All but four states —Georgia, Indiana, Mississippi, and West Virginia—are using value-based care (VBC) and alternative payment models. The remaining 46 states, the District of Columbia, and Puerto Rico are implementing some sort of value-based model. About 50% of those programs are multi-payer in scope. These findings were presented in "Value-Based Care in America: State-by-State," by Change Healthcare. Researchers with Change Healthcare analyzed publicly available information, compiled in 2017 and updated in 2019, with a focus on statewide VBC and payment programs for the 50 states, the District of Columbia, and Puerto Rico . . .