Shared savings
and higher Medicare payments.
Without giving up autonomy.
The Problem
Independent practices are not outside advanced payment models by choice.
Until they get in, Medicare still scores them under MIPS. That scorecard is where the pressure shows up first.
A perfect 100% performance rate on a topped-out measure earns a maximum of 7 of the 10 available points. A 99.99% rate falls even further.
The national median cost score. Half of all clinicians fall below it, and most never learn why. CMS publishes the underlying data, but it is rarely used.
While clinicians want to earn shared savings, they often lack the infrastructure required to track complex data, manage costs, and take on financial risk. We built that foundation so you don't have to. We believe that a financially viable business is what allows you to provide exceptional care to others. Earning higher Medicare payments shouldn't mean exhausting your team with paperwork; it's about having the right partner to do the heavy lifting behind the scenes.
How the policy landscape fits together →How We Solve It
We built the infrastructure to get practices inside.
The same team that shapes the policy and engineers the platform operates the ACO. We share your risk and run the required technical infrastructure, allowing your practice to access higher Medicare payments without managing the administrative overhead.
We define quality.
Our founding team has authored nearly 20 clinical quality measures to ensure compliance aligns with the latest clinical guidelines. We set the standard, not merely report on it and our work has been recognized by CMS with the inclusion of SGLT2 for CKD as a national measure.
We shape the policy.
We submit formal comments on proposed rules and push back when a policy would penalize clinicians for what they cannot control. Partners hear what is coming while the rule is still draft, allowing us to shape strategy before it is finalized.
We engineer the platform.
Value-based care fails when policy experts hand off execution to disconnected tech vendors. We eliminate that gap. The same people who author the measures and shape the policy engineer the platform.
Three ways to work with us.
The right platform and exact path to higher Medicare revenue depend on your practice's current state.
Join Our ACO
01Shared Savings Framework
We assume the downside risk on your behalf. By integrating your practice into our proven operational framework, you can unlock advanced shared savings payments without the financial exposure.
Help with MIPS
02Strategic MIPS Reporting
Build a stronger foundation for value-based care. Our specialized reporting platform transforms standard MIPS compliance into a targeted, revenue-generating strategy for your practice.
ACO Tech Stack
03Operating Stack Licensing
Power your own ACO with our proprietary infrastructure. License the clinical data registry and operational stack to run your organization securely, efficiently, and at scale.
Built by practitioners. Backed by data.
Built by practitioners. Backed by data.
VBCA was founded in 2020 by people already managing MIPS submissions, operating ACOs, authoring quality measures, and engaging CMS on rulemaking. Clinical judgment stays in-house. Physician leadership reviews the logic behind every recommendation.
Behind the platform and the ACO is the same working team: policy analysts who read the full rule each year, data engineers who model episode cost, and submission specialists with a clean audit record.
Kristy Reinert, MD
Co-founder & Physician Advisor
Clinical Professor of Medicine, University of Pennsylvania. Dr. Reinert spent years in hospital medicine and clinical operations before co-founding VBCA.
Her perspective keeps the analytics honest about how care actually gets delivered.
See the case studies →★ ★ ★ ★ ★
VBCA managed our reporting and optimized our score to the maximum. The switch from doing it ourselves to having their team handle it was the best operational decision we have ever made.
Latest Thinking
All insights & guides →2026 MIPS Reporting: Requirements, Deadlines, and What the Score Is Worth
Who must report, what each category requires, and every deadline through March 2027.
Read the guide →Policy AnalysisCY2027 Physician Fee Schedule Proposed Rule: Summary and Analysis
CMS-1848-P summarized: the payment numbers, the major provisions, and our read.
Read the analysis →Policy AnalysisThe CY2027 Proposed Rule for MSSP ACOs
Quality relief, collection-type decisions, and a 32% E/M modifier gated on participant-list status.
Read the ACO analysis →Start with a conversation.
Tell us where you are on MIPS, cost visibility, or ACO participation, and we will show you the numbers on your own data.
Talk to us