The April 2018 issue of Health Affairs includes a new paper by Jim Hester, "A Balanced Portfolio Model For Improving Health: Concept And Vermont’s Experience.” The paper summarizes Vermont’s experience as a laboratory for health reform and presents a conceptual model for a community-based population health strategy using a balanced portfolio and diversified funding approaches. The paper offers Accountable Health Communities as a structure that can build and maintain balanced portfolios, and features the work of the Caledonia and South Essex Accountable Health Community as an example. The abstract is at https://www.healthaffairs.