Quality Reporting & ACO Operating Stack

One platform for MIPS, APP Plus, and the stack that runs an ACO.

Score modeling, cost episodes, collection-type strategy, contract analytics, and CMS submission in one workspace. Practices enter through MIPS. ACOs run the same stack for shared savings.

VBCA platform workspace showing a demo practice's cost performance by measure and its intervention candidates
CMS-approved QCDRCMS-approved ACO4 quality measures of our own, approved by CMS

Whether you report MIPS, run an ACO, or prepare for ASM, it all runs on one platform.

Inside the workspace

Six tools, one workspace, one set of numbers

  • Score modeling

    Model measure selections and attestations for MIPS and APP Plus, and see how each decision moves your final score and payment before you commit.

  • Financial projections

    MIPS payment adjustments and your ACO's shared-savings position, projected from your current trajectory, with the bonus, penalty, and MSR zones drawn where the money moves.

  • Cost analytics

    Episode-level cost by phase and service category, benchmarked against specialty and regional peers, so you find the handful of episodes driving your cost position.

  • Contract and benchmark analytics

    Interactive MSSP contract models for track election, assignment method, and network composition, refreshed monthly and reconciled to CMS each quarter.

  • Gap management

    Dashboards for Quality, Promoting Interoperability, Improvement Activities, Cost, and APP Plus, tracked through the whole year instead of reconstructed at the end of it.

  • Submission and compliance

    We submit MIPS and APP Plus through our approved QCDR, with audit-ready documentation behind every number, deadline tracking, and attestation management.

Every measure drills down to the patient and date of service, with an evidence trail that holds up in an audit.

Powered by our QCDR

Engagement and pricing

Pricing for MIPS practices and for ACOs

APP Plus and the ACO operating stack are scoped to your TIN mix, attributed lives, and contract track.
  • The Platform

    From $2,500/year

    • IncludedQCDR analytics and CMS submission
    • IncludedScore modeling (traditional MIPS)
    • IncludedMVP score modeling
    • IncludedCost analytics and episode insights
    • IncludedFinancial projections and payment modeling
    • IncludedGap management dashboard
    • IncludedASM readiness analytics
    • IncludedSelf-service with documentation
  • Recommended

    Platform + Guidance

    From $4,200/year

    Everything in The Platform, plus:

    • IncludedStrategic reviews with the VBCA team
    • IncludedPolicy interpretation and measure strategy
    • IncludedDedicated account management
  • Strategic Partnership

    Custom

    Everything in Platform + Guidance, plus:

    • IncludedCustom analysis and reporting
    • IncludedExecutive-level advisory
    • IncludedMulti-site and health system integration

MIPS pricing includes per-provider components based on practice size. Small practices (1 to 5 providers) often qualify for simplified flat-rate pricing. Larger or multi-site organizations receive custom quotes.

Find the tier that fits

Getting started takes three steps

  1. 1

    Connect your data

    A secure claims upload gets you started. For eCQM tracking, we work with clinical files. ACOs get automatic integration with MSSP data from Medicare.

  2. 2

    See where you stand

    Your MIPS or APP Plus position, episode-level cost, and, for ACOs, contract analytics against the CMS benchmark.

  3. 3

    Act before you lock anything in

    Model measure mix, collection type, track election, or network composition first. 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, Pennsylvania
Documented client value
$40M+
Quality reporting tier
Top 1%
Audit failures
0
Client retention
96%

Platform questions

What teams ask before they log in

We read the proposed rules, and we answer them.

Every CMS proposal that touches quality reporting has to be built into this platform, so the people who engineer it read the rules line by line. When a proposed methodology gets your work wrong, we file formal comments saying so.

How does my data get into the platform?

Through a claims data upload, which gets most practices 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.

Does this cover APP Plus and ACO work, or only MIPS?

All three. Practices use the same platform for traditional MIPS, MVPs, and cost. MSSP ACOs use it for APP Plus quality reporting across collection types, contract analytics, and the operational stack that supports shared savings. MIPS is the entry point for many clients; it is not the ceiling.

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 simple, and 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: MIPS and APP Plus measure sets, our CMS-approved QCDR measures, cost performance, and, for ACOs, contract analytics, with scores translated into revenue terms and the specific steps that would improve them.

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.

Put your own numbers on the screen

Bring the questions you already have: your MIPS score, your APP Plus collection type, your contract position, or what ASM will require of your specialty.

Schedule a walkthrough

Helpful to have: your latest MIPS feedback report or, for ACOs, your contract track and attributed lives.
Schedule a walkthroughRunning an ACO? See the stack

Or email Support@VBCA.com