Juan Castro 3) What is your city, county, or state currently doing, planning to do, or needing, to implement value-based payment reform? (Examples include policy advocacy for enhanced reimbursement and participation in SDoH-related pilot initiatives.) Our region here in PA currently is involved in a Patient Centered Medical Home learning network with our MCO payors. We have been recently been requested by the state to start addressing SDoH in these meetings as well. There are reimbursement models for those involved in these efforts.