The Platform
The analytical heavy lifting—built in.
Cost position relative to peers. Episode-level insights. Scoring scenarios. Payment projections—all built in, not delivered as a consulting engagement.
When you need to go deeper, you're talking to people who actually understand value-based care.
Report. Analyze. Prepare.
Traditional MIPS
Full category support—Quality, Promoting Interoperability, Improvement Activities, and Cost. Measure selection, attestation tracking, score modeling, and submission through our CMS-approved QCDR.
MIPS Value Pathways
MVP registration, subgroup configuration, and pathway-specific measure alignment. For practices using MVPs as preparation—not just compliance.
Cost & Population Health
Episode-level cost analytics using CMS methodology. Identify high-cost cohorts, benchmark against peers, and understand which patients are driving your cost position before you're scored on it.
ASM Preparation
The same episode-based cost measures CMS will use for ASM. Understand your position now—while there's still time to act on what you're seeing.
See what you're working with
Projected Score
87.4
+12.3 from baseline
Payment Adjustment
+2.1%
$48K estimated
Cost Position
P42
Below median
Model different measure selections and see how they affect your score and payment adjustment—before you finalize anything.
✓Powered by our CMS-approved QCDR with proprietary measures →What's built in
Score Modeling
Model measure selections, attestations, and cost performance. See how each decision affects your final score and payment adjustment before you commit.
Financial Projections
Payment adjustment projections based on current trajectory. Visualize bonus vs. penalty zones. Understand the revenue impact of performance changes.
Cost Analytics
Episode-level cost breakdowns by phase and service category. Benchmark your costs against specialty and regional peers. Identify high-cost episode drivers.
Episode Insights
Drill into specific episodes to understand what's driving costs. See which service categories are above or below benchmark. Connect cost patterns to clinical decisions.
Gap Management
Category-level performance dashboards across Quality, PI, IA, and Cost. Measure-level detail with decile benchmarks. Track progress throughout the year.
Submission & Compliance
CMS submission through our approved QCDR. Audit-ready documentation. Deadline tracking and attestation management.
Choose your engagement level
Some practices want powerful tools and can self-direct. Others want expertise alongside the platform. Both are valid—choose what fits your organization.
Pricing includes per-provider components based on practice size. Small practices (1–5 providers) often qualify for simplified flat-rate pricing. Larger or multi-site organizations receive custom quotes.
Getting started
Connect your data
Claims data upload gets you started—straightforward and secure. For eCQM tracking, we work with clinical files. ACO participants get automatic integration with MSSP data from Medicare.
See where you stand
Your dashboard shows current performance across all four MIPS categories, episode-level cost position, and projected payment adjustment.
Act on what you're seeing
Model different scenarios. Identify opportunities. Make changes that affect your score—not just your documentation. We're here when you need help.
“VBCA showed us how to materially improve performance—the cost analysis changed how we think about our patients.”
— Cardiology practice, 12 providers, PA
Common questions
How does my data get into the platform?
+Claims data upload—most practices are up and running quickly. We also support eCQM tracking via clinical files for practices that need it. For ACO participants, we're fully integrated with MSSP data from Medicare, so your cost and utilization data flows in automatically.
What if I'm already mid-year?
+You can start at any point. The platform will show your current position and what's still achievable for the performance year. Many clients come to us mid-year after realizing their current approach isn't working.
Can I switch tiers later?
+Yes. Most clients start with Platform + Guidance and adjust based on their needs. Moving between tiers is straightforward—you're not locked in.
How is this different from my EHR's quality reporting?
+Your EHR captures documentation for quality measures. VBCA gives you the full picture: all MIPS measures plus our CMS-approved QCDR measures, cost performance insights, and population health analytics. We focus on what your score actually means in revenue terms—and what you can do to improve it. Your EHR tells you what you documented. We tell you where you stand and what to do about it.
What about ASM? Is the platform ready for mandatory participation?
+Yes. The episode-based cost measures in our platform use the same methodology CMS will apply for ASM. If you're in a mandatory geographic area starting January 2027, you can see your position now and use the preparation window to understand what's driving your costs.
Do I need to be a certain size to work with VBCA?
+No. We work with solo practitioners and large health systems. Pricing scales with practice size, and small practices (1-5 providers) often qualify for simplified flat-rate pricing.
Ambulatory Specialty Model
Cardiology, pain management, anesthesiology, orthopedics, neurosurgery, PM&R
Check if your area is affected →We're in your corner
Your voice at the table.
When CMS proposes a rule that affects your practice, we don't just read it—we respond. We submit comments, push back where it matters, and make sure the people writing policy hear from the people living it.
We believe the practices closest to patients should have a seat at the table when policy gets made.
Ready to see where you stand?
Whether you're evaluating the platform, trying to understand your cost position, or preparing for ASM—we can help you figure out what makes sense.
Schedule a WalkthroughOr explore what we do if you're still learning about VBCA.