Comprehensive Care Management and Coordination support for high and rising risk patients is a key driver in impacting quality improvement and addressing total cost of care. As a result, many practices have hired dedicated care managers, but often this is not enough. The care manager role enables the practice to be more intentional about population health. However, the lack of a supportive infrastructure, such as meaningful integration into the primary care team or access to useful registries/risk-stratification reports, can easily derail these efforts.