APP Plus Reporting & MSSP Contract Analytics for ACOs
The software we built to run our own ACO, licensed to yours.
APP Plus reporting through our own CMS-approved registry, and benchmark and savings analytics down to every participant. Three decisions set your ACO's result each year, and this is how you make them on numbers.
Margin to the minimum savings rate
Savings become shareable once spending clears it.
97.0%
- Benchmark
- $52.4M
- Spending
- $49.4M
- Below the MSR
- $1.4M
0.03%
Our benchmark projection's distance from CMS's final number
What's in the stack
Three modules, one set of numbers underneath
- 01
APP Plus quality reporting
The eight-measure APP Plus set run through Medicare CQMs, MIPS CQMs, and eCQMs, filed on the pathway that scores best through our own CMS-approved QCDR.
- Your composite against every pathway to the quality standard
- Collection type priced against your TIN mix and EMR before you elect
- Gaps worked from the practice down to the patient
- 02
Contract and benchmark analytics
Benchmark, spend, and savings for the ACO and every participant, refreshed as claims come in. Included for ACOs that report APP Plus with VBCA.
- Participant, coding, and election what-ifs before you act
- A benchmark projection within 0.03% of CMS's final number
- An interactive model and a matching Excel workbook
- 03
Gap management, down to the patient
The practices, clinicians, and patients behind every open gap, with outcomes recorded in place and carried back into the composite.
- Participant TINs and NPIs ranked by opportunity
- Patient and measure worklists with bulk updates and CSV
- Custom reports built on request, from inside the app
Three decisions shape an ACO's results each year. The stack is built to get them right.
The three decisions
Each one can swing the result by millions
What each decision adds to the savings
Illustrative ACO, 10,000 beneficiaries
As it stands
Optimize network
Close recapture gaps
Prospective election
Claims run-out
This year, projected
40% sharing rate. Projected range $14.1M to $22.8M. Every step recomputes from source each month as the roster and claims change.
- 1
Your quality reporting collection type
Different collection types produce different APP Plus scores
eCQM, MIPS CQM, and Medicare CQM do not score the same way, and APP Plus performance feeds shared savings. We price each type against your TIN mix and EMR footprint before you lock it in.
Read the analysis - 2
Your track and benchmark election
BASIC or ENHANCED, prospective or retrospective
Your track sets the shared-savings rate and the downside risk. Your assignment method changes who is attributed and how the benchmark is built. We re-price both tracks and both methods against your claims.
Read the analysis - 3
Who belongs in the ACO
Who strengthens your savings, and who dilutes them
Every TIN and NPI on the participant list changes your attributed population, your benchmark, and your path to the minimum savings rate. We run the network as a what-if: who to keep, who to add, and who makes the MSR harder to clear.
Read the analysis
Start with quality reporting, because it sets how much of your savings you keep.
Quality decides your sharing rate
Your quality score sets how much of the savings you keep
The same performance earns different points
Every measure can be reported on more than one collection type, each with its own benchmark. Here the same 28.96% rate on Measure 001 earns 4.2 points as a Medicare CQM and 8.1 as a MIPS CQM, which reports on a different population.
Medicare CQM
4.2
points · Decile 4
MIPS CQM
8.1
points · Decile 8
Measure 001, diabetes glycemic status, at a 28.96% rate. From the VBCA portal, demo data.
Sample scenario
Same patients, same care. Two measures reported a different way.
All measures on Medicare CQM
31.8%
Measures 001 and 236 moved to MIPS CQM
50%
Dashed line: the 2026 quality performance standard, 73.85 points.
Here is how the portal helps raise that score, from the whole ACO down to a single patient.
Inside the portal
Four screens your team will work in every week
Pick a screen to explore· 4 views
Track your quality score all year and know where to focus
The quality composite against the QPS, projected shared savings, and the sharing rate it earns, with the collection type for every measure one click away.
Find the practice with the most room to move
Every participant TIN ranked against the quality standard, with the biggest opportunity named at the top. Open one to see its measures and clinicians.
Work the gaps one patient at a time
A worklist sorted by open gaps. Each measure shows what is missing, with the spec one click away, and Met, Not Met, or Exception recorded in place.
Every patient in a denominator, and the score updates
The by-measure view lists every patient with numerator status. Bulk updates and CSV import and export handle volume, and Confirm & Recalculate carries the outcomes into the composite.
All of these numbers rest on the benchmark, so we check ours against CMS.
Validated against CMS and an independent actuary
What used to take a round of actuarial support appears the moment you ask
You receive an interactive model and a matching Excel workbook, refreshed monthly and reconciled to CMS each quarter. It re-prices your margin under any roster, election, or coding scenario.
About $30,000
What outside actuaries charge for one run of this analysis. Ours runs on demand.
How close the model lands
Distance between our number and the one it was checked against.
- Benchmark projectionagainst CMS's final benchmark0.03%off
- Spending projectionagainst the settled year's spending0.1%off
- Contract modelagainst an independent actuarial review$0off
Refreshed monthly, reconciled to CMS each quarter.
Why ACOs license it from us
Built by an ACO, for the decisions an ACO actually makes
We report our own ACO through it
VBCA sponsors a Medicare Shared Savings Program ACO, and we report it through the same APP Plus module you would use.
We helped build the MSSP data model
Penn Medicine, funded by Gates Ventures, partnered with Tuva Health on an open-source MSSP data model, and chose us from several dozen applicants as its development partner. For a year Tuva engineered and we checked every output against what a live ACO knows to be true.
The registry is ours
APP Plus is submitted through our own CMS-approved QCDR, with 4 CMS-approved quality measures of our own.
We write the measures
Our founding team has written nearly 20 clinical quality measures, and CMS invited us to introduce our SGLT2 measure for chronic kidney disease nationwide in 2027.
For ACO leaders
What ACO teams ask before they license the stack
Not in an ACO yet? VBCA also operates its own ACO for independent practices. Join our ACO
What does the ACO stack include?
APP Plus quality reporting through our CMS-approved QCDR, gap management from the participant practice down to the patient, and benchmark and savings analytics for network, coding, and election decisions, which are included for ACOs that report APP Plus with VBCA.
What is the quality performance standard?
CMS sets it each year as a percentile of MIPS quality scores; for 2026 our portal carries it at 73.85 points. An ACO at or above it keeps the full sharing rate for its track. Below it, the ACO can stay eligible through the alternative standard, but savings pay at a rate scaled to its composite.
How accurate is the contract model?
Our benchmark projection landed within 0.03% of CMS's final benchmark and within 0.1% of the settled year's spending, with no gap to an independent actuarial review. The model is refreshed monthly and reconciled to CMS each quarter.
How does our data get into the platform?
MSSP data from Medicare flows in automatically, alongside a secure claims upload. For eCQM tracking, we work with clinical files.
What do we receive?
The APP Plus portal, from your composite down to each patient, plus an interactive contract model and a matching Excel workbook, refreshed monthly. If a report you need doesn't exist, you can request a custom build from inside the app.
How is it priced?
Custom to your contract track, attributed lives, and how much of the stack you run with us.
See the whole stack against your own data
Send us your claim files
Or email Support@VBCA.com