Our healthcare system today is broken in large part because of how we pay for it. Our fee-for-service legacy gives providers an incentive to deliver as many exams, tests, and treatments and fill as many beds as possible. But as we know, piling on services does not equate to high-quality care. The new payment and risk-adjustment models that are emerging as a result of healthcare reform are needed to improve both the economic and the clinical value of the services that healthcare providers deliver. Nonetheless, providers must attend to a range of issues to be fully prepared for the changes that are well underway across the healthcare system.