Health Plans

Health plans trust VBC One to serve as an extension of their internal teams—bringing strategic insight, operational rigor, and boots-on-the-ground execution to their value-based care initiatives. We assist with HCC coding integrity, Stars/HEDIS capture and gap closure, encounter data validation and supplemental submissions, and prospective chart reviews.

Our team identifies missing data, corrects claims, supports compliance, and facilitates member-level interventions through risk stratification and outreach programs.

We also support contract evaluation and negotiation, acting as a bridge between plans and provider groups or enablement vendors. Whether you’re delegating functions or building new payment models, we help evaluate shared risk contracts, clarify operational responsibilities, and protect performance integrity across the network.