What are the three functions of integrated CM?

• A. Track patient self-management; Tend/track population management; Reporting and monitoring quality
• B. Identify risks; Implement care plans; Reassess every quarter
• C. Screen for eligibility; Approve services; File claims
• D. Collect data; Schedule visits; Invoice providers

Answer: (A)

Integrated CM centers on coordinating care across individuals and populations and using data to drive quality improvement. The three functions reflect this approach:

First, tracking how patients manage their own care. This means monitoring adherence to treatment plans, symptom management, medications, and lifestyle changes. By keeping an eye on self-management, you can identify barriers early and tailor support to help patients stay engaged and effective in their own care.

Second, tending and tracking the management of a defined population. This involves overseeing a group of patients—often by risk level or care needs—and coordinating outreach, preventive services, and timely interventions to prevent gaps in care and improve outcomes across the population.

Third, reporting and monitoring quality. Collecting and analyzing data on performance and outcomes, then reporting it to stakeholders. This fuels continuous improvement by showing what’s working, where gaps exist, and how to adjust care strategies.

These elements together form the integrated CM approach, linking individual care with population health and using data to enhance quality. The other options describe component activities (like eligibility, approvals, claims, scheduling, or invoicing) but they don’t capture the three core functions that define integrated CM.