1 article on Principal Care Management (PCM) from the Nsight Health team.
Complete 2026 guide to Principal Care Management CPT codes 99424, 99425, 99426, 99427. Covers reimbursement rates, documentation requirements, qualifying conditions, and PCM vs CCM comparison.
A 30-minute walkthrough with our team: which programs fit your panel, what the clinical workflow looks like and what your practice would need to do. Nothing to buy up front.
Michael Ciullo is a self-made serial entrepreneur who has built numerous businesses within healthcare technology and healthcare services. With no formal education and from humble beginnings, Michael started his career in B2B SaaS sales and after four years branched out on his own to build his first revenue cycle management company.
In 2015, Michael started Nsure Healthcare Services, a healthcare technology firm dedicated to streamlining medical billing departments, which was awarded by the Inc500 as being one of the fastest growing companies in the United States. Having never raised capital, Michael reinvested the earnings from his first two ventures and built Nsight Health which has become the fastest growing remote care company in the United States.
Today, Michael, his companies, and his teams are servicing hundreds of medical practices, thousands of providers, and millions of patients across the country with the help of his incredibly talented leadership teams and trusted advisors.
Amber Sanchez is a dynamic and seasoned product and operations executive with over a decade of experience in the SaaS industry. Currently serving as the Chief Operating Officer, Amber is recognized for her ability to align product innovation with business growth, delivering exceptional value to customers and stakeholders. Her leadership is marked by a strategic focus on building high-performance teams, fostering a culture of empowerment, and ensuring that every product meets the evolving needs of its users.
Amber’s career journey includes pivotal roles such as Chief of Staff, SVP of Operations and VP of Product Strategy, where she played a key role in driving operational excellence and launching innovative products that significantly enhanced customer satisfaction and retention. Her deep understanding of both the technical and human elements of product development allows her to seamlessly bridge the gap between technology and user experience.
A Certified ScrumMaster (CSM) and Certified Scrum Product Owner (CSPO), Amber brings a structured yet flexible approach to product management. She is passionate about leveraging agile methodologies to ensure rapid, iterative product delivery that exceeds customer expectations. Her commitment to continuous improvement and user-centric design has earned her widespread recognition, including being named one of the “Top 25 Most Influential Young Professionals” by Gen XYZ in 2019, and one of the “Top 3 Emerging Leaders of the Year” at the APEX Awards in 2018.
Mark Reynolds is an accomplished financial leader with a decade-long track record in steering strategic decisions through meticulous forecasting and data-driven insights. Mark is renowned for crafting innovative financial strategies that optimize profitability and shareholder value, he has excelled in high-growth businesses by streamlining processes and fostering cross-functional collaboration. Mark’s expertise in financial acumen, risk management, and compliance ensures sustained financial health and regulatory adherence.
Mark’s forte lies in driving excellence across financial planning, analysis, reporting, and audit functions, facilitating informed decision-making and enhancing organizational performance. Proficient in global market navigation, cost reduction initiatives, and instilling a culture of financial discipline, he has successfully achieved corporate objectives. Mark’s technical prowess spans Deloitte audit methodology, IFRS, GAAP, SOX, International Audit Standards, and advanced Excel skills.
Mark holds a Chartered Accountant (South Africa) designation and pursued Bachelor of Commerce degree specializing in Accounting, Tax, Finance, Auditing, and related fields from the University of Johannesburg.
Mark’s professional journey includes impactful roles at Deloitte South Africa, Webhelp South Africa as Finance Director, and Webhelp North America as Senior Vice President of Finance.
Mark Brennan is a technology and security executive with extensive experience leading cybersecurity, compliance, secure AI, infrastructure, platform engineering, data engineering, and application development initiatives across healthcare and SaaS environments. Throughout his career, he has built and led high-performing security and engineering organizations responsible for information security, governance, risk management, cloud operations, DevOps, enterprise platforms, identity and access management, and large-scale technology modernization initiatives driving transformation within complex and highly regulated businesses. His work has focused on strengthening security posture, improving operational resilience, enabling scalable software delivery, and aligning technology and security strategy with broader business objectives to enable organizations to innovate and scale securely in rapidly evolving markets.
