Why don’t more leaders embrace the organizational excellence transformation journey? We still live in a fee-for-service environment and there is little incentive for leaders to change their strategy. Team based care is critical to designing care models around patients but team based care is discouraged in the present insurance environment as well. In this latest Health Affairs article my colleagues and I are proposing a different insurance coverage system. One that supports better care by assuring team based care is both incentivized and required for participation in a new type of insurance plan we describe as the Better Care Plan.