https://www.selleckchem.com/JAK.html Chronic disease management models in primary care have demonstrated significant benefits to the patient experience and patient health outcomes. In trying to prepare for the future, with or without COVID-19 implications, dental providers and clinics are facing opportunities to add value, consider alternative payment models, and to incorporate risk stratification and population health management along with medical systems. However, as alternative payment models emerge in dentistry, stand-alone dental clinics may face unique challenges in trying to prepare for the future while still providing patient care in the fee for service environment. This article focuses on a 6-months pilot project of how implementing a comprehensive caries disease management care model, evaluating caries risk, and implementing risk stratification strategies can prepare dental offices for future payment models and inclusion in the greater health system. There are two overall goals for this pilot. First, applying a caries disease management protocol to every patient visit, regardless of reimbursement. Second, applying quality improvement (QI) principles to change how a dental office approaches care delivery. The Institute of Medicine defines quality in healthcare as a direct correlation between the level of improved health services and the desired health outcomes of individuals and populations.The U.S. healthcare sector is a paradox - achieving comparatively poor population health outcomes despite outspending the world - and the current paradigm is a dichotomy - pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spending was $136 billion, accounting for 3.7 percent of total healthcare spending, a relatively nominal amount when considering oral diseases are among the most prevalent and have serious health and economic burdens, greatly reducing quality of life for those affe