Over the years, Mark has led initiatives involving SOC 2, HIPAA, HITRUST, Sarbanes-Oxley (SOX) IT controls, NERC Critical Infrastructure Protection (NERC CIP) regulated systems, and NIST-informed security practices. He has a particular focus on secure AI adoption, AI governance, and securing modern AI-enabled software development and cloud environments within regulated industries. Known for bridging the gap between engineering, security, operations, and executive leadership, Mark is passionate about building practical, forward-looking programs that strengthen trust, accelerate innovation, and create long-term organizational impact. Mark holds a Bachelor of Science in Computer Systems Engineering from University of Massachusetts Amherst.
As Chief Information Security Officer at Ciullo Inc., Mark leads the organization’s information security, governance, risk, compliance, and secure AI strategy with a focus on protecting sensitive data, supporting innovation at scale, and building resilient systems that enable long-term organizational growth.
Michael Evans is a dynamic and results-driven call center transformation leader with over two decades of experience in elevating operational performance through strategic process optimization, cutting-edge technology, and data-driven insights. Renowned for his ability to manage and scale global operations, Michael excels at enhancing both customer and agent experiences by challenging conventional practices, streamlining workflows, and consistently achieving significant improvements in customer satisfaction, operational efficiency, and cost reduction.
As an expert in business intelligence, Michael integrates workforce management, performance analytics, and strategic planning to drive transformative change. His passion for continuous improvement and innovation has been the driving force behind the creation of highly efficient, multi-channel contact center operations, including inbound and outbound voice as well as omni-channel environments. Michael’s leadership is marked by a relentless focus on measurable outcomes, making him an invaluable asset in delivering exceptional results that directly impact the bottom line.
Stacey has over 20 years of experience in HR leadership roles across various industries, with a proven track record of elevating the role of HR as a strategic partner and a catalyst for organizational growth and
transformation. Stacey’s core competencies include operations and business management, talent and performance management, organizational development, and culture and employee engagement. She has a supportive and collaborative management style, with strong business acumen and analytical skills.
Stacey’s focused on creating and executing innovative HR solutions that align with Nsight’s core strategies and processes, and drive results at all levels. She is passionate about finding and developing talent, fostering a diverse and inclusive culture, and enabling a high-performance and agile environment. Her mission is to empower our employees and enhance our performance and reputation as a trusted and respected partner for our clients.
Josh Higgins has joined the Nsight team as a highly skilled and innovative Clinical Operations leader, bringing over a decade of Nursing Leadership experience. He stepped into the Digital Healthcare arena in 2021, where he took charge of Clinical Operations for Optum Virtual Care. In this role, Josh spearheaded the development of the virtual care team, establishing key processes and protocols. He also worked closely with the product team as a clinical advisor to ensure seamless integration of clinical practices and technology. Under his leadership, Optum Virtual Care rapidly expanded to serve over 500,000 patients annually across all 50 states and Washington D.C.
During his time at Optum, Josh co-developed the Virtual Practice Health and Safety tool, which became a standard across all Optum Care Virtual business lines. His commitment to patient safety and quality care earned him the prestigious Sages of Clinical Services award in 2022, a recognition awarded to the top clinicians among over 57,000 licensed professionals at United Health Group. Additionally, he served as a panelist for Optum Health Education’s Digital Health series, focusing on how integrating multidisciplinary care teams can enhance patient and provider experiences and improve outcomes. Most recently, he has taken on a consulting role for Optum’s Virtual Medical Weight Loss Program, which transitioned into a permanent position leading a multidisciplinary clinical team.
Before his time at Optum Virtual Care, Josh was an Area Manager of Clinical Operations at MedExpress Urgent Care, overseeing multiple facilities on the East Coast and in Texas. During the peak of the COVID pandemic in 2020, he played a crucial role in establishing and managing some of the first outdoor testing sites in New Jersey, actively engaging in patient care through specimen collection and testing.
Josh’s unwavering dedication to quality care and enhancing the patient experience perfectly aligns with Nsight’s mission to innovate remote care solutions, helping patients live longer, healthier lives.
