A variety of business models for performance and quality are being proliferated in the construction and services industry. In Europe, specifically in the Netherlands, the Best Value (BV) business model is being applied and is having positive impacts, making it further attractive to countries that are new to BV and looking for improvements. A feasibility study of BV in Italy is conducted via: a brief synopsis of BV, a resource and environmental analysis, and presentation of the results of a survey carried out to determine the degree of achievability of BV in Italy are analyzed. The feasibility regarding the approach to implementation of BV is also discussed. The results of the industry survey are analysed to understand the overall contracting environment and hypothesize on the potential outcomes of the utilization of BV in the Italian construction and services industry. A list of recommendations to utilize BV is developed.