To evaluate the main characteristics and performances of alternative financing mechanisms a Multi Criteria Analysis (MCA) was conducted. The MCA is a decision making tool used to reach consensus about the characteristics and performances of different policy instruments, or alternatives. In the MCA each stakeholder participating in the evaluation process enters their judgment (or score), and contributes to a jointly reached conclusion about a policy instrument or alternative. In the FORVALUE study, the MCA was conducted for 11 cases of innovative (or alternative) financing mechanisms. These ‘alternative’ cases were selected from a total of 35 cases of financing mechanisms.