There are always at least two sides to every story; different understandings based on different perspectives. During this session, Patrick Gordon will review key issues in primary care practice transformation and highlight both opportunities and common points of abrasion between providers and payers. He’ll explain how “attribution,” “gaps,” “stratification,” “quality,” and “data” hold different meanings to payers than they do to providers, and how these differences are instructive for both. Mr Gordon will discuss how payment models that operate at the organizational and population level are so very different from those based at the level of the encounter and clinician “productivity,” and why better risk and resource intensity adjustment methods are so very essential. Attendees will be encouraged to reflect on how much payers and primary care providers have in common—culturally and strategically—and how simple data sharing and communication pathways can create a fundamental shift toward an aligned paradigm.