The Value Care Alliance (VCA) is a collaboration among high quality, low cost Connecticut health care systems. This includes hospitals and organized physician groups working together to enhance efficient, coordinated care and promote local governance with shared leadership in health care decision making. The Alliance will provide opportunities to exchange best practices among its members with the goal of reducing health care expense and improving quality. Additionally, the Alliance will deliver the data and analytical capability to enable efficient and effective care management and optimize the coordination of care across multiple settings. The Alliance is the largest collaboration of independent health care providers in the state. Hospital and physician leaders are working together to set the direction for the Alliance and to enhance the delivery of clinically integrated care, as it helps its members and their patients respond to the changing health care environment.