Healthcare providers and payors across the country are undergoing extensive planning efforts to establish thoughtful and diligent strategies to move toward a more value-based system. The major challenge for providers, however, is determining the end-state vision, how it will evolve over time, and what the transitional steps are for getting there. The pacing and priorities may be different, depending on the type of provider (a hospital system versus a Critical Access Hospital, for example) and the specific dynamics of the market. These dynamics underscore the need to establish transitional strategic and tactical plans that will move provider organizations and their markets toward improved value and more accountable care. This presentation provides an industry review of the critical transitional steps required to move from volume to value and the importance of the pacing of that movement.