Value-Based Care Technology Partner

We've already built the AI that makes VBC profitable.

The shift from fee-for-service to value-based care requires technology that most organizations don't have — and can't buy off the shelf. Risk adjustment AI, MDS optimization, virtual care platforms, revenue cycle intelligence. Not as separate tools. As an integrated technology stack.

We've built all of it. In production. Across 7 states. With $20M+ in verified financial impact.

Assess Your VBC Technology Needs

VBC Accelerator Prototype — Population Health Dashboard

$20M+

Verified Financial Impact

26K+

Patients Managed

96%

Treat-in-Place Rate

90%+

Diagnosis Accuracy

The VBC Imperative

Fee-for-service is ending. The technology gap is the real risk.

CMS is accelerating the transition to value-based care. By 2030, every Medicare beneficiary will be in a value-based arrangement. Organizations without the technology to manage risk, track quality, coordinate care, and optimize reimbursement won't survive the shift.

VBC requires a fundamentally different mindset: managing populations instead of individual encounters. Incorporating payer logic into provider workflows. Thinking about total cost of care, not just per-visit revenue. This isn't a billing change — it's an operating system change.

Most EHRs weren't designed for this. They capture clinical data but don't surface the analytics needed to manage populations, predict risk, or optimize quality scores. Custom AI bridges this gap — and we've built it at scale.

VBC Programs We Support

SNF VBP (Skilled Nursing Facility Value-Based Purchasing)

Readmission reduction, quality measure optimization, incentive payment maximization.

ACO REACH

Risk adjustment, care coordination, quality reporting, shared savings optimization.

MSSP (Medicare Shared Savings Program)

Population health management, quality measure performance, cost benchmarking.

Medicare Advantage (MA-SNP, D-SNP)

RAF optimization, HEDIS measures, Star Ratings performance.

From the deck:

"Utilize advanced analytics and AI to improve diagnosis accuracy, population risk scores and reimbursement rates — at the Plan, Network, and Provider level."

Our VBC AI Portfolio

Five production AI solutions. One integrated VBC technology stack.

Each solution addresses a critical component of value-based care success. Together, they form the technology foundation that VBC organizations need to manage populations, optimize reimbursement, and demonstrate quality.

Risk Adjustment

Medical Coding AI

AI that reviews patients 50X faster than manual audit with 90%+ accuracy. Surfaces missed HCC codes from 6 clinical data sources with audit-defensible evidence chains.

RAF Improvements

Diagnosis Accuracy

MDS Optimization

AI-powered MDS assistant built after 40+ hours shadowing coordinators. Surfaces missed diagnoses, validates assessments pre-submission, and optimizes quality measures.

PDPM Revenue

Quality Incentives

NeverAlone Platform

24/7 virtual care platform we built and operate in production. Treatment-in-place reduces costly hospital transfers — the single biggest cost driver in VBC models.

Patients Served

Treat-in-Place

Revenue Cycle Intelligence

AI agents for A/R prioritization, denial prediction, contract interpretation, and intelligent appeals. Trained on your payer contracts and historical patterns.

45→28

Days in A/R

12%→4%

Denial Rate

Learn More →

Population Health

Population Health Analytics & Benchmarking

The analytical backbone of VBC. Population-at-a-glance dashboards, patient-level impact analysis, provider benchmarking, cost trend forecasting, and real-time KPI tracking — all from a centralized patient data platform that links records across systems.

CMS

Audit Reporting

HEDIS

Quality Measures

v24→v28

RAF Transition

Risk adjustment forecasting, MDS reporting, population health benchmarking, claims analysis, HRA audit reporting, and model of care review.

Production Results

Not projections. Production results from real VBC programs.

Every number below comes from systems we built and operate. Financial analyst-calculated, not vendor estimates.

$20M+

Total Verified Impact

26K+

Patients Managed

96%

Treat-in-Place Rate

90%+

Diagnosis Accuracy

130+

Facilities Live

245

Providers on Platform

Our Strategic Framework

Changing the conversation at the point of encounter.

VBC success starts at the point of care. We build a centralized patient data platform that compresses a lifetime of health encounters and surfaces actionable insights to providers in their EHR — at the moment they need them.

Point of Encounter

Centralized patient data center — linking clinical encounters, claims, medications, and population health data

Population Health

Risk stratification, care gap identification, panel management

Quality of Care

HEDIS, Star Ratings, quality measure optimization

Risk Management

RAF optimization, shared savings, cost benchmarking

Staffing Efficiency

AI-assisted workflows, 50X review speed, reduced admin burden

Plan Level Intelligence

Patient-level RAF tracking, YoY diagnosis comparison, portfolio risk scoring, and shared savings projections.

Provider Level Intelligence

Readmission rates, screening metrics, patient satisfaction, utilization and cost efficiency by provider.

Platform Integrations — PointClickCare, GehriMed, Claims Data

Data Interoperability

Standardized EHR integrations, claims file uploads, and cross-platform patient data linking.

Interactive Prototype

VBC Accelerator — explore the product.

