This issue of the PCIP bulletin includes highlights from NYC REACH’s Transforming Clinical Practice Initiative Learning Collaborative. The bulletin also features Dr. Jason Waterman, a pediatrician who is using a Regional Health Information Organization (RHIO) to improve his practice. Additional features include an overview of Quality Payment Program resources, information about a Free Medication Therapy Management Webcast, and the New York State Health Commissioner’s letter to providers on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.