Payors • Commissioners • Insurers • Collaborative Care

Shared care plans are the infrastructure that makes collaborative care work

I work with payors and healthcare purchasers globally to operationalise collaborative care through shared care plans that reduce fragmentation, improve continuity, and make outcomes predictable across systems.

Reduced fragmentation Better continuity Audit-ready structure Scalable team-based care

The global payor challenge

Across health systems worldwide, collaborative and integrated care models for mental health and chronic disease face the same operational barriers: providers work across multiple clinics and organisations, information lives in separate systems, and treatment plans are updated asynchronously.

This leads to duplication, unclear accountability, delayed stabilisation, and variable outcomes despite similar investment.

This is not primarily a clinical failure. It is a coordination and systems design problem.

Shared care plans as health system infrastructure

A shared care plan is a structured, living summary that aligns the care team on goals, roles and responsibilities, treatment actions, monitoring measures, and escalation pathways.

For payors, shared care plans function as coordination infrastructure—ensuring that collaborative care operates as a system rather than a series of disconnected services, especially for conditions requiring ongoing, longitudinal management.

  • Single source of truth across providers and settings
  • Reduced duplication of assessments and interventions
  • Clear accountability for roles, follow-up, and escalation
  • Measurement-based care embedded in workflow
  • Audit-ready documentation supporting quality and governance

Why shared care plans matter to payors

Cost and resource stewardship

Reduced duplication, earlier stabilisation, fewer avoidable escalations, and more efficient use of specialist capacity.

Quality and consistency

Standardised planning across providers and regions, with reduced variation driven by siloed decision-making.

Governance and oversight

Transparent care structures, clear delineation of responsibility, and improved confidence in funded models of care.

Scalability

Supports population-level strategies for chronic illness and mental health across public, private, and hybrid systems.

Applicable across funding models

Shared care planning is relevant across publicly funded health systems, private and not-for-profit insurers, regional commissioning bodies, employer-backed arrangements, blended funding, and value-based approaches.

When care is delivered by teams over time, planning must also be shared.

Clinical domains where shared care has the greatest impact

Shared care planning is particularly valuable in conditions that are chronic, complex, and multi-disciplinary:

  • Mental health and behavioural health conditions
  • Neurodevelopmental conditions (e.g., ADHD)
  • Chronic diseases and long-term illness (e.g., diabetes, cardiovascular disease, chronic pain, inflammatory conditions)
  • Multimorbidity and high-utilisation populations
  • Workforce-focused and functional recovery pathways

Why my perspective is different

My work sits at the intersection of psychiatry, chronic disease management, health systems design, and implementation science. I focus on translating collaborative care from theory into operational systems that payors can fund, trust, and scale across different countries and healthcare structures.

Turn coordination into outcomes

If you are funding or commissioning care for chronic disease, mental health, or complex populations—and seeking greater reliability from team-based models—shared care planning provides the structure that makes outcomes more predictable and value more measurable.