How health and healthcare are purchased impacts what health and healthcare outcomes result.  There are national, state, and local dynamics at play. First, AcademyHealth worked with GHHI to identify what dynamics are at play and where. The team then identified what levers each group has to meaningfully change the health and healthcare system in the United States. Then the team turned to identifying what changes each type of organization would need to be successful in new funding models. Finally, the team worked with a social service provider to identify and attempt overcome implementation barriers to establishing an alternate payment model addressing behavioral health and other social issues. Lessons learned from this work are outlined in the below three reports.