The business model for health and human service organizations is changing – from the traditional cost (or volume) of services delivered to new models that link health plan and provider organization reimbursement to value. For provider organizations, this can be a difficult transition. Risk-based contracts require a shift in operations and organizational culture – to be successful, you must be able to measure the value of your services, know your costs, create the competencies needed to accept value-based reimbursement, and focus on relationships with key payers (see (see