The role of care management within healthcare is evolving to help healthcare organizations respond to the demands of outcomes-based financial arrangements, the COVID-19 pandemic, and persistent inequitable health outcomes. Comprehensive care management plays a key role in enabling care that is responsive to the needs and desires of diverse patient populations, including older adults and people with complex care needs. While technology developments and other trends offer the promise of efficiency gains, when combined with financial pressures, they threaten to reduce the availability of relationship-based comprehensive care management, which is key to Age-Friendly Health Systems and the ability to age in community.