Despite—or perhaps because of—the uncertain timing of the shift from fee-for-service to value-based payment, most healthcare providers are eager to prepare for risk-based reimbursement. They are trying different arrangements with and without payers. But providers are leery of taking on higher levels of risk exposure, such as shared profit-and-loss with insurers or opening their own payer business units. The mixed results of early ACOs are worrisome, and providers fear drawing the competitive ire of big payers. This report includes how providers are determining the right level of risk, redesigning care to deliver value, and using data to support risk-based contracting.