Clinicians are the building blocks of value-based care, yet the cumulative human and financial cost of daily care decisions are mostly hidden from them. As essential primary care providers, nurse practitioners play a role in driving efficiency and resourcefulness in care. The growth and expanded capabilities of the specialty give nurse practitioners a powerful voice in setting standards for clinical stewardship. Yet to be successful in this effort, nurse practitioners must have a better understanding of cost containment and cost reduction to make better decisions. This means synthesizing cost and risk data, efficacy, and patient advocacy to propagate value-based decision making and standardized quality care across our organizations. Clinicians need to understand that caring about patients means being good stewards while caring for patients.