Primary care in the United States is in crisis. Fee-for-service payment models cause clinics to maximize the volume of visits, leaving doctors feeling like hamsters running on a wheel, and patients feeling rushed and ignored. Medical and preventive health needs are shortchanged, resulting in poor health outcomes and enormous downstream costs. A decade ago, Dr. Peter Weir decided to solve this problem for ARUP’s employees and their dependents. He took ARUP’s employee health clinic and transformed it into a full-service medical home, untethered from fee-for-service reimbursement. Not only is the clinic enormously popular with ARUP’s workforce and their families, but it also reduces ARUP’s overall healthcare costs.