Goroll’s Perspective paper in the New England Journal of Medicine illustrates the electronics arms race between payers demanding documentation to justify payment and EHR vendors with elaborate documentation tools. The increased time physicians have to spend in front of computers limiting patient care experience, productivity, and professional satisfaction, thereby elucidating a need to shift to a value based care model of healthcare delivery. A focus on outcomes places renewed emphasis on eliciting and recording essential elements of care. Goroll further details possible positive outcomes and push back from this shift and describes the steps the Innovation Center at the Center for Medicaid and Medicare Services has taken to revitalize our EHR.