Population health that protects
your private practice.
We provide the CMS-approved ACO infrastructure that allows independent clinicians to pool resources, simplify reporting, and capture shared savings—without losing their autonomy.
You keep your independence. Period.
Many clinicians hesitate to join an ACO because they fear a loss of autonomy—a “middle manager” sitting between them and their patients. Here's the reality of our model:
You own your practice
Joining our ACO does not mean merging your practice or changing your tax ID. You remain the owner and operator of your business.
No one tells you how to practice
You are the clinical expert. The ACO provides data to help you see the full patient picture, but medical decisions remain entirely in your hands.
Voluntary participation
You're not locked in. You choose to participate because it aligns with your clinical and financial goals—not because you have to.
A value-based engine that runs in the background.
We've designed our ACO so you can focus on patients while we handle the complexity. Here's what that looks like in practice:
The Reporting “Shield”
Instead of every clinician in your practice worrying about individual MIPS scores, the entire group reports as one entity through the ACO.
→ Dramatically simplifies admin burden and protects your MIPS upside through collective strength.
Identifying the “Invisible Work”
Clinicians are often doing immense amounts of care coordination, follow-up, and chronic care management that they aren't getting paid for.
→ We provide the documentation and data trail to turn “free” labor into shared savings.
The “Macro View”
Right now, you only see what happens when a patient is in your office. Our ACO infrastructure gives you visibility into the full patient journey.
→ Identify high-cost “leaks” or gaps in care that you can address to improve outcomes and performance.
A New Revenue Stream
When clinicians in our ACO work together to provide efficient, high-quality care, the “savings” (benchmark minus actual cost) are shared.
→ You receive a performance bonus—revenue that doesn't exist in traditional fee-for-service.
A solo clinician captured $68,000 in additional revenue in their first year after joining our ACO—for work they were already doing.
That's before shared savings. The visibility alone changed what they could capture.
See more client outcomes →The ACO model in 30 seconds.
An ACO is a group of providers who agree to be measured on total cost of care for their Medicare patients. When costs come in below the benchmark—while maintaining quality—you share in the savings.
Patients are attributed
CMS assigns Medicare patients to your ACO based on where they receive the plurality of their primary care services.
A benchmark is set
CMS calculates the expected cost for your patient population based on their risk profile and historical spending patterns.
You share in the savings
When actual costs come in below the benchmark—and you meet quality thresholds—you keep a percentage of the difference.
The ACO advantage over traditional MIPS.
| Dimension | Traditional MIPS | The VBCA ACO Strategy |
|---|---|---|
| Risk Profile | Solo risk—your practice is judged purely on its own isolated data | Shared success—benefit from the collective performance and scale of a larger pool |
| Revenue Streams | One stream—limited to fee-for-service plus MIPS adjustments | Dual revenue—maintain MIPS performance while qualifying for Shared Savings bonuses |
| Reporting | Administrative fatigue—every NPI/TIN manages their own complex submission | Unified reporting—one streamlined submission for the entire organization |
| Visibility | Data blindness—only seeing what happens inside your own four walls | Population visibility—seeing the full patient journey across the entire care continuum |
Why now?
With traditional MIPS facing a sunset timeline and mandatory models like ASM on the horizon, the ACO is your “safe harbor.” It allows you to practice the specialty care you love while utilizing sophisticated data infrastructure to navigate the new financial reality of healthcare.
An ACO shouldn't be a documentation burden; it should be a financial catalyst. We use our population health infrastructure to find the “missing” revenue in your practice—identifying where clinical excellence is already happening and ensuring the payment models finally reflect that work.
See if ACO participation makes sense for your practice.
We'll walk through your current MIPS position, your patient population, and whether ACO participation would add strategic value—or just administrative overhead.
Go deeper
MIPS Reporting & Strategy
For practices that prefer traditional MIPS—measure selection, score modeling, and full four-category support.
Learn about MIPS →Registry / QCDR
The infrastructure behind both MIPS and ACO reporting—with proprietary measures we developed.
Learn about QCDR →ASM Preparation
The mandatory model that's coming—and why ACO participation positions you for what's next.
Learn about ASM →