During the Society of Actuaries (SOA) 2021 Health Meeting that was held this past June, Wakely consultants hosted Session 5A titled Value-Based Payment Arrangements – Past and Future. This session was well attended and prompted many questions industry experts have with regards to value-based payment arrangements. Wakely consultants, with the help of Dan Elliott and Chris Lassonde, have compiled the following white paper in response to the questions left unanswered from the session. This white paper addresses hot topics such as benchmarking, attribution, quality, and provider engagement. Readers will benefit from the insights shared within this paper regardless having attended the June session.