Value-based purchasing (VBP) arrangements can make good health good business, but developing the alternate provider payment arrangement is far from simple. The ability to do so will likely be the next frontier of core-competencies for insurers and service providers alike. This brief outlines the lessons learned by one social service provider in exploring a value-based contract with a managed care insurance plan. While the project did not realize its full potential of securing a value-based care contract in the time allotted, it did allow an opportunity to learn and the project partners remain optimistic that there is a path forward. Academy Health, The Green & Healthy Homes Initiative (GHHI), and Talbert House remain optimistic that Talbert House will be able to secure sustainable, federally-matched Medicaid dollars to invest in the health of the local population, including support to address traditional behavioral-health services and social determinants of health more broadly.