Value-based care runs on capabilities fee-for-service EHRs were never built to provide — patient attribution, population stratification, quality-measure computation at scale, risk adjustment, and financial performance against multi-payer risk contracts. Taction Software builds custom value-based care software for ACOs, VBC enablers, and risk-bearing organizations: attribution and population management, quality platforms, HCC risk adjustment, and shared-savings and capitation financials — with the CMS data-file and FHIR engineering VBC actually requires.
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VBC domain expertise · CMS data file experience (CCLF, RIF) · FHIR & HL7 expertise · HIPAA + BAA
Why VBC Needs Different Software
Fee-for-Service EHRs Aren’t Built for Risk
EHRs are built to document and bill encounters, not to manage a population under risk. VBC organizations consistently hit that wall and need software designed for risk, not visits.
Attribution & Population Identification
Knowing exactly which patients you are accountable for — and keeping that current across payers — is foundational to VBC and absent from most EHRs.
Quality Measure Computation at Scale
VBC lives or dies on quality measures computed accurately across the whole attributed population, drawing on data the EHR alone does not hold.
Multi-Payer Risk Contract Management
VBC organizations operate multiple risk contracts at once, each with its own terms, benchmarks, and reconciliation — which requires purpose-built contract and financial tooling.
VBC Software Solutions We Build
Attribution & Population Management
Patient attribution engines, population stratification, and care-gap identification, drawing on our healthcare data analytics work.
Quality Measure Platforms
eCQM computation, MIPS / MSSP quality reporting, and custom quality-measure development for commercial contracts.
Risk Adjustment & HCC
HCC coding workflows, suspecting and validation, and year-over-year RAF optimization, complementing our AI medical coding and payer AI capabilities — done compliantly, supported by documentation.
Financial Performance Management
Contract modeling, shared-savings calculation, and capitation reconciliation so you can see and manage performance against every risk arrangement.
Care Management Workflows
Care-plan authoring, care-team coordination, and SDoH integration, connecting to our chronic care management work.
VBC Programs Our Software Supports
We support Medicare Shared Savings Program (MSSP), ACO REACH (which succeeded the Direct Contracting model), Medicare Advantage, commercial VBC contracts, and Medicaid value-based purchasing — accommodating the rules and benchmarks of each.
Data Integration for VBC
VBC is a data-integration problem before it is anything else. We ingest claims data (837/835, CCLF, RIF), integrate EHR data via FHIR, consume HIE and ADT feeds via our HL7 integration work, and reconcile payer roster and eligibility — assembling the complete picture an attributed population requires.
Quality Reporting
APP (APM Performance Pathway)
We build reporting through the APM Performance Pathway, the route MSSP ACOs now use for quality reporting.
eCQM / MIPS CQM Reporting
We compute and report electronic clinical quality measures and MIPS CQMs. (Note: the CMS Web Interface reporting option has been sunset, so we build toward eCQM/CQM digital reporting rather than the retired interface.)
Quality Payment Program
We support Quality Payment Program reporting requirements for participating organizations.
Custom Commercial Quality Reporting
We build custom quality reporting for commercial VBC contracts that define their own measures.
Engagement Models
We work in three common shapes: a custom VBC platform for an ACO or enabler, VBC SaaS product development, and quality-measure engineering — all on our custom healthcare software foundation. For payer-side technology, see our payer software development practice.
Schedule a VBC Software Discovery Call →
Frequently Asked Questions
Can you integrate with our EHR and payers?
Yes. We integrate EHR data via FHIR, ingest payer claims files (837/835, CCLF, RIF), consume HIE and ADT feeds, and reconcile payer roster and eligibility, so your VBC platform sees the complete population across sources.
Do you handle CCLF files?
Yes. CMS Claim and Claim Line Feed (CCLF) files are core to ACO data, and we ingest and process them — along with RIF and standard EDI claims — into your attribution, quality, and financial workflows.
How do you handle attribution?
We build attribution engines that apply the program’s attribution methodology (MSSP, REACH, commercial) to claims and eligibility data, keep it current as data refreshes, and make the attributed population the basis for quality and financial computation.
What about HCC coding workflows?
We build HCC risk-adjustment workflows — suspecting, validation, and year-over-year RAF management — done compliantly so conditions captured are supported by documentation, and we can pair this with AI assistance where it helps.
Schedule a VBC Software Discovery Call →
Reviewed by Taction Software’s value-based care and healthcare data engineering team. ISO 27001-certified information security management. PHI is handled under a signed BAA — see our HIPAA-compliant development and data security practices.