Assign a care manager one or more doctors.
Based on your budget, allow each PCP a specific number of active cases–3% or 4% of their panel.
Let the care manager work directly with the PCP on specific tasks that will decrease the patient’s overall care costs.
Forget all the rest.
Like so many other systems, care management can become a bloated, ineffectual and self-perpetuating mess.
There is already a pushback in the literature about how to trim your care management expenses.
Target your care managers under the supervision of your primes.
If your primes have skin in the game, the results should be a cost-effective triumph.