A recent national study of state government programs finds more than 40 states strategically invested in value-based payment models, 23 with targets or mandates, and just 7 states trailing the trend. Just 7 states have little to no activity around value-based payment models. Report BackgroundValue-Based Reimbursement State-by-State is based on an analysis of publicly available information compiled from May through October 2017. The study relies on information gleaned from primary sources, including state resources, federal government resources, and contractors that participate in state-initiated value-based payment programs. Infographic shown below summarizes findings of the Value-Based Reimbursement State-by-State report from Change Healthcare.