How do we provide physicians with the right resources to meet the needs of the people they serve? What will it take to ensure the best possible care when social factors hinder successful outcomes? In this episode, Dr. Bob Phillips, Executive Director of The Center for Professionalism & Value in Health Care with the American Board of Family Medicine, discusses the value of using community vital signs to identify at-risk populations, and advocates for payment redesign that accounts for social determinants of health (SDoH), which would enable more resources to meet the intensity of work for people with greater needs.