VBC enablement
Value-based care
Risk stratification, care-gap closure, HCC coding, and quality reporting — the full value-based care workflow, run by our clinical operations team and platform.
You know you should be in value-based contracts — the economics are moving there — but the workflow is enormous: risk capture, care gaps, quality measures, patient outreach. Most independent practices can't staff it alone, so they stay on the sidelines while the upside passes them by.
How Metolius runs it.
Risk stratification & HCC coding
Identify rising-risk patients and capture HCC coding accurately so your risk scores reflect reality.
Care-gap closure
Care gaps surfaced and worked through coordinated patient outreach campaigns — not left in a report nobody reads.
Quality measure tracking
HEDIS and Stars measures tracked and reported through your dashboard, year-round, not at deadline.
Shared-savings participation
Enrollment into value-based contracts where you keep the majority of every dollar earned (60/40 split in your favor).
- Participation in VBC contracts you couldn't manage alone
- You keep 60% of shared savings
- Risk scores that reflect your actual panel
- Quality reporting handled year-round
- Shared savings
- 60% you / 40% us
Value-based care is the long-term economics of independent primary care. Metolius runs the entire workflow so you can participate without building a population-health department.
Common questions.
We've never done value-based care. Is that a problem?
No — most of our practices start fresh. Year one is about building the data infrastructure and getting credentialed into VBC contracts; the financial impact builds from there.
How is the shared-savings split structured?
You keep 60% of shared savings; Metolius takes 40%. We only earn when your value-based performance earns.