AMC Health Guarantees $4.2 Million in Validated Annual Savings for Every 1,000 High-Risk Medicare Advantage Members

Performance-based model combines primary care, care management, AI, remote monitoring and virtual care, with AMC Health compensated only when it delivers validated savings

NEW YORK, Oct. 6, 2026 /PRNewswire/ -- AMC Health today announced a new outcomes-based model for their Accountable Primary Care offering, backed by a $4.2 million commitment in validated savings for a typical 1,000-member cohort. Health plans pay no implementation fee, platform fee, or base compensation. AMC Health earns performance compensation only from validated savings, measured against the health plan's own claims data.

Rather than simply identifying risk and alerting another provider, AMC Health's affiliated clinicians can act on that information and follow through on care.

"Most organizations can identify risk. Some can influence it. Very few can directly manage it," said Nesim Bildirici, Founder and CEO of AMC Health. "After 24 years of building the clinical, operational, and technology infrastructure required to affect outcomes, we believe accountability should follow capability. That is why we put our fees at risk and stand behind the results we deliver. We believe continuous, proactive care should become the standard for managing high-risk chronic populations."

Continuous Primary Care, Powered by Data From the Home

Accountable Primary Care combines daily data from the home with clinically governed AI that helps physicians identify which patients need attention and when. AMC Health's affiliated clinicians can then act directly, conducting visits, prescribing when clinically appropriate, adjusting treatment plans, ordering services, coordinating referrals, closing care gaps, supporting medication adherence, and following through until an issue is resolved.

The model is designed to work with the care relationships members already have. When a member has an active primary care physician, AMC Health's affiliated clinicians work alongside that physician between visits, supporting the existing treatment plan while attribution remains unchanged. When a member does not have an active primary care relationship, AMC Health's affiliated clinical network can become the primary care provider of record and assume responsibility for ongoing clinical management and outcomes.

"Primary care becomes more powerful when physicians can see what is happening with patients between visits," said Martin Maimon, MD, MPH, Physician Director, AMC Health Virtual Medical Group. "By combining daily data from the home with AI that helps direct our attention to the members who need it most, we can intervene earlier, adjust care sooner, and help keep people stable before a problem becomes a hospitalization."

"I have seen few vendors willing to put real dollars at risk against total cost of care the way AMC is doing. This changes the conversation from paying for a service to paying for improved outcomes, which is always what a health plan wants to achieve," said a former VP of Network Strategy and Cost of Care and Senior Director of Medical Economics at a national health plan. "Health plans looking for a credible path to reducing the cost of chronic conditions should take a close look at this model."

Aligning Payment With Results

Health plans pay no implementation fee, platform fee, fixed program fee, or base compensation. AMC Health earns performance compensation only from validated savings measured in the health plan's own claims data.

Medically necessary clinical services delivered through AMC Health's contracted clinical network are billed at the plan's in-network rates and are included in the total cost-of-care calculation used to validate savings.

For a typical cohort representing approximately 12,000 member months over a 12-month management period, AMC Health guarantees at least $4.2 million in validated savings (equivalent to $350 PMPM), measured against a control group agreed to before enrollment begins.

Built on More Than Two Decades of Continuous Care

AMC Health's willingness to put its fees at risk is backed by more than two decades of experience supporting people with complex chronic conditions in the home. Since 2002, the company has built integrated clinical technology and operational infrastructure spanning remote patient monitoring, virtual care, care management, predictive analytics, and continuous patient engagement.

AMC Health's outcomes research includes a retrospective study of Medicaid beneficiaries with heart failure demonstrating $676 PMPM in claims cost savings and a 36% reduction in 30-day readmissions.

Accountable Primary Care is available to health plans, serving high-risk Medicare Advantage members, including people living with heart failure, COPD, diabetes, hypertension, and multiple chronic conditions, as well as those with recent hospitalizations, frequent emergency department utilization, or limited access to primary care.

Health plans interested in evaluating the model may contact Tres Teague, Vice President, Health Plans, at [email protected]. For more information on the company, visit amchealth.com.

About AMC Health
AMC Health is the continuous care company. Through affiliated clinicians, care managers, clinically governed AI, connected health technology and continuous patient engagement, AMC Health helps healthcare organizations maintain a clinical presence between office visits and hospital stays.

For more than two decades, AMC Health has supported patients living with chronic conditions through remote patient monitoring, care management, virtual care, accountable primary care, and clinical research programs.

AMC Health's CareConsole platform is an FDA-cleared Class II medical device, and the company maintains HITRUST CSF r2 certification.

SOURCE AMC HEALTH