The cost of healthcare is skyrocketing due to an ageing population, an increase of chronic diseases and co-morbidities and new, expensive innovation. Despite the increasing cost, the outcomes are not improving. With our fee-for-service world, medical providers are paid for quantity, not quality. Driving care volume (visits, treatments, operations) is still the main game in healthcare. We need to create a more efficient and sustainable healthcare system that delivers real value for patients. We need a paradigm shift. Now.