Just as providers have reimagined their clinical and business models in light of the pandemic, there is an opportunity to reimagine their relationship with health plans. Particularly in the context of evolving value-based contracts, there are a variety of “asks” that are likely to find receptive health plans. Three issues that are particularly important to health plans are administrative efficiency, quality measures, and overall cost of care. Each one creates opportunities for providers to offer and ask for help. There are a variety of ways that providers, particularly larger groups, can offer efficiencies that benefit both parties. Considering direct access to the providers’ electronic health records (EHR) by a health plan nurse would save time and work for both parties. This has been done routinely between health plans and hospitals, but is much less common in ambulatory settings. Alternatively, asking the health plan for a dedicated nurse to serve as the clinical liaison can achieve some efficiencies by eliminating redundant requests for information, and establishing a trusted and accountable channel for communications. A more progressive approach to this issue is for the provider to add auditable decision support tools to their EHR in return for special status that exempts them from clinical review (“gold carding”). For example, a provider might implement decision support software for diagnostic radiology in return for gold carding of all their clinicians for radiology prior authorization. Increasingly, both health plans and providers are at financial risk for performance of clinical quality measures. In parallel to providers, health plans have historically performed direct outreach to their members in an attempt to close gaps in care. As providers have “skin in the game,” it is increasingly in their interest to do the same. They might consider leveraging health plan outreach resources by suggesting co-branding of communications. Adding the primary care physician’s name to a health plan outreach reminder can significantly increase the likelihood of follow through by the patient, even as it lowers the administrative burden for providers1