The AHEAD Model is a pioneer initiative aiming to reshape state and regional health systems through a Total Cost of Care (TCOC) approach. The Making Care Primary (MCP) Model, a 10.5-year multi-payer initiative, builds upon the successes of previous models like Comprehensive Primary Care (CPC), CPC+, and Primary Care First (PCF), as well as the Maryland Primary Care Program (MDPCP). MCP elevates primary care services and sets the stage for a high-performing health system.