Outcomes That Value-Based Contracts Measure — Tracked in Real Time
Value-based care contracts tie payment to specific clinical outcomes. HbA1c control below 8%, blood pressure below 140/90, and LDL below 100 mg/dL are the most commonly measured endpoints. Vizier tracks each metric at the population level and by individual patient — so intervention decisions are based on data, not chart reviews.
Diabetes, Hypertension, and CHF Panels Managed by Risk Tier
Risk stratification separates your chronic disease panel into three tiers: high risk (HbA1c greater than 9%, uncontrolled BP, recent hospitalization, 3+ chronic conditions), medium risk (partially controlled, gap in preventive care), and low risk (controlled, up-to-date on screenings). Each tier requires a different care management protocol.
For a typical 5,000-patient panel, Vizier typically identifies 340–480 high-risk patients who qualify for Chronic Care Management (CCM) billing under CPT 99490 but are not currently enrolled. At $62 per enrolled patient per month, that represents $252,960–$357,120 in annual revenue — attached to the same population management work your care team is already doing.
Compare Providers on Quality, Throughput, and Care Gap Closure
Provider performance comparison goes beyond patients per day. Vizier tracks each provider's quality score (aggregate performance across measured conditions), care gap closure rate (percentage of gaps closed at the point of care vs deferred), chronic disease control rates by panel, and revenue per provider hour — contextualized by panel complexity.
When one provider's A1C control rate is 58% and another's is 79% with comparable panel demographics, that gap is worth investigating — not as a performance management conversation, but as a workflow and protocol sharing opportunity. Vizier shows you that gap; your clinical leaders decide how to close it.
Identify Where Care Coordination Is Failing Before Patients Are Readmitted
Care coordination failures are visible in the data before they produce adverse outcomes. Vizier tracks follow-up appointment compliance after discharge (the HEDIS FUH measure: 7-day and 30-day follow-up rates), specialist referral completion rates, medication fill rates for high-risk patients, and care plan documentation completeness.
Clinical Intelligence Across the Care Continuum
See Your Patient Panel the Way Value-Based Contracts See It
Upload an EHR data export and see your A1C control rates, blood pressure benchmarks, care gap closure rates, and provider performance comparison — in under 48 hours.