The importance of integrating care is a recurring theme in this month’s issue. The second contribution to the journal’s new Integrated Care column describes recent policy and program initiatives undertaken by the New York State Office of Mental Health (OMH) to enhance integration of general medical and behavioral health care. Calling integrated care “the new gold standard,” Thomas E. Smith, M.D., and colleagues underscore OMH’s operating perspective: “What gets measured gets managed.” Among the initiatives they describe is a Web-based clinical decision support tool that helps behavioral health providers monitor health indicators among adults and children in mental health clinics. They also describe a partnership to train primary care providers to screen for depression and make appropriate referrals, the creation under Medicaid managed care of a state network of patient “health homes,” and efforts to track provider performance (page 828). This month’s Open Forum takes a closer look at the accountable care organization (ACO), a model for organizing providers across multiple care settings to deliver collaborative, patient-centered prevention and treatment services. Donovan T. Maust, M.D., and colleagues detail various approaches to implementing ACOs that are being promoted by the Centers for Medicare and Medicaid Services and that could improve care for people with serious mental illness. However, these authors also show how ACO implementation might overlook these high-cost, high-risk patients (page 908). In this month’s Taking Issue, Andres Barkil-Oteo, M.D., M.Sc., argues that integrating psychiatry into the primary care sector is not an option but a necessity and that psychiatrists bear a responsibility for mental health services that are currently being delivered by nonpsychiatrists (page 825).