CMS-Approved MIPS Registry (QCDR) · Quality Measures · Cost Analytics
The team behind your
value-based care performance.
VBCA operates a CMS-approved MIPS registry and a Medicare Shared Savings ACO. We author quality measures, shape the policy behind them, and build the platform that reports to CMS.
96 clients across 32 states. $40M+ in documented value. Zero lost to non-compliance.
The MIPS Problem
Excellent clinical care doesn't always translate to a high MIPS score.
A perfect 100% performance rate on a topped-out measure earns a maximum of 7 of the 10 available points. A 99.99% rate falls even further.
The national median cost score. Half of all clinicians fall below it—often without visibility into why. CMS publishes the underlying data, but it is rarely used.
The rules reset every year, and up to 9% of Medicare revenue rides on the result. Most registries hand you the data and stop. But the score comes down to interpretation—which measures to select under this year's benchmarks, which patients are moving your episode costs, what the next rule changes before it lands. At most practices, each of those calls is made on a guess.
How the policy landscape fits together →How We Solve It
Policy meets engineering.
We create the measures, influence the policy, and build the tools that track and report them to CMS—bridging the gap between knowing what counts and acting on it.
- —The founding team has authored nearly 20 clinical quality measures; four are CMS-approved and reportable through our Qualified Clinical Data Registry today.
- —CMS invited VBCA to introduce its SGLT2/CKD measure nationally as a clinical quality measure in 2027.
- —We engage CMS directly on rulemaking, keeping clients ahead of policy shifts.
- —Purpose-built tooling, designed in-house—not off-the-shelf software.
- —Your MIPS position across all four categories, scored exactly as CMS will score it—with payment projections before CMS finalizes them.
- —One system spanning quality, cost, and direct submission to CMS.
The same people who shape the policy engineer the platform.
What We Do
Analyze. Prepare. Report.
Your cost position, visible
Episode-level costs, the patients driving them, and how you compare to peers. Scored exactly as CMS will score it.
Ready before it's mandatory
The Ambulatory Specialty Model begins January 2027. The data it will score you on already exists. We help you read it now.
MIPS, handled end to end
Measure selection, data validation, and submission through our registry. Quality reporting run as a strategy, not a deadline.
For practices ready for shared savings, VBCA also operates a CMS-approved Accountable Care Organization in the Medicare Shared Savings Program. MSSP ACO →
Who You Work With
You work with the people who built it.
VBCA was founded in 2020 by people running these programs from the inside—managing MIPS submissions, operating ACOs, authoring quality measures, and engaging CMS directly on rulemaking. The tools were built because we needed them ourselves.
Behind the platform is a working team: policy analysts who read the full rule every year, data engineers who build the episode-cost analytics, submission specialists with a clean audit record, and physician leadership that reviews the clinical logic behind every recommendation.
More about the firm →
Kristy Reinert, MD
Co-founder & Physician Advisor
Clinical Professor of Medicine, University of Pennsylvania. Dr. Reinert spent years in hospital medicine and clinical operations before co-founding VBCA—her review keeps the analytics honest about how care actually gets delivered.
Every engagement follows the same four steps:
Audit
Where you stand and where you're exposed—across MIPS, cost, and the programs coming next.
Integrate
Your claims and clinical data connect to our platform. One load, unified visibility.
Optimize
Measure selection, score modeling, and cost analysis turned into decisions with dollar signs on them.
Sustain
Ongoing monitoring as rules change—so next year's surprises are things you saw coming.
“The switch from doing it ourselves to having VBCA work on it was the best switch we have ever made.”
— Community hospital client
Latest Thinking
2026 MIPS Reporting: Requirements, Deadlines, and What the Score Is Worth
Who must report, what each category requires, and every deadline through March 2027. Maintained through the performance year.
Read the 2026 guide →CY2027 Physician Fee Schedule Proposed Rule: What Specialists Should Watch
The 2027 rule lands as the Ambulatory Specialty Model enters year one and the 2026 pay increase expires. What's locked in by statute, what CMS can still change, and how to prepare—updated the day the rule publishes.
Read the analysis →Ambulatory Specialty Model
6 months until mandatory participation
Cardiology, pain management, anesthesiology, orthopedics, neurosurgery, PM&R
CMS has named 6,637 clinicians on the preliminary participant list. The final list is expected this summer.
Start with a conversation.
Tell us where you are—MIPS, cost visibility, ASM, or all three—and we'll tell you what we'd look at first.
Talk to us →