In recent years, the healthcare delivery model has shifted away from inpatient care and towards a more wide array of ambulatory care models.  However, the proliferation of many ambulatory care centers has led to ever-increasing costs for governmental payers and employer groups.   To contain these costs, governmental and private payers are moving away from fee-for-service and toward value-based payment systems.  Learn how payment systems have influenced and will continue to influence these ambulatory environments.  Evaluate whether a particular ambulatory model can provide value. The presenters will offer an overview of the evolving nature of these ambulatory care sites, their impacts on the networks and healthcare systems, and what the ambulatory care model of may look like in the next five years.