Guide: What the CMS PIN Model Means for Care Coordination

As CMS launches the new Principal Illness Navigation (PIN) model, healthcare organizations have a powerful opportunity to lead the way in whole-person care. Designed for patients with serious illnesses, PIN puts navigation services at the center of better outcomes, lower utilization, and a more coordinated experience for patients and families. In this guide, we explore what the PIN model means for your organization and how to build the infrastructure to deliver high-impact navigation at scale.

What you’ll learn:

• Who qualifies for PIN, and how CMS defines serious illness populations

• What Principal Illness Navigators are expected to do—and how to support them

• The core quality metrics CMS will use to evaluate success under PIN

• How careMESH helps teams coordinate across providers, document interventions, and deliver measurable results

Whether you're evaluating participation or building a navigation program that aligns with CMS’s future direction, this guide offers clarity, context, and next steps to prepare with purpose.