"Innovate" editorial board member William H. Graves talks with Carol A. Twigg, president and CEO of the National Center for Academic Transformation (NCAT), a nonprofit organization dedicated to encouraging course redesign at both the state and system levels, about NCAT's groundbreaking Program in Course Redesign (PCR). PCR demonstrated that technology could simultaneously reduce costs and increase quality in higher education. Course redesign, Twigg emphasizes, is not simply putting courses online but leveraging technology investments to reduce costs and increase learning. Twigg outlines the past, present, and future of NCAT, providing examples of current projects and concerns and showing NCAT to be a valuable resource for any organization looking to develop a course redesign program.