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For ACOs, medical groups, and risk-bearing organizations

Your VBC contract defines the math.
Make it independently verifiable.

Shared savings, bundled payments, capitation, pay-for-performance. Your contract terms become executable logic. Know what your settlement should be before it arrives. Explain every variance when it doesn't match.

Verify Your Settlement
VBC Settlement Verification
Performance Period 2024
Multi-Model Review
Status
Verified
Shared savings settlement
$3.6M$4.8M
Bundled payment reconciliation
$1.2M$1.2M
Capitation risk adjustment
1.0871.142
Quality bonus multiplier
87%92%
Attribution panel count
24,84725,694
4
Contracts verified
$1.4M
Underpayment found
3
Disputes recommended
Pre-settlement verification
Full methodology trail
Models verified
4/4
All checked

Your payer sends a settlement number. Can you check the math?

Your expectation
Contract terms
Verified
Patient attribution
25,694 lives
Risk-adjusted benchmark
$14,892/bene
Quality performance
92%
Expected settlement$4.8M
Payer settlement
Methodology
Not disclosed
Patient attribution
24,847 lives
Risk-adjusted benchmark
$14,247/bene
Quality performance
87%
Payer settlement$3.6M
$1.2M gap between expectation and settlement
Attribution, risk adjustment, and quality scoring drive the variance, but the methodology isn't shared
$9.26B
VBC market size ¹
6–18 mo
Typical reconciliation delay
10%
Phantom variance from noise alone ²
80%
Of ACO time spent on data, not analysis ³
¹ Grand View Research, U.S. Value-Based Care Market Size Report, 2024·² Milliman, VBC Financial Reconciliation Study (methodology and data variance findings)·³ HFMA/Lumeris, VBC Operations Survey, 2024 (self-reported by ACO finance leaders)

By the time the reconciliation arrives, dispute windows are closing, and you still can't replicate the payer's math.

See how verification works

Settlement is a black box.

Contract terms, patient attribution, risk adjustment, and performance metrics interact in ways your payer won't let you audit.

Contract TermsVBC model
Rates & thresholdsPer contract
AttributionPayer logic
Patient assignmentQuarterly
Risk AdjustmentCMS-HCC / commercial
Acuity normalizationAnnual
PerformanceQuality + cost
Payment multipliersPY end
Payer Settlement
How much should you earn from your VBC contracts?
$4.8M
Your model
≠
$3.6M
Payer says
=
−$1.2M
Gap
Where variances hide
Payer trend factor methodology not disclosed
Attribution drops patients mid-performance year
Risk model version differs from contract specification
Quality measure denominator excludes valid patients
4+ inputs interact to determine your final settlement. The methodology is proprietary
Where it hits
Benchmark / target price error
PMPM impact
Attribution misalignment
Panel size
Risk adjustment inaccuracy
Acuity gap
Quality score dispute
Multiplier
Settlement varianceMaterial
Independent verification routinely reveals meaningful gaps in payer methodology
When the settlement arrives
most organizations have no way to independently verify it.

How it works.

Your VBC contract terms become executable logic. Know what your settlement should be before the payer sends it. Explain every variance when it doesn't match.

VBC contract terms & schedules
Payer methodology documentation
Quality measure specifications
SPECIFICATION
rule settlement_verification
benchmark = contract_terms × risk_adj × trend
settlement = (benchmark - actual) × share_rate × quality
Full contract methodology encoded
Capture

Contract terms become executable logic

Your VBC contract terms (shared savings formulas, bundled payment targets, capitation rates, and quality thresholds) become executable specifications that mirror the agreed-upon methodology.

Shared savingsBundled paymentsCapitationQuality / P4P
Verify

Predict your settlement. Explain every variance.

Before the settlement arrives: independently calculate what you're owed. After it arrives: explain exactly where and why the payer's math diverges from the contract methodology.

Pre-settlement prediction
Variance explanation
Benchmark / target price
verified
Patient attribution
variance
Risk score normalization
variance
Quality multiplier
variance
Savings rate / share %
verified
Attribution error
847 patients
3.3%
Panel reduction
60 days
Dispute window
TRACED TO
Contract section§4.2 Attribution
IssueMid-year TIN change excluded active patients
Dispute

Evidence-backed dispute packages

Every variance links to the specific contract clause or methodology step. Your dispute comes with complete documentation showing exactly where the calculation diverged and why.

Contract clause traceability
Step-by-step methodology proof
Pre-built dispute documentation
No system replacement
Works with your existing data
Pre-settlement timing
Know before the payer tells you
Full methodology trail
Every step documented

Every payment model. Every settlement layer.

Shared savings benchmarks. Capitation adequacy. Risk adjustment. Every component that determines what you're owed, modeled as logic so you can predict and verify independently.

Benchmark Construction
Base Period Weighting
Year 1
10%
Year 2
30%
Year 3
60%
Trend & Adjustments
Weighted base$14,200/bene
Regional trend× 1.032
Risk adjustment× 1.018
Expected benchmark$14,892/bene
Payer vs Verified
Payer benchmark$14,247/bene
Verified benchmark$14,892/bene
Per-beneficiary gap$645
!
Base Period Weight Error
Payer applied outdated weighting to the most recent base year, reducing the benchmark by $645 per beneficiary across the attributed population.
What we checkEvery trend factor & weight

The settlement confidence shift.

Know your settlement number before the payer sends it. When it doesn't match, explain exactly where the methodology diverged. Dispute with evidence, not estimates.

Accept payer settlement
Performance ends
Settlement arrives (6–18 months)
VerificationNone
Dispute successLimited
Evidence basisPayer's report only
Financial visibilityPost-hoc
Independent verification
Verified during performance period·Continuous
VerificationFull methodology
Dispute successEvidence-backed
Evidence basisContract-traced proof
Financial visibilityReal-time
Predict
Know your number before the payer's
Explain
Every variance traced to methodology
Dispute
With contract evidence, not estimates

All settlement figures are illustrative · Dispute windows vary by contract

Send us one VBC contract.
See what the math should be.

Start with a single contract or performance period. Within a week, you see what your settlement should be, where the payer's methodology diverges, and the evidence to back your position.

Schedule a Settlement ReviewView Pricing
All VBC payment models
Pre-settlement timing
Evidence-backed dispute packages
Settlement Verification
PY 2024
Benchmark / target price
Trend factor stale
Patient attribution
847 patients excluded
Risk adjustment
Quality scoring
Denominator error
Savings rate / share %
Settlement components verifiedAll 12
Variances found3
Dispute recommendedYes