Innovista manages and supports Health Systems, Accountable Care Organizations (ACOs), and Medical Groups across its key geographies, seeking to help providers effectively move into value-based and risk-based payer arrangements. One of these key geographies is Innovista’s North Texas Market, and the following study explores the success of Innovista’s partnership with a single medical group in the Dallas-Fort Worth area. When strong physician leadership collaborates with a management partner that brings innovative technology, proven programs, and experienced industry leaders, medical groups can continue to move the needle in population health and value-based care. Innovista has multiple years of experience partnering with Texas physicians in both Medicare and Commercial value programs,and its North Texas market recently achieved remarkable success in Medicare Advantage. This study highlights the factors that drove the success of this medical group and explores the challenges that other medical groups may face in the future.