Frustrated with the high cost of health care, year-over-year trend increases, lack of transparency in pricing, and lack of control over data, employers are increasingly looking to value-based payment models as an alternative health care strategy to traditional narrow networks and fee-for-service pricing. Employers are leading the way in innovation by harnessing control of data and health care delivery to drive quality and outcomes. Value-based design options available to employers include on-site clinics, virtual care, direct primary care arrangements, purchasing coalitions, direct contracts with providers, and centers of excellence for bundled pricing and accountable care organizations (ACOs).