During this session, panelists will focus on what it truly takes to scale coordinated care beyond pilot programs. Attendees will explore leadership lessons, funding strategies, technology infrastructure, and cross-sector partnerships required to support high-need populations, particularly those interacting with multiple systems. Leave this session with clarity on the enabling conditions for sustainable scale, common pitfalls in multi-system coordination, and how counties can position themselves as accountable hubs for whole-person, safety-net care.