We didn't just talk about building a VBC analytics platform. We designed it. Click through the interactive prototype to see population health dashboards, patient-level RAF analysis, provider benchmarking, and EHR integrations — built for ACO REACH and Medicare Advantage plans.

Click through the prototype to explore dashboards, patient analysis, provider benchmarking, and integrations.

Why Digital Scientists

We're not a vendor. We're an operator.

Most VBC technology vendors sell you software. We build, deploy, and operate the systems ourselves — then transfer when you're ready. That's why everything we build reaches production.

Typical VBC Technology Vendors

One-size-fits-all platforms

Same dashboards for SNF VBP, ACO REACH, and MA plans

Sell and disappear

License software, provide training, call it done

Generic analytics

Reports that don't change behavior at the point of care

No skin in the game

Revenue tied to licenses, not your outcomes

The DS VBC Partnership

Custom AI for your specific programs

Built for your VBC contracts, your patient population, your quality targets

We operate what we build

26K patients on NeverAlone. We run it 24/7, not just build it.

Intelligence at the point of care

Insights delivered in EHR workflows — not dashboards nobody checks

Outcomes-tied engagement

$20M+ verified impact. Contractually tied to your KPIs.

Our complete VBC value chain:

+ 40+ hours shadowing care teams before writing code + Co-design with MDS coordinators, coders, and clinicians + Change management and adoption support included + Knowledge transfer or ongoing partnership

Integrated VBC Technology

Managing a population requires all of these working together.

VBC isn't about individual tools. It's about an integrated technology stack where risk adjustment informs care coordination, virtual care reduces readmissions, quality data drives reimbursement, and revenue cycle optimization captures everything you've earned.

Identify Risk

Medical Coding AI + MDS Optimization

Accurate risk adjustment captures the true complexity of your population. RAF/HCC AI identifies missed diagnoses. MDS optimization ensures every assessment drives appropriate reimbursement. Together: $20M+ in recovered revenue.

Reduce Utilization

NeverAlone Virtual Care

Hospital transfers are the single biggest cost in VBC. NeverAlone delivers 96% treatment-in-place by connecting care teams to providers in real-time, 24/7. Across 130+ facilities and 7 states in production.

Demonstrate Quality

Population Health Analytics

Quality scores drive incentive payments and determine shared savings eligibility. Our analytics track HEDIS, Star Ratings, and program-specific quality measures in real time — not after the year ends.

Capture Revenue

Revenue Cycle Intelligence

Even with perfect clinical outcomes, revenue leaks through denials, underpayments, and slow A/R. Revenue Cycle AI automates the financial operations side of VBC — from claim submission to appeal generation.

Platform Interoperability

Standardized integrations. Your data, unified.

VBC requires linking patient data across platforms. Our data engineering framework connects EHRs, claims, labs, and quality registries into a single patient record — enabling the analytics that VBC demands.

EHR Systems

Production integrations with PointClickCare, Epic, Gehrimed, Elation, and Acclivity.

Bidirectional, real-time

Claims Data

Medicare, Medicaid, and commercial payer claims for utilization analysis and cost trending.

Historical + real-time

HIE / ADT Feeds

Real-time admission, discharge, and transfer notifications for care coordination.

Event-driven alerts

Quality & Compliance

CMS quality programs, registry reporting, HEDIS submission, and audit documentation.

Automated reporting

Data engineering capabilities:

Patient identity resolution Cross-platform record linkage Historical claims import FHIR R4 / HL7v2 HIPAA compliant BAA in place

Related Expertise

Ready to make your VBC transition profitable?

Let's assess your value-based care technology needs and show you how production AI can accelerate your transition from fee-for-service to value-based care.

Schedule VBC Technology Assessment

Or call: 404.654.3855

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Fee-for-service is ending. The technology gap is the real risk.

VBC Programs We Support

Five production AI solutions. One integrated VBC technology stack.

Medical Coding AI

MDS Optimization

NeverAlone Platform

Revenue Cycle Intelligence

Population Health Analytics & Benchmarking

Not projections. Production results from real VBC programs.

Changing the conversation at the point of encounter.

Point of Encounter

Population Health

Quality of Care

Risk Management

Staffing Efficiency

Plan Level Intelligence

Provider Level Intelligence

Data Interoperability

VBC Accelerator — explore the product.

We're not a vendor. We're an operator.

Typical VBC Technology Vendors

The DS VBC Partnership

Managing a population requires all of these working together.

Identify Risk

Reduce Utilization

Demonstrate Quality

Capture Revenue

Standardized integrations. Your data, unified.

EHR Systems

Claims Data

HIE / ADT Feeds

Quality & Compliance

VBC expertise built on deep domain knowledge.

RAF / HCC Coding

MDS / PDPM Optimization

Revenue Cycle AI

EHR Integrations

Ambient AI Scribes

Ready to make your VBC transition profitable?

From Our Blog

Leveraging AI tools in Social Need Screening and Intervention – comments on proposed changes to HEDIS SNS-E measure

AI & The Job Landscape, ChatGPT’s Role, & The Future of RPM

Confronting the Challenges and Opportunities of AI in Healthcare