Payment for healthcare services has transitioned to include value-based incentives. Higher quality and lower cost care are now rewarded. Cardiac rhythm management devices can be leveraged to achieve these goals. Non-optimized device management allows fee-for-service revenue to fall through the cracks, reduces the quality of care, increases the overall cost of care, and it constrains the quality of care. Providers will also learn the pros and cons of having device related services conducted by employed device technicians, device company representatives, and outside companies. This is a 45-minute discussion.