Analytics and infrastructure for value-based care
built by operators who needed it themselves.
Navigate MIPS. Prepare for mandatory accountability.
CMS-APPROVED QCDR AND ACO
AMBULATORY SPECIALTY MODEL
12 months until mandatory participation
Cardiology, pain management, anesthesiology, orthopedics, neurosurgery, PM&R
CMS isn't just raising the stakes. It's giving providers the infrastructure to succeed within them.
Mandatory risk models
ASM, TEAM—episode-based, scored against peers
9–12% at riskTools to succeed in them
ACCESS, LEAD—chronic disease management, ACO-specialist arrangements
That pairing—accountability plus operational pathways—is the thread connecting the most consequential model announcements of the past year. Organizations that recognize this and invest in chronic disease management pathways, episode-level analytics, and specialist coordination now will be better positioned when mandatory accountability arrives.
Explore the full policy landscapeVBCA was founded by operators working inside federal value-based care programs. We focus on the practical interpretation of policy—how quality reporting, cost performance, and program design translate into real financial outcomes for practices.
Our work connects policy to operations, and performance to sustainability—guided by four principles:
Policy expertise matters
Understanding what CMS is trying to accomplish—not just what they're requiring—changes how you approach compliance.
Cost is a clinical problem
The patients appearing in high-cost episodes are signaling unmanaged chronic disease. Addressing costs means addressing care.
Registries are decision systems
Not just submission tools—your MIPS data should be the compass for your business decisions.
Compliance shouldn't be a cost center
Quality reporting should be a revenue driver—not overhead. Most practices leave value on the table.
Kristy Reinert, MD
Co-founder and Physician advisor
Dr. Reinert spent years in hospital medicine and clinical operations before co-founding VBCA—bringing frontline perspective to how quality programs land at the point of care.
These outcomes share a common thread: practices that finally understood what they were being measured on—and why the gap between their clinical performance and their score existed in the first place.
View Our ImpactReport. Analyze. Prepare.
MIPS handled
Quality, PI, IA—optimized and submitted through our CMS-approved QCDR.
Cost position visible
Episode costs. Patient drivers. Peer benchmarks. Population insights.
ASM-ready
Mandatory accountability starts January 2027. Build the infrastructure now.
Trusted by healthcare organizations nationwide
VBCA did an excellent job of handling our very specific issues. They are always accessible, reliable, knowledgeable and professional. The advice and expertise was outstanding! I would highly recommend this firm 100%!
Endocrinology Medical Group
VBCA has worked very hard to obtain the best possible MIPS score for us. The switch from doing it ourselves to having VBCA work on it was the best switch we have ever made. It was a much much easier submission this year!
Community Hospital
Efficient and reliable service in getting the MIPS certification done. Felt at ease knowing it was in good hands and would be done with expertise.
Pulmonary and Sleep Disorders Medical Group
Policy analysis and practical guidance
The Ambulatory Specialty Model Explained
A comprehensive analysis of ASM's structure, scoring, and strategic implications—and why the preparation window matters.
Read article →Trusted by CMS
