Chronic pain from fibromyalgia and other pain conditions is the big elephant in the room of health care. It is the top reason to seek care, the 1 cause of disability and addiction, and the primary driver of healthcare utilization, costing more than cancer, heart disease, and diabetes. More than half of the persons seeking care for pain conditions at 1 month still have pain 5 years later despite treatment often due to lack of training patients in reducing the many patient-centered risk factors that lead to delayed recovery, chronic pain and in some cases, addiction. This points to the need for is a new model of care– transformative care– which integrates patient self-management training of patients with treatments to prevent help prevent the impact of FBM chronic pain and addiction while helping the health care system recover from it’s devastating escalation in chronic pain and addiction. This paper describes the concepts and practical strategies associated with implementing transformative care using an on-line preventionprogram (PP) with health coaching (preventionprogram.com). PP integrates risk assessment, self-management training, and telehealth coaching with change in clinical paradigms by the health professional to be more patient-centered.