The health care system in the United States is on a rapid session of change wherein payment will be based on results instead of on the volume of procedures, services or interventions delivered. All professionals will need to develop strategies to achieve success in this transforming health industry. Providers will be accountable for achieving outcomes with informed patients, balancing the trifecta of performance utilization and financial risks. Strategies for thriving in the new environment will be discussed structured around the triple aim of improving the patient experience health of populations and reducing the per capita cost of care.