Name
F01 - Integrated Care is essential to the success of Tailored Care Management: Embracing the Paradigm Shift
Date & Time
Thursday, October 16, 2025, 2:45 PM - 3:45 PM
Location Name
Ballroom C
Description

This presentation will describe the paradigm shift and unique model of Tailored Plans and Care Management Agencies (CMAs) leading whole-person care coordination across the healthcare continuum versus primary care practices. In reviewing an example of a member who has benefited from the focus on integrated whole-person care outcomes, we will discuss and amplify the transformational mindset required to effectively shift to the use of data-driven outcome metrics and convey how to harness the power of information to close care gaps and yield quality outcomes.

Co-Authors
Comment: There may or may not be another presenter (physical health partner) or a video segment to complement Drs. Davis/McKinney presentation related to success story narrative
Content Level
All Audience
Tags
Care management, Collaborative Care Model of Integrated Care, Outcomes
Session Type
Concurrent
Slideshow link
Handout 1 Link
Objective 1
Describe how integrated care supports Tailored Care Management foundationally
Objective 2
Discuss the required shift behavioral health providers have and should embrace to support a member’s whole-person health
Objective 3
Identify how Care Management Agencies (CMAs) use data to support HEDIS gap closure for supported members
Content Reference 1

Smith, S. M., Wallace, E., O'Dowd, T., & Fortin, M. (2023). Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database of Systematic Reviews, 2023(1), CD006560.

Content Reference 2

Miller, B. F., Gilchrist, E. C., Ross, K. M., Wong, S. L., & Blount, A. (2022). Integrating behavioral health and primary care: Moving upstream to improve the health of the whole person. American Psychologist, 77(1), 15-27.

Content Reference 3

Peek, C. J., Cohen, D. J., & deGruy, F. V. (2021). Research and evaluation in the transformation of integrated behavioral health and primary care. American Psychologist, 76(6), 798-812.

Content Reference 4

Valentijn, P. P., Schepman, S. M., Opheij, W., & Bruijnzeels, M. A. (2022). Understanding integrated care: A comprehensive conceptual framework based on the integrative functions of primary care. International Journal of Integrated Care, 22(1), 1-12.

Content Reference 5

Goodwin, N. (2021). Understanding integrated care: A complex process, a fundamental principle. International Journal of Integrated Care, 21(4), 1-4.