Taresa Bernard is a seasoned operations leader with over 15 years of experience driving cross-functional efficiency and execution in fast-paced, high-growth industries. As Vice President of Operations at Nsight, Taresa leads strategic initiatives that improve outcomes for patients, providers, and internal teams alike.
Throughout her career, Taresa has consistently delivered measurable improvements in utilization, customer satisfaction, and operational scalability. She is known for her structured approach to project execution, her ability to build and empower high-performing teams, and her strong cross-departmental collaboration. Her expertise spans agile methodologies, KPI frameworks, change management, and operational strategy.
Taresa holds a Bachelor of Science in Psychology from Colorado State University and is a certified Professional Scrum Master (PSM I). She is passionate about streamlining complex workflows to better serve both patients and care teams, and she brings a thoughtful, people-first mindset to everything she builds.
John Eagle is a revenue cycle executive who has spent his career at the intersection of operations and technology, translating complex billing workflows into scalable automation systems and building the infrastructure that turns underperforming revenue cycles into high-functioning ones.
Currently serving as Vice President of Revenue Cycle Management, John is recognized for his ability to bridge the gap between billing operations and the technology teams that build the systems behind them. His leadership is marked by a hands-on approach to automation and a deep commitment to building revenue cycle operations that deliver consistent, measurable results for the providers they serve.
John’s career spans revenue cycle leadership across Medicaid, Medicare, Medicare Advantage, Veterans Affairs, and managed care environments, with additional depth in ACO value-based care. His experience across these programs has given him a comprehensive understanding of the payer landscape and the operational complexity that comes with it.
A proud Baylor Bear, John holds four HFMA certifications: Certified Healthcare Financial Professional (CHFP), Certified Specialist in Business Intelligence (CSBI), Operational Excellence, and Business of Health Care. He is passionate about leveraging technology to elevate what revenue cycle teams can accomplish, building operations where automation handles the routine so people can focus on the work that truly requires human judgment.
Marc Miranda partners with healthcare organizations to design and implement care programs that deliver measurable outcomes — reducing unnecessary utilization, improving chronic disease management, and shifting providers toward reimbursement models built on value rather than volume.
Before moving into partnership development, Marc worked inside the provider ecosystem across FQHCs, outpatient physician groups, and health IT — giving him firsthand fluency in the clinical, financial, and compliance pressures that determine whether a care program succeeds or stalls.
At Nsight Health, he works alongside physician groups, health systems, aligned healthcare vendors and care teams to build RPM and CCM programs that are operationally sustainable and financially aligned with how modern healthcare is being rewarded.
Marc holds a BA in Communications from the University at Albany, an MBA from Western Governors University, and a Certified Healthcare Financial Professional (CHFP) designation from HFMA.
Carrie Metcalf is a senior finance executive with over 18 years of experience in accounting and financial operations, known for building scalable finance functions and driving strategic growth in complex, high-growth environments. Before joining Ciullo Inc., she founded an outsourced accounting services firm where she partnered with organizations to deliver financial clarity, operational efficiency, and data-driven decision support.
Now in her fourth year with the organization, Carrie leads all customer-facing finance functions across the Ciullo family of companies, including Nsight Health and Nsure — organizations delivering innovative healthcare technology and revenue intelligence solutions that improve patient outcomes, optimize revenue capture, and streamline the end-to-end financial and clinical lifecycle.
In this role, she develops high-performing finance teams and drives accountability against key departmental KPIs spanning revenue performance, cash flow optimization, and operational efficiency. Carrie positions finance not only as a strategic business partner, but as a critical touchpoint in the customer experience — aligning financial processes with client needs to enhance transparency, responsiveness, and trust throughout the customer journey.
Carrie oversees financial strategy, client financial operations, and cross-functional alignment, playing a central role in scaling processes, improving performance, and supporting sustainable growth across the organization. She is recognized for her ability to translate complex financial data into clear, actionable insights that drive measurable results.
Carrie holds a Master of Accounting and Financial Management and brings a unique combination of technical expertise, entrepreneurial leadership, and a client-first mindset.
