"The Grid" is a home-grown spreadsheet or workbook that some healthcare organizations have created to get their arms around their VBC portfolio. Whether mitigating the risk of missing important requirements or trying to gain economies of scale, the grid (for now) is proving to be a functional tool. Tom Lee, PhD and Beth Houck, MBA, recognized thought leaders in value-based payment programs including MACRA/MIPS, share real perspectives from healthcare organizations currently managing the grid in this 5-page byline article featured in the December 2018 edition of the AMGA Group Practice Journal.