For many physicians, maintaining certification is but one of a number of non-clinical activities that require additional time and energy. The ABFM is working to balance the importance of providing a mechanism for family physicians to demonstrate their ongoing competency and improvement with the additional burden and expense the federal efforts to move to value-based payment will add to physician work. For this reason, the ABFM is investing heavily to align continuous certification with value-based payment requirements, in a manner that will both reduce burden and bend value-based payments to primary care’s value. A description of these multi-faceted efforts is described below.