Isabella Barbera, CPA is a seasoned financial executive with over 25 years of experience spanning public accounting, corporate finance, and operational leadership, known for building high-performing finance teams, strengthening internal controls, and driving measurable efficiency across complex and evolving organizations. Before joining NSight Health, she built a distinguished career across both public and private sectors — serving as a Partner at regional CPA firms, founding her own accounting and advisory practice, and stepping into controller and CFO roles across industries including manufacturing, technology, healthcare, and real estate.
Now in her second year with the organization, Isabella serves as Group Financial Controller within the Ciullo family of companies, including Nsight Health and Nsure — organizations delivering innovative healthcare technology and revenue intelligence solutions that improve patient outcomes, optimize revenue capture, and streamline the end-to-end financial and clinical lifecycle.
In this role, Isabella brings a hands-on, ownership-driven approach to financial operations — implementing scalable processes, enhancing internal controls, and delivering the financial clarity that leadership needs to make confident, data-driven decisions. Her background in both public accounting and corporate finance gives her a uniquely broad perspective, allowing her to align technical rigor with strategic business objectives.
Isabella holds a Master of Taxation and a Bachelor of Science in Accounting from Florida Atlantic University, and has held her Certified Public Accountant license since 2003. She brings a rare combination of technical depth, entrepreneurial experience, and an unwavering commitment to operational excellence.
Martin Sances is an experienced business attorney with an almost 30-year career primarily as an in-house attorney and general counsel to public and privately held companies. His past clients include companies in the fields of healthcare and technology, finance and capital management, solar and renewable energy, autonomous vehicles and transportation, insurance, educational and leadership training, temporary staffing and technology services, roofing and construction and facilities services. He is extremely skilled in contract drafting, raising capital, M&A, corporate formation and governance, negotiation, litigation management and arbitration.
Dr. Ronald Geraty is an entrepreneur with expertise in technology-enabled healthcare services. He is known for founding, developing, and transforming multiple healthcare companies over his professional career. Importantly, his companies have helped to change the delivery of care to meet the Triple Aim of the Institute of Medicine. Currently, he serves on the board of Ideal Option, a Varsity Healthcare Partners Company that does Medication Assisted Treatment across the Pacific Northwest. Additionally (and outside of Varsity), he is Chairman of the Board and an advisor at Aduro (Redmond, WA), Chairman at Podimetrics (Somerville, MA) and an advisor to JumpStartMD, a Bay Area health and weight management company. Most recently, he has joined the Advisory Board of nSight Health, a remote patient monitoring company.
Dr. Geraty began his career as a physician with a specialty in child and adolescent psychiatry in private practice and academia (Harvard Medical School). Subsequently, serving in roles including positions of CEO, Board Member, and Executive Chairman, he led companies in psychiatry (Monarch Health sold to Lutheran General Healthcare and Assured Health which was eventually transformed into Merit Behavioral Care sold to Magellan); radiology (American Imaging Management now owned by Anthem); cardiology and other chronic diseases (Alere Medical sold to Inverness Medical which renamed itself Alere and is now owned by Optum); diabetes (Sanare), and dermatology (DermOne) and more recently, AxisPoint Health, a population health company focused on the Medicaid market. Dr. Geraty is best known for growing Alere from $1.2 million of revenue in 2001 to over $500 million in revenue in 2009 while becoming a market leader in remote patient monitoring and population health management. Dr. Geraty led Alere through a series of owners from venture capital (including IVP, Flagship Ventures, Cutlass Capital and Nevada Ventures) to private equity (TA Associates) and then to the public market (ALR on NYSE).
In his ventures, Dr. Geraty has utilized market-leading technology to support traditional services infrastructure and customer/patient-centered approaches to differentiate the quality of the service delivery. Within companies, Dr. Geraty builds cultures of health and employee/client satisfaction through diligence and innovation integrated with a spirit of fun, creating successful work environments.
In his personal life, Geraty enjoys family, friends, healthful food, and exercise. He believes that hard work and a positive attitude help create lucky opportunities.
