The California Scorecard on Payment Reform, published this fall by Catalyst for Payment Reform with support from The Commonwealth Fund and the California Healthcare Foundation, finds that the Golden State leads the nation in adopting innovative methods to pay doctors and hospitals for the value—rather than the quantity—of care they deliver. Forty-two percent of commercial payments to California health care providers are value-oriented, compared with 11 percent of payments nationwide. In a new blog post, Andréa Caballero, program director at Catalyst for Payment Reform, discusses California’s innovations and what it will take to ensure these alternative payments boost health care quality and affordability.