Strong patient relationships are important for better health and quality of care. Quality-based compensation has continued to evolve with quality-based care and performance metrics. Practices and health systems have aimed to find the balance between clinicians seeking to improve patient health and eliminating cost drivers, as well as risks. Population health management (PHM) can too often focus on measuring quality in terms of task-based care. In some instances, this can significantly diminish the clinicians’ ability to decipher difficult medical situations and impact their ability to build strong relationships patients who have complex chronic care needs.