Ricky Caplin is globally recognized as a leading entrepreneur who has launched and led multiple organizations that have created thousands of jobs, including The HCI Group – one of the largest global healthcare IT consulting firms. Following a March 2017 merger between The HCI Group and Tech Mahindra, Caplin became one of the top global executives at Tech Mahindra, a global technology company with 117,000+ employees. Under his leadership, the combined companies are thriving through their continued support of adopting digital technologies in the healthcare space.
Currently, Ricky serves as Founder and Chairman of Caplin Ventures, a first-generation family office headquartered in Jacksonville, FL. Guided by faith and mission-driven principles, Caplin Ventures seeks to improve communities and support partners through meaningful service. The Caplin Ventures portfolio encompasses 8 operating companies, multiple international, mission-oriented initiatives, and several healthcare and technology investments. Most notably, The Aurora Forge, a healthcare-technology-focused venture fund, and JaxUSL, a soccer club home to men’s and women’s USL pro teams.
Ricky received the 2015 Ernst and Young Florida Entrepreneur of the Year Award, Jacksonville Business Journal’s Ultimate CEO Award, and recognition throughout the nation for his civic service. He was named a 2016 “Rising Stars of the Profession—Excellence in Healthcare” winner by Consulting Magazine, a Top 75 Leader in Healthcare by Advantage Magazine, a four-time University of Florida Gator100 award winner, and was selected to participate in the KPMG Quantum Shift program – an elite group of America’s most promising entrepreneurs. He believes strongly in investing in companies that promote social good and commits to giving a portion of his earnings to better the world.
Caplin, a former Certified Public Accountant, graduated with bachelor’s and master’s degrees in accounting from the University of Florida. Caplin completed executive education at Harvard Business School and the University of Michigan’s Ross School of Business. He lives in Jacksonville, Florida with his wife and three children.
Clark Golestani, a seasoned professional with over 30 years of experience in health, life sciences, and technology, is actively involved as an investor, advisor, and board member in various sectors, including healthcare, life sciences, and technology. He currently holds key positions as the managing director of C Sensei Group, LLC, a senior advisor to New Mountain Capital, and an investment advisor to K2 Access Fund and The CXO Fund. Golestani offers valuable advice to companies, private equity, and venture funds, spanning a wide range of healthcare, life sciences, and horizontal technology areas, focusing on company strategies, data, digital, technology, and transformation.
Additionally, Mr. Golestani serves as an independent director on the boards of several notable companies, including eMids, Emmes, Molecula, ToposWare, and Zapata Computing. Prior to his current roles, he retired from Merck in 2018, where he held the position of President, Emerging Businesses and Global CIO. In this capacity, he was responsible for Merck’s digital health services and solutions companies, as well as the global Information Technology organization, covering all lines of business, including Human Health and Animal Health BioPharma.
Prior to joining Merck, Mr. Golestani was responsible for establishing and managing strategic client relationships from business development through consulting services engagement delivery as a principal with Oracle (oracle.com). Previously, Mr. Golestani served as chairman of the board for Sparta Systems (spartasystems.com) acquired by Honeywell International Inc.; on the Board of Directors for CIOX Health (cioxhealth.com) merged with Datavant, Liaison Technologies (liaison.com) acquired by Open Text Corporation, NPower (npower.org), Seal Software (seal-software.com) acquired by Docusign, TruU, Inc. (truu.io); and UMUC/Ventures (umucventures.org). He also served as a special advisor to the Dean at the University of Texas at Austin, Dell Medical School (dellmed.utexas.edu). He has a degree in Management Science from the Massachusetts Institute of Technology Sloan School of Management, and is a cofounder of Cross Road Technologies, Inc., in Cambridge, Massachusetts.
Neil de Crescenzo has been working with technology teams and government, non-profit and commercial customers worldwide to improve healthcare for three decades. He left United Health Group/Optum in October 2023 after serving as CEO of Optum Insight, a $19B (revenues) business unit of UHG which creates stronger connections across payers, providers and consumers through software-enabled services and analytics to make clinical, administrative and financial processes simpler and more efficient. Mr. de Crescenzo joined UHG/Optum through the company’s acquisition of Change Healthcare in 2022, a leading healthcare software and technology-enabled services company where he was President and CEO for nine years. During his tenure, the company more than tripled in size, completed its IPO, and was acquired by UHG/Optum for double its IPO valuation.
