In a significant advancement for the musculoskeletal and orthopedic care in Central Ohio, Central Ohio Primary Care (COPC), the largest independent primary care provider in the United States, has joined forces with OrthoAlliance (OA), a network of independent orthopedics groups, including OrthoNeuro, JIS Orthopedics, Orthopedic Foot & Ankle Center, Orthopaedic Associates of Zanesville, and Orthopedic Specialists and Sports Medicine. Together, they have established a value-based care enterprise to address knee and spine pain. This collaboration enables enhanced communication between primary care providers and orthopedic specialists, ensuring efficient and comprehensive medical solutions tailored to individual patient needs. The focus is on precise and timely treatments, emphasizing non-operative musculoskeletal care when appropriate. We aim to provide consistent messages to patients, optimize well-being, and improve surgical outcomes. This groundbreaking initiative reflects the commitment of COPC and OrthoAlliance to providing great care to the patients we serve.