To achieve the Triple Aim of better care, improved health, and lower costs, VHCIP is designing and testing new systems for payment, care delivery, and information technology that will fundamentally change Vermont’s health care landscape. This means testing value-based payment models for all payers in the health care system; supporting providers as they prepare for increased accountability; and improving the infrastructure for collecting health data in Vermont. State government agencies and private organizations are working together to change policies and behaviors in order to transform the state’s culture of health care. VHCIP staff and contractors are charged with managing the project to ensure it is organized, has sufficient resources, and is able to meet goals and milestones.