiring, no extra workload, no disruption.

Round-the-Clock Patient Support

Patients get continuous access to care: a 24/7 phone line, monthly clinician-led check-ins, and flexible call durations.

Round-the-Clock Patient Support

Patients get continuous access to care: a 24/7 phone line, monthly clinician-led check-ins, and flexible call durations.

Round-the-Clock Patient Support

Patients get continuous access to care: a 24/7 phone line, monthly clinician-led check-ins, and flexible call durations.

01

We identify eligible patients

We start by reviewing your patient population to determine exactly who qualifies for Chronic Care Management (CCM) or Principal Care Management (PCM) under Medicare guidelines.

We identify eligible patients

We start by reviewing your patient population to determine exactly who qualifies for Chronic Care Management (CCM) or Principal Care Management (PCM) under Medicare guidelines.

We identify eligible patients

We start by reviewing your patient population to determine exactly who qualifies for Chronic Care Management (CCM) or Principal Care Management (PCM) under Medicare guidelines.

Your clinic approves enrollment

You maintain complete control over which patients are enrolled. Your clinic simply reviews and approves the list - we take care of the outreach, education, and consent.

Your clinic approves enrollment

You maintain complete control over which patients are enrolled. Your clinic simply reviews and approves the list - we take care of the outreach, education, and consent.

Your clinic approves enrollment

You maintain complete control over which patients are enrolled. Your clinic simply reviews and approves the list - we take care of the outreach, education, and consent.

02

03

We deliver monthly telehealth care

Once enrolled, patients receive regular monthly telehealth support. Our care team checks on symptoms, helps address challenges, and identifies issues early to keep care on track.

We deliver monthly telehealth care

Once enrolled, patients receive regular monthly telehealth support. Our care team checks on symptoms, helps address challenges, and identifies issues early to keep care on track.

We deliver monthly telehealth care

Once enrolled, patients receive regular monthly telehealth support. Our care team checks on symptoms, helps address challenges, and identifies issues early to keep care on track.

Your clinic receives Medicare reimbursement

After each month of care, we document all time, calls, and care coordination to CMS standards. Your clinic receives a complete, audit-ready package for billing.

Your clinic receives Medicare reimbursement

After each month of care, we document all time, calls, and care coordination to CMS standards. Your clinic receives a complete, audit-ready package for billing.

Your clinic receives Medicare reimbursement

After each month of care, we document all time, calls, and care coordination to CMS standards. Your clinic receives a complete, audit-ready package for billing.

04

Doing It In-House vs. Partnering With Foresight

Running CCM and PCM internally requires continuous staffing, rigorous monthly documentation, and reliable follow-up with every patient. Most practices simply don’t have the bandwidth.

Doing It In-House

  • Requires dedicated staff to call patients monthly

  • Significant documentation and time tracking requirements

  • Difficult to maintain consistent patient reach

  • High administrative burden and compliance risk

  • Pulls your team away from in-clinic care

CMS requires a minimum of 166.7 hours per month for 500 CCM patients

With Foresight

  • We staff and manage the entire care team for you

  • All monthly check-ins, documentation, and reporting handled for you

  • Consistent, structured outreach to every enrolled patient

  • No added workload for your physicians or staff

Why Practices Partner With Us

Give Your Patients the Care They Deserve

Give Your Patients the Care They Deserve

With Foresight Health, patients receive consistent monthly support, clearer guidance, and proactive care that keeps patients healthier between visits.

With Foresight Health, patients receive consistent monthly support, clearer guidance, and proactive care that keeps patients healthier between visits.

A dedicated care manager

Monthly check-in calls

Personalized care plan updates

Follow-up reminders and accountability

Early identification of issues

Support between office visits

Medication reviews

CCM & PCM Profit Calculator

Understand the actual profit CCM & PCM can bring your practice.

Our calculator breaks down your clinic’s take-home profit.

How many active neurology patients do you have?
We’ll estimate monthly and annual profit to your clinic based on industry rates*.
Monthly Profit
$0
Annual Profit
$0

Meet Our Team

Our leadership team brings together operational expertise, clinical insight, and seasoned industry guidance.

Tienlan Sun

CEO, Founder

- Berkeley AI + Neuroscience Lab - Peer-reviewed health AI researcher - Masayoshi Son Fellow - UC Berkeley EECS

Derick En’Wezoh, MD, MBA

Advisor

- Harvard MD, Stanford MBA - VP of Growth at Viz.ai ($1.2B health diagnostic company) - Partner at Susa Ventures

Tienlan Sun

CEO, Founder

  • Berkeley AI + Neuroscience Lab

  • Peer-reviewed health AI researcher

  • Masayoshi Son Fellow

  • UC Berkeley EECS

Derick En’Wezoh, MD, MBA

  • Harvard MD, Stanford MBA

  • VP of Growth at Viz.ai ($1.2B health diagnostic company)

  • Partner at Susa Ventures

Investor

Tienlan Sun

CEO, Founder

  • Berkeley AI + Neuroscience Lab

  • Peer-reviewed health AI researcher

  • Masayoshi Son Fellow

  • UC Berkeley EECS

Derick En’Wezoh, MD, MBA

  • Harvard MD, Stanford MBA

  • VP of Growth at Viz.ai ($1.2B health diagnostic company)

  • Partner at Susa Ventures

Investor

Make Proactive Care Your Clinic’s Advantage

Book a free consultation with us to see if CCM or PCM is a fit for your practice

Make Proactive Care Your Clinic’s Advantage

Book a free consultation with us to see if CCM or PCM is a fit for your practice

Make Proactive Care Your Clinic’s Advantage

Book a free consultation with us to see if CCM or PCM is a fit for your practice

Frequently Asked Questions

Everything you need to know before getting started.

Does this add work for our staff?

No. We manage all outreach, documentation, coordination, and time tracking. Your staff does not need to hire, train, or take on additional administrative work.

Who delivers the monthly calls?

How does billing work?

How quickly can we start?

Do you integrate with our EHR?

What is the cost for clinics?

What conditions qualify patients for CCM or PCM?

How does patient enrollment work?

Does this add work for our staff?

No. We manage all outreach, documentation, coordination, and time tracking. Your staff does not need to hire, train, or take on additional administrative work.

Who delivers the monthly calls?

How does billing work?

How quickly can we start?

Do you integrate with our EHR?

What is the cost for clinics?

What conditions qualify patients for CCM or PCM?

How does patient enrollment work?

Does this add work for our staff?

No. We manage all outreach, documentation, coordination, and time tracking. Your staff does not need to hire, train, or take on additional administrative work.

Who delivers the monthly calls?

How does billing work?

How quickly can we start?

Do you integrate with our EHR?

What is the cost for clinics?

What conditions qualify patients for CCM or PCM?

How does patient enrollment work?

Foresight Health

All professional medical services are provided by licensed physicians and clinicians affiliated with independently owned and operated professional practices. Foresight Health, Inc. provides administrative and technology services to affiliated medical practices it supports, and does not provide any professional medical services itself.


© 2025 Foresight Health, Inc. All rights reserved.


Foresight Health

All professional medical services are provided by licensed physicians and clinicians affiliated with independently owned and operated professional practices. Foresight Health, Inc. provides administrative and technology services to affiliated medical practices it supports, and does not provide any professional medical services itself.


© 2025 Foresight Health, Inc. All rights reserved.


Foresight Health

All professional medical services are provided by licensed physicians and clinicians affiliated with independently owned and operated professional practices. Foresight Health, Inc. provides administrative and technology services to affiliated medical practices it supports, and does not provide any professional medical services itself.


© 2025 Foresight Health, Inc. All rights reserved.