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
Bonus zone · modeled before CMS finalizes
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.
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.
MSSP 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. Submit through our QCDR with a trail that holds up when CMS asks.
Investment is custom to attributed lives and reporting complexity.
Model collection type
eCQM, MIPS CQM, and Medicare CQM scored against your TINs and EMR before you elect.
Track performance
The eight-measure APP Plus set, followed to the patient through the year.
Submit strategically
Filed 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. Put a one-page brief in front of the clinician for each attributed patient. That is the operating stack: contract math through the visit, on your claims.
Investment is custom to contract track, attributed lives, and how much of the stack you run with us.
Benchmark & MSR
Contract model validated to 0.03% of CMS's final benchmark.
Track & network
What-ifs on track election, assignment method, and who belongs.
Point of care
One-page intelligence for attributed patients at the visit.
Onboarding
Getting started
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.
See where you stand
Your dashboard shows MIPS or APP Plus position, episode-level cost, and, for ACOs, contract analytics against the CMS benchmark.
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.
“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?
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 WalkthroughRunning an MSSP ACO already? See the ACO product page.