Qualified Clinical Data Registry (QCDR) for MIPS
Standard measures weren't built for specialists. Our QCDR measures were.
Most registries limit you to generic measures where a perfect score is hard to reach. We developed our own CMS-approved measures so you're scored on the specialty work you actually do.
4 CMS-approved measures authored by VBCA
The Scoring Problem
CMS caps topped-out measures at 7 points, even at 100%.
Each quality measure earns 1–10 points based on where your performance lands in the national decile distribution. But when most clinicians already score near 100% on a measure, CMS declares it topped out and caps it at 7 points no matter how well you perform.
Report six measures with four of them capped, and you've surrendered 12 points of Quality score before the year begins, even with perfect performance. Measure selection is the decision, and it's made in January.
Infrastructure Comparison
Why a QCDR is different.
A QCDR can report proprietary measures that a standard registry cannot, and that changes which scores are reachable. One submission covers all four MIPS categories, and patient-level gap detection runs all year.
CMS-Approved Measures We Developed
We author the measures we report.
The founding team has authored nearly 20 clinical quality measures, each fully calculable from discrete claims and EMR data and built into The Platform from day one. Four are CMS-approved and reportable through our registry today.
First and second-year QCDR measures also receive automatic MIPS points regardless of performance, a built-in scoring advantage while benchmarks are established.
The same registry files for Shared Savings Program ACOs: APP Plus quality reporting across all four collection types.
CMS has invited VBCA to introduce its SGLT2/CKD measure nationally as a clinical quality measure in 2027.
A measure we authored, becoming part of the national program.
Heart Rate Control in Atrial Fibrillation
Closes a gap in AFib management: rate control is fundamental to symptom relief and outcomes, yet no standard measure tracked it.
Echocardiogram Stewardship in CHF
Reduces unnecessary repeat testing in stable heart failure patients, where extra echos add cost without altering management or improving outcomes.
SGLT2 Inhibitors in CKD
Promotes evidence-based prescribing in chronic kidney disease stages 2-3. SGLT2 inhibitors slow CKD progression regardless of diabetes status.
Noninvasive Ischemic Imaging Stewardship
Targets overuse of stress imaging in chronic coronary disease without clinical indication.
Our Take
In the transition to MVPs and mandatory models, your choice of registry is your most important strategic decision. A standard registry transmits your data and hopes. A QCDR lets you report the complex, high-value work you actually do, instead of the administrative checkboxes CMS provides.
The practices that control their measure selection today will have a strategic advantage when specialty-specific scoring becomes mandatory.
See how proprietary measures change your score.
We'll show you what your MIPS score looks like with standard measures versus our QCDR measures, and what the difference means for your reimbursement.
Where QCDR measures fit
MIPS Reporting & Strategy
Measure selection, score modeling, and what each point of the four-category composite is worth in dollars.
Learn about MIPS →MIPS Value Pathways
MVPs require tighter alignment between measures. See how QCDR measures fit the new framework.
Learn about MVPs →The Platform
Every QCDR measure we develop is built into the platform, alongside scenario modeling and cost visibility.
Tour the Platform →