Specialist Options In An Integrated Care Management World Payers are focused on implementing integrated care management programs for high-needs consumers – everything from ACOs to medical homes to readmission prevention programs – in order to reduce overall spending. Where are those savings coming from? From reduced use of hospital-based care and from reduced use of specialists. What's a specialist to do? It's all about positioning – or more specifically, about repositioning, and there are three challenges to this repositioning: Challenge #1: Developing the administrative competencies needed to succeed in model with care management intermediary Challenge . . .