The Triple Aim - improved outcomes/quality of care, improved patient experience, and reduced cost - is driving health care reform in Minnesota and nationally. Minnesota is among those states moving quickly to new payment models that reward practices for meeting these three goals and is gradually reducing payments based only on increased volume of services. Primary care is growing into a new leadership role to meet these new demands while managing the reality that full funding for population based care is developing more slowly than the rhetoric. There are many encouraging signs, including an expanding interest in primary care medical careers, increased examples of highly functional interdisciplinary teams and increased attention to the social determinants of health that interfere with improved patient outcomes. This plenary presentation will review key, basic steps regarding how we engage our providers and staff to move forward on this agenda. We must reframe the future and engage our teams in new ways to create new standard work flows to help patients avoid the emergency room and hospital. Who do we need as teammates to create these more effective teams? How can we more fully integrate behavioral health and medical services? How can we fund these teams? Learning Objectives – Upon completion of this activity, participants will be able to: • Discuss the pivotal role of primary care under health care reform. • Identify ways to engage providers and staff in necessary changes to fill the expanded role of primary care.