Specialty care accounts for over 60% of total healthcare costs, underscoring its critical role in the success of value-based care (VBC). However, fragmentation often arises when responsibility is divided between primary and specialty providers, and widespread payer adoption has been slow. To address this, the Center for Medicare and Medicaid Innovation (CMMI) has introduced several specialty-focused models. At the same time, a wave of specialty-oriented companies is emerging, offering innovative solutions for health plans, employers, and consumers. In this panel, subject experts will explore how these models can succeed, how to build scalable and seamless clinical infrastructure, and how to deliver a compelling ROI and value proposition for payers. While the challenges are significant, if implemented effectively, value-based specialty care (VBSC) has the potential to transform care for millions of patients and tackle rising healthcare costs.