Smiling medical team ready to assist with care

MSO Services

VBC One’s MSO services give medical groups, IPAs, and physician organizations the infrastructure to succeed in value-based care while retaining independence and clinical focus. We deliver the full operational backbone for groups entering or expanding delegated arrangements—covering administration, financial management, provider/member services, and care management/population health.

Whether your group is just beginning to contract for risk or already managing full Part B arrangements, our MSO model scales to your needs. We handle the complexity—so your providers can focus on patient care and performance.



Administration & Network Management

Our administrative and network services ensure that your organization remains compliant, efficient, and ready to meet regulatory and contractual obligations. We streamline oversight, manage provider networks, and maintain the integrity of delegated operations.

We manage claims processing, adjudication, and payment integrity, ensuring accuracy, timeliness, and compliance with both payer and CMS standards.

We establish and monitor compliance programs that align with federal, state, and contractual requirements, reducing risk exposure and ensuring audit readiness.

We help your organization navigate Medicare, Medicaid, and ACA program rules, ensuring accurate submissions and adherence to evolving regulations.

We manage provider credentialing and re-credentialing processes, ensuring accuracy, timeliness, and adherence to NCQA and CMS standards.

We oversee delegated functions on behalf of your organization, including regular audits, reporting, and corrective action planning to ensure contract compliance.

We provide structured project management and continuous quality improvement frameworks, ensuring initiatives are delivered on time, on budget, and with measurable results.

Financial Management

VBC One’s financial services give groups the clarity and confidence to manage shared risk successfully. We combine actuarial insight with real-time performance reporting, enabling proactive decisions that protect margins and support growth.

Our team delivers actuarial modeling, budget forecasting, and transparent financial reporting to help groups understand risk, negotiate contracts effectively, and optimize revenue.

Provider & Member Services

Strong provider and member relationships are essential for value-based care success. We support both sides of the equation—ensuring that providers feel supported and members have seamless access to care.

We handle contract drafting, review, and negotiation with payers and downstream providers, ensuring financial alignment and clarity on deliverables.

Our team serves as an extension of your organization, building provider trust and engagement through education, training, and timely communications.

We provide dedicated practice liaisons who support physicians with operational, contractual, and clinical program needs, bridging the gap between administration and care delivery.

Care Management & Population Health

We deliver end-to-end population health programs that improve outcomes, reduce costs, and enhance patient experience. Our care management services combine embedded clinical staff, remote support, and data-driven interventions.

Onsite care managers work within practices to close gaps, coordinate care, and support high-risk patients directly.

Our remote teams extend your reach with telephonic and virtual outreach, ensuring members receive timely follow-up and chronic care support.

We design and manage specialty care pathways that address high-cost, high-need populations such as oncology, cardiology, and renal disease.

Integrated behavioral health programs provide screening, coordination, and management of mental health conditions, reducing fragmentation and improving whole-person care.

Our pharmacists review medication utilization, optimize formulary compliance, and reduce polypharmacy risks to improve outcomes and reduce costs.

We implement evidence-based care models and clinical guidelines that standardize care delivery while allowing for provider flexibility.

We build Stars, HEDIS, and custom quality programs that align incentives, engage providers, and drive measurable performance improvements.

Our UM team ensures appropriate, evidence-based use of services through prior authorization, concurrent review, and case management processes.

We operate call center support for both members and providers, improving satisfaction, reducing administrative friction, and closing communication gaps.