Quality Reporting & ACO Operating Stack

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

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

CMS-approved QCDR·CMS-approved ACO·4 VBCA quality measures

Three Lanes. One Platform.

What you report, and how you operate, in the same stack.

01

Strategic MIPS Reporting

Traditional MIPS, MVPs, cost analytics, and ASM preparation in one workspace. Measure selection, score modeling across all four categories, and CMS submission through our approved QCDR.

Explore MIPS

02

APP Plus Quality Reporting

The eight-measure APP Plus set across eCQM, MIPS CQM, and Medicare CQM. Collection-type choices are priced against your TIN mix and EMR footprint before you lock them in, because quality performance feeds shared savings.

Explore APP Plus

03

ACO Operating Stack

Contract analytics validated to 0.03% of CMS's benchmark, track and network what-ifs, and point-of-care intelligence: the operating layer MSSP ACOs need alongside quality reporting.

Explore the stack

Inside the workspace

See what you're working with

Model measure selections against your live score and payment impact before you finalize anything.

Composite score

All categories

Live weighting as measure data changes

Benchmarks

CMS peer bands

Every measure compared to national performance

Payment impact

$ projected

Adjustment derived from your live score

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

Powered by our CMS-approved QCDR →

Capabilities

What's built in

Score Modeling

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

Financial Projections

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

Cost Analytics

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

Contract & 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, PI, IA, Cost, and APP Plus measure sets, with measure-level detail and benchmarks underneath. Progress is tracked through the whole year, not reconstructed at the end of it.

Submission & Compliance

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

Engagement

Choose how you engage by product path

MIPS has published tiers. APP Plus and the ACO operating stack are scoped to your TIN mix, attributed lives, and contract track. Those engagements are custom.

For practices reporting Traditional MIPS or MVPs. Some want tools and can self-direct; others want expertise alongside the platform.

Recommended
The PlatformThe Platform + GuidanceStrategic Partnership
Platform Access
QCDR analytics & CMS submission
Score modeling (Traditional MIPS)
MVP score modeling
Cost analytics & episode insights
Financial projections & payment modeling
Gap management dashboard
ASM readiness analytics
Support & Guidance
Self-service with documentation
Strategic reviews with VBCA team
Policy interpretation & measure strategy
Dedicated account management
Strategic Partnership
Custom analysis & reporting
Executive-level advisory
Multi-site / health system integration
Annual InvestmentFrom $2,500/yearFrom $4,200/yearCustom

MIPS 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.

Onboarding

Getting started

1

Connect your data

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

2

See where you stand

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

3

Act on what you're seeing

Model measure mix, collection type, track election, or network composition before you lock anything in. We're here when you need help.

$40M+
Documented client value

“VBCA showed us how to materially improve performance. The cost analysis changed how we think about our patients.”

Cardiology practice, 12 providers, PA

0
Audit failures
Top 1%
Performance
96%
Retention
See full case studies →

Common questions

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.

Beyond the software

We read the proposed rules, and we answer them.

Every CMS proposal that touches quality reporting eventually 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.

A rule reads differently when you're the one who has to turn it into software.

Put your own numbers on the screen.

Bring the questions you already have: MIPS score, APP Plus collection type, contract position, or what ASM will require of your specialty. We'll put your numbers on the screen.

Schedule a Walkthrough

Running an MSSP ACO already? See the ACO product page.