American health care is entering a resource-constrained environment with economic pressures already beginning to drive changes in care delivery and payment. Without a predictable and acceptable standard upon which regulators/payors/consumers can identify “value”, decisions will be stifled, efforts will be ineffective, and consumers will be denied access to innovative products and services. Temm & Associates, Inc. works with organizations to measure and express value to payors. We systematically apply scientific methods to assess the design, implementation, and outcomes of programs, enabling our clients to assess and address potential barriers to operational efficiency and cost-effectiveness.