The healthcare environment post-Affordable Care Act is changing the way that physicians practice and the way that they are compensated for patient care services. With the change from fee-based to value-based reimbursement comes significant stress related to needed change in processes and procedures, as well as the potential for a reemergence of some "traditional risk" categories. Physicians need to be vigilant and refocus efforts in some of these traditional risk areas. There is also a role for innovative health insurers and medical professional liability insurers in supporting physicians during this time of change. Best clinical practices and the patient experience are two key strategies that can also help physicians today.