Healthcare is encountering a seismic shift from volume to value. Alternative Payment Methodologies (APMs) describe the way that providers will be paid for value. There is a spectrum of APMs that require various levels of clinical and administrative preparation. Providers will need to work with payers to negotiate APMs and ensure that the degree of financial accountability is commensurate with clinical and administrative performance. This module describes APMs and how providers can work with payers to move along the APM continuum.