Advanced primary care, such as Patient-Centered Medical Homes, transform the systems and culture of practice to meet the needs of patients. Leading innovators are taking the next step, by integrating care with important community-based services—such as behavioral health, social support services, and community health workers. These partnerships create additional tools to support patients, especially those who are high risk and/or high cost. On this webinar, attendees heard about leading efforts to support this patient-centered care from clinicians, a community-based organization, and a health insurance provider.