Prior to Change Healthcare, Mr. de Crescenzo was SVP/GM of Oracle Corporation’s Health Sciences global business unit, serving healthcare and life sciences companies worldwide, for nearly a decade, and previously led IBM Corporation’s business services for healthcare customers worldwide, also for nearly a decade. Earlier in his career, he worked in leadership roles at health systems and a major health plan.
Mr. de Crescenzo has also held leadership roles in technology and healthcare industry associations over many years, including serving as Chairman of the Healthcare Leadership Council in Washington. D.C., a member of the Board of Directors of the Nashville Health Care Council and as a Trustee of the Committee for Economic Development of the Conference Board. He is currently a Visiting Fellow at the Duke-Margolis Institute For Health Policy.
Daniel Hamburger has run 3 SAAS and 2 tech-enabled services business, across both public and private-equity ownership. He serves on several Boards, including Clearlake-backed FinThrive, Warburg-backed Qualifacts, TA Associates-backed Solarity and Alpine-backed Riverside Insights and Wilson Language Training.
He retired as CEO of Provation, a clinical software platform provider backed by Clearlake Capital Group. Hamburger previously served as CEO of Renaissance, a leading preK-12 curriculum, assessment, and analytics company, until its acquisition by Francisco Partners in 2018. From 2006-2016 he served as President and CEO of Adtalem Global Education (formerly DeVry Education Group), a global provider of educational services.
Prior, Hamburger served as Chairman and CEO of Indeliq, a SaaS-based education software company backed by Accenture Technology Ventures, and President of WW Grainger Internet Commerce. He started his career in consulting at Accenture and then at Bain & Co. Hamburger earned an MBA from Harvard Business School and his bachelor’s and master’s degrees in Industrial Engineering from the University of Michigan.
Peter Taunton founded Lift Brands, one of the largest wellness brands in the world with over 6,000 franchises or licenses spanning across 3 brands in 28 countries.
Peter is currently the CEO and co-founder of Nautical Bowls, an Acai bowl franchise concept with over 150 awarded territories in just 18 months. This is Peter’s 4th franchise brand. In 2010 Peter was the Ernst and Young Entrepreneur of the Year, and is currently a Forbes Master Class instructor at the Forbes School of Business.
His business accomplishments have been well-recognized by the business community. He and his companies have been featured in many business and industry publications such as Forbes, Entrepreneur 500, Inc 5000, Top Global and Franchise 500.
Stuart Reid is a results-driven marketing leader with a proven track record of scaling remote care startups into global brands. Over nearly two decades, Stuart has steered strategic go-to-market decisions through precise, data-driven insight, building gritty, common-sense campaigns and commercial engines that translate directly into revenue growth. His approach blends strategic judgment and operational rigor, optimizing AI-driven tools to sharpen execution and scale business to move faster and work smarter in the ever-changing healthcare industry.
Recognizing healthcare’s shift toward proactive value-based care, Stuart saw a gap in the care delivery model and built his career in healthcare technology to close it. As Chief Marketing Officer at Accuhealth Technologies, he grew the business to more than $50 million in annual revenue in just four years. During the same period, he built the sales and marketing infrastructure behind TelliHealth’s hardware manufacturing and distribution business. Both companies were acquired by a private equity firm in 2024 as part of a $200 million transaction.
Stuart joined the Nsight Health leadership team to lead marketing and GTM strategy. In this role, he owns the company’s brand positioning, demand generation, and the sales enablement that turns strategy into pipeline, bringing meticulous attention to detail without losing sight of the bigger strategic picture. Stuart has been featured multiple times on lists of the 500 fastest-growing companies in North America and holds an Honors Bachelor of Arts degree. Stuart is proud to be part of Nsight’s talented leadership team, helping thousands of providers and millions of patients nationwide access better, more connected care.
