For MSSP ACOs
Three decisions will set your ACO's 2027 result. Make them on numbers.
Collection type. Track election. Modifier economics. Each can swing the result by millions, and each is a modeling question before it is a preference. We built the platform that prices all three, and we file the submission behind them.
Collection type, PY2027
Scoring support vs. aggregation relief
The proposed Medicare eCQM type trades the Complex Organization Adjustment and the reporting incentive for assigned-population relief. The right answer depends on your TIN mix, your EMR footprint, and your assigned population. We price both sides, per measure, before the selection is due.
Track election, post-final rule
Level E 60% sharing vs. the regional adjustment cut
CMS plans a time-limited window for January 2027 applicants to change their BASIC or ENHANCED selection after the final rule. The model re-prices your benchmark under both tracks so the election rests on your own numbers.
Modifier economics, CY2027
A 32% E/M modifier, and its benchmark echo
The proposed ACO-only modifier rewards participant-list status, and it adds a performance-year expenditure effect we estimate at 0.3 to 0.5% of total cost of care. The model runs that scenario today, against minimum savings rates of 2.0 to 3.9%.
Comments on CMS-1848-P are due September 14, 2026. The final rule lands around November.
One platform answers all three. And files the submission.
APP Plus reporting through our own CMS-approved QCDR, contract analytics validated against CMS and a third-party actuarial firm, and a per-patient brief at the chair.
Savings only become shareable once spending clears the MSR. The model shows this margin all year, and re-prices it under any roster, election, or coding scenario.
You receive an interactive model and a matching Excel workbook, refreshed monthly and reconciled to CMS each quarter. What used to take a round of actuarial support now appears the moment you ask for it.
HCCs, surfaced
Suspected and historical conditions the record supports, queued for confirmation at the visit.
Quality gaps, closable today
The patient's open measure gaps, and what closes each one at this visit.
AWV due status
Whether an Annual Wellness Visit is due, so no eligible visit leaves unscheduled.
Unmanaged conditions, detected
Signals of conditions without active management, before they become avoidable costs.
See the whole stack against your own data.
Bring your claim and enrollment files. We'll show you your benchmark, your collection-type trade-off, and what the 2027 proposals do to both.
Not in an ACO yet? VBCA also operates its own CMS-approved ACO for independent practices. Join our ACO →