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.

Scored the way CMS will
All 4 categories
Every measure compared to
National benchmarks
Your score, translated into
Projected dollars
Three ways in
What you report, and how you operate, in the same stack
- For practicesStrategic MIPS ReportingTraditional MIPS, MVPs, cost analytics, and ASM preparation in one workspace, with CMS submission through our approved QCDR.Explore MIPS
- For MSSP ACOsAPP Plus Quality ReportingThe eight-measure APP Plus set across eCQM, MIPS CQM, and Medicare CQM. Collection type is priced against your TIN mix and EMR before you lock it in, because quality feeds shared savings.Explore APP Plus
- For ACOs that run their own modelACO Operating StackContract analytics validated to 0.03% of CMS's benchmark, with network, coding, and election what-ifs down to every participant.Explore the stack
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 QCDREngagement and pricing
Pricing for MIPS practices and for ACOs
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
| For practices reporting traditional MIPS or MVPs | The Platform | RecommendedPlatform + Guidance | Strategic Partnership |
|---|---|---|---|
| Platform access | |||
| QCDR analytics and CMS submission | Included | Included | Included |
| Score modeling (traditional MIPS) | Included | Included | Included |
| MVP score modeling | Included | Included | Included |
| Cost analytics and episode insights | Included | Included | Included |
| Financial projections and payment modeling | Included | Included | Included |
| Gap management dashboard | Included | Included | Included |
| ASM readiness analytics | Included | Included | Included |
| Support and guidance | |||
| Self-service with documentation | Included | Included | Included |
| Strategic reviews with the VBCA team | Not included | Included | Included |
| Policy interpretation and measure strategy | Not included | Included | Included |
| Dedicated account management | Not included | Included | Included |
| Strategic partnership | |||
| Custom analysis and reporting | Not included | Not included | Included |
| Executive-level advisory | Not included | Not included | Included |
| Multi-site and health system integration | Not included | Not included | Included |
| Annual investment | From $2,500/year | From $4,200/year | Custom |
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 fitsMSSP ACOs: APP Plus
Quality reporting gates shared savings
For an MSSP ACO, APP Plus is a financial decision. Model collection type against your TIN mix and EMR before you lock it in, track the eight-measure set through the year, and submit through our QCDR with a trail that holds up when CMS asks.
Investment is custom to attributed lives and reporting complexity.
- 1Model collection typeeCQM, MIPS CQM, and Medicare CQM scored against your TINs and EMR before you elect.
- 2Track performanceThe eight-measure APP Plus set, followed to the patient through the year.
- 3Submit strategicallyFiled through our CMS-approved QCDR with an audit-ready trail.
MSSP ACOs: operating stack
Three operating decisions, one stack
Know your margin to the MSR against a CMS-reconciled benchmark. Test track, assignment, and network changes before you elect them. Then work the gaps from the participant practice down to the patient.
Investment is custom to contract track, attributed lives, and how much of the stack you run with us.
- 1Benchmark and MSRContract model validated to 0.03% of CMS's final benchmark.
- 2Track and networkWhat-ifs on track election, assignment method, and who belongs.
- 3Gap managementPractice, clinician, and patient worklists, with outcomes carried into the composite.
Getting started takes three steps
- 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
See where you stand
Your MIPS or APP Plus position, episode-level cost, and, for ACOs, contract analytics against the CMS benchmark.
- 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.
- 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
Schedule a walkthrough
Or email Support@VBCA.com