Built by operators.
For operators.
Practical interpretation of policy—how quality reporting, cost performance, and program design translate into real financial outcomes for practices.
Our Story
We started inside federal value-based care programs—running ACOs, managing MIPS reporting, navigating the same complexity our clients face today.
We couldn't find the tools we needed. So we built them.
What began as internal infrastructure became VBCA: a platform and team designed by operators, for operators.
Value-based care should not threaten the practices communities depend on.
When program complexity threatens business viability, it threatens healthcare access.
Value-based care programs were designed to improve quality and reduce cost. In practice, the complexity of implementation—a 3,200-page rule, annually changing measures, specialty-specific benchmarks—falls most heavily on the practices least able to absorb it.
The practices most exposed to program complexity are often essential access points in their regions. When policy complexity undermines practice viability, the impact extends beyond financial performance to patient access and continuity of care.
When a practice cannot navigate MIPS, the consequence is not merely reduced revenue. It may be forced to close. When that happens, patients lose their doctors—the clinician who served that community for decades, replaced by a long drive to the nearest alternative.
That is the problem VBCA exists to address. Not compliance for its own sake, but business viability as a prerequisite for healthcare access. When practices succeed under value-based programs, they remain open, independent, and able to continue serving their communities.
Our work connects policy to operations, and performance to sustainability—guided by four principles:
When the rules change, someone should speak for the practices living under them.
Every year, CMS releases the proposed Physician Fee Schedule—including changes to reimbursement rates, MIPS, MVPs, ACO models, and quality measures—and opens a comment period before finalizing the rules.
Most vendors read the proposed rule, wait for it to finalize, and build compliance tools around whatever gets published. We do something different: we respond.
We submit formal comments on proposed rules. We push back when policies create unintended burdens. We make sure the people writing healthcare policy hear from the people actually delivering care.
Advocacy work is necessary. When a proposed rule is expected to penalize clinicians for something outside their control, or when benchmarking methodology would disadvantage certain specialties, someone needs to explain why that matters—with data, with specifics, with the operational reality practices face.
The practices we work with aren't just complying with CMS policy. They have a voice in how those rules get made. Because we believe the clinicians closest to patients deserve a seat at the table when policy decisions get finalized.
From complexity to clarity.
A proven process that turns 3,200 pages of policy into actionable strategy.
Audit
We identify your specific MIPS and value-based program risks—where you stand, where you're exposed.
Integrate
Your clinical and claims data connects to our platform. One load, unified visibility.
Optimize
We turn performance data into financial strategy—measure selection, score modeling, cost analysis.
Sustain
Ongoing monitoring and guidance to maintain long-term viability and independence.
“VBCA showed us how to materially improve performance—the cost analysis changed how we think about our patients.”
— Cardiology practice, 12 providers, PA
Trusted by CMS
Ready to talk?
Whether you're navigating MIPS, preparing for ASM, or trying to understand your cost position—we're here to help.