Between-visit care for Medicare patients, delivered and billed.

Butler partners with primary care practices and ACOs to keep patients with chronic conditions reached between visits, and to capture the Medicare payments that cover that work. Patients get someone holding their whole picture. Practices get revenue and a lighter load.

How it works Get in touch
An older woman smiling as she prepares food in her kitchen in warm evening light.
Image slot: hero. Older woman at her kitchen table in morning window light, mug and phone nearby. Tall portrait.

Care teams know who needs follow-up. They can’t get to them.

A patient leaves with a new medication, a lab order, and a follow-up in three months. What happens in between decides how they do. Care teams already know who needs a check-in. The limit is not clinical judgment, it is how many people a nurse can call in a day.

How it works

1. We review your panel and select which members are eligible for which program.

APCM covers your whole attributed Medicare panel. PIN covers patients with serious, high-risk conditions. You get back a list of who qualifies for what.

  • 81 years old, heart failure and kidney disease
  • Serious and high risk, so PIN navigation applies on top of APCM
  • Check-in every two weeks, weight and symptoms
  • 72 years old, hypertension and type 2 diabetes
  • Attributed to your panel, so APCM applies
  • Check-in every two weeks, medication and home blood pressure
  • 75 years old, osteoarthritis and no other active conditions
  • APCM covers the whole attributed panel, not only the sickest
  • Check-in monthly, function and pain

2. You create your own protocols for each patient, sped up with AI.

We read the care plan out of your EHR and draft the questions, the cadence, and who each answer routes to. You edit anything you want and approve it. Not a generic reminder campaign.

Lisinopril 10 mg daily

Home blood pressure, goal under 140/90. A1c recheck in 3 months. Follow-up visit in 12 weeks.

Check in every 2 weeks, by text

“Have you taken your lisinopril every day?” and “What is your most recent home blood pressure?” Missed doses route to the RN care manager.

Approve protocol

3. Our AI care managers run the outreach, and we flag the members who need you.

Timed check-ins by text, interpreted against the patient’s conditions and care plan. Routine answers are documented back to the chart. What warrants clinical attention is escalated to the right role on your team. The contact and the documentation produce the claim, and you get paid.

Time for your check-in. Have you taken your lisinopril every day this week?
Missed two days, I ran out
Thanks. What is your most recent home blood pressure?
156 / 94
Refill lapse and a reading above plan. Routed to the RN care manager and written back to the chart.
An older man at his table at home with a glass of water and his medication.
Image slot. Older man on his porch with his dog. Portrait 3:4.
An older man's hands sorting pills into a weekly organizer on a table.
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An older man on his couch at home, looking at his phone.
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An older couple on their couch at home as he checks his temperature.
Image slot. Older woman at home with her adult daughter. Portrait 3:4.

Not another inbox.

Most outreach tools collect responses and hand your staff a second queue to reconcile against the chart. That is more work, not less. Butler interprets each response in the patient’s clinical context and routes only what warrants attention, to the role that should handle it, written back into the record your team already uses.

Covered by Medicare

Advanced Primary Care Management, introduced in 2025, pays a bundled monthly amount per patient with no minute tracking. Principal Illness Navigation, introduced in 2024, covers navigation for patients with serious high-risk conditions. Most practices capture little of either, because capturing it takes sustained between-visit contact they do not have the staff to deliver. We deliver the contact and produce the documentation that supports the claim.

0%

of fee-for-service Medicare beneficiaries had two or more chronic conditions in 2017.

CMS
0%

of eligible beneficiaries received chronic care management in 2019, up from 1.1 percent in 2015.

Study of Medicare claims, 2015 to 2019
$0

per patient per month, the 2025 national amount for APCM code G0557.

2025 Medicare Physician Fee Schedule
Works with your EHR.
We read the care plan and write the interaction back.
No new hires.
We run the outreach and the triage.
Audit-ready documentation.
The record is produced as the work happens, not reconstructed later.
Your team keeps clinical decisions.
We route and document. We do not diagnose or prescribe.
Patients reached by text.
No portal, no app, no login.
Routed by role.
Administrative issues to coordinators, clinical issues to nurses and clinicians.

What that is worth on your panel.

Move the sliders. This uses the published 2025 national amounts. What you actually collect varies by locality and by which code each patient qualifies for.

800
60%
$0per month
$0per year

An estimate built from published national amounts, not a guarantee of payment.

Who it’s for

Primary care practices.

APCM covers your whole attributed Medicare panel, not just the sickest patients. We run the contact for all of it.

ACOs and value-based organizations.

Reach the attributed population at the cadence the care plan calls for, with escalation that lands on the right person.

Specialty practices.

For patients with serious high-risk conditions, we support navigation and condition-specific care management alongside the treating team.