80% of plans, including the Centers for Medicare and Medicaid Services (CMS), are moving toward value-based payment arrangements (VBC). This shifts risk from payors to practitioners and urgently requires transition to a value-driven practice. Providers have the cumbersome task of assessing each consumer’s risk, identifying gaps, closing the gaps and documenting closure while aligning to that consumer’s unique care plan. VBC programs have inconsistent program rules, erratic delivery requirements and insights coming too slow to have meaningful patient engagement. The administrative energy required is a huge challenge.