Catalyzed by current alternate payment methodology (APM) requirements in the PRIME program and the strategic importance and implications of mounting interest in value-based payments, SNI, with support from the California Health Care Foundation, developed the Value-Based Strategies initiative. The program, which creates venues for cross-disciplinary leaders from member systems to share progress and problem solve as they move to and build on APMs, launched in early 2018 and will continue into 2019. The focus of the program is on capabilities foundational to success in the acceptance of delegated risk and value-based care, including clinical and administrative operations, data and analytics, and managed care expertise.