Grow, Forecast, and Uncover Market Opportunities

Organizations can see isolated performance metrics but still struggle to answer the bigger questions: where does the best opportunity exist, which competitors are winning, why is spend elevated, and which providers or networks should be prioritized next?

​VBC Navigator is a market intelligence and performance platform for ACOs, health systems, and organizations entering or optimizing value-based care contracts. It helps teams size market opportunity, evaluate competitors, profile providers, and surface actionable ways to improve performance.

VBC NAVIGATOR

Turn Market Insight into Clear, Confident Action

Market intelligence​

Search by geography to understand total population, payer mix, value-based care penetration, and which ACOs provider groups and payers operate in a region. ​

ACO and provider group profiling​

Benchmark attributed lives, risk scores, PMPY spend, savings performance, and growth trends to compare organizations and build high-value target lists.​

Entity drill down profiles ​

Explore deeper performance views with year-over-year financials, spend versus benchmark, and service line detail across inpatient, SNF, and other categories.​

Special utilization and episode insights​

Identify high-cost clinical areas, high opportunity episodes, procedures driving spend, and where redirection opportunities exist across providers and facilities.​

Network and referral insights

See where patients are receiving care, evaluate in-network versus out-of-network patterns, and understand volume and spend by facility and provider. ​

Comparisons and modeling

Compare ACOs, markets, and plans, then model MSSP versus REACH scenarios and potential performance outcomes before making strategic decisions. ​

Access new CMS models

Compare ACOs, markets, and plans, then model MSSP versus REACH scenarios and potential performance outcomes before making strategic decisions. ​

Meaningful Data. Measurable Impact.

3 M+

Attainable risk recapture opportunity identified1

8 %

Strategic growth in MSSP attributed lives in one performance year2

3

Medicare ACO programs modeled (MSSP, ACO REACH, LEAD)3

1Prospect analysis based on historical claims and regional recapture performance. 2Customer results across ACOs managed by a national network operator. 3Available through VBC Navigator.

What Sets VBC Navigator Apart

Dive deeper in your market analysis

Combing Medicare FFS data with market structure insights to help organizations prioritize where to enter, expand, or compete in.

Go beyond table-stakes financial reporting

Pinpoint high-cost clinical areas and identify observed versus expected episode opportunity​.

Truly understand competitive performance

Utilize side-by-side ACO benchmarking across attribution, risk, spend, and savings. Paired with deeper insights into why organizations outperform or why they are lagging behind. 

Deliver value across your organization

Expand strategically and improve performance with market-leading insights.

  • Benchmark your organization against peer health systems, ACOs, and provider groups to understand where you excel and where improvement opportunities exist.
  • Identify referral leakage, specialist utilization, and high-cost clinical areas to strengthen network performance.
  • Evaluate market opportunities before expanding into new regions, service lines, or value-based contracts.
  • Understand the financial and utilization drivers impacting performance with detailed provider, episode, and service line analytics.
  • Model future participation in CMS payment models to support confident strategic planning.

Build stronger networks with data-driven market intelligence.

  • Evaluate providers, ACOs, and health systems using objective benchmarks for cost, quality, utilization, and savings performance.
  • Identify high-value providers, referral patterns, and market opportunities to strengthen network strategy and contracting decisions.
  • Forecast the impact of new payment models and network changes before implementation with scenario modeling.
  • Benchmark performance against competitors to uncover opportunities for growth, differentiation, and improved financial performance.
  • Prioritize markets and provider relationships using comprehensive Medicare claims and longitudinal market intelligence.

Optimize network performance with comprehensive market and competitive intelligence.

  • Benchmark attribution, risk scores, PMPY spend, savings, and quality performance against competing ACOs.
  • Evaluate provider groups and specialists to identify the organizations that will strengthen your network.
  • Understand where patients receive care and uncover referral, utilization, and leakage opportunities across your market.
  • Analyze market dynamics, value-based care penetration, and competitive positioning to support long-term growth strategies.
  • Compare MSSP, REACH, and emerging CMS model scenarios before making participation and network decisions.

See VBC Navigator in Action

Discover how VBC Navigator helps your team turn complex data into clear, actionable insights.

Schedule A Demo

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