Primary healthcare is the foundation of Russia’s healthcare system and the medical services sector that is most in-demand among citizens. It is the accessibility of primary care and the quality of care provided at this stage that shapes the identity of the entire system, since outpatient care is the point where people have their first and most significant contact with the healthcare system. In addition, developing primary care is the key approach and best way to make efforts to increase life expectancy and improve public satisfaction with medical care. The Republic of Bashkortostan has gained significant experience in introducing the latest projects in the country in this regard and provides a platform for the implementation of several pilot solutions. What key achievements and best practices that are being implemented in the Republic of Bashkortostan can be scaled up across the country? How is primary healthcare developing and will it develop in the region? What promising staffing, organizational, and digital solutions are being developed and tried out in the region?