UHC’s redesign of care to the team model  that includes training and a career ladder for medical assistants is used as an example of how to improve patient outcomes, provide advancement opportunities for staff and lower costs at the same time.  This article  looks at business practices that are effective in creating strategic and financial gains and how the formulas of these sites  are adoptable by similar businesses .  It also shows how lower-wage workers, when supported by effective policies, boost  productivity, quality, innovation, and revenues. In the process, the value added by frontline employees rises and they garner significant and sustained wage gains and career advancement.