Six Concurrent CMS Programs, One Unified Analytics Platform
No other healthcare system in the world runs this many simultaneous quality reporting programs. Vizier is built to track all of them from a single data upload — no separate portals, no duplicate data entry.
Merit-based Incentive Payment System
The primary MACRA QPP track. Four categories: Quality (30%), Cost (30%), Promoting Interoperability (25%), Improvement Activities (15%). 2026 performance year carries up to ±9% payment adjustment.
Hospital Readmissions Reduction Program
Penalizes hospitals with excess 30-day readmissions for AMI, HF, pneumonia, COPD, hip/knee arthroplasty, and CABG. Maximum 3% reduction in all Medicare inpatient payments. 2,500+ hospitals penalized annually.
Hospital Value-Based Purchasing
Adjusts Medicare DRG payments based on quality performance across Safety, Clinical Care, Efficiency & Cost Reduction, and Patient and Caregiver-Centered Experience domains.
Inpatient Prospective Payment System
DRG-based payment system for acute inpatient hospital stays. Accurate DRG assignment, complication and comorbidity (CC/MCC) capture, and case mix index optimization are critical to revenue integrity.
Outpatient Prospective Payment System
APC-based payment system for hospital outpatient services. Correct APC assignment, status indicator coding, and packaging rules compliance directly impact outpatient revenue.
CMS Quality Payment Program
The umbrella framework under MACRA that includes both MIPS and Advanced Alternative Payment Models (APMs). APM participation offers a 5% Medicare bonus and exemption from MIPS reporting.
The Shift from Fee-for-Service to Value Is Already Here
CMS has committed to transitioning 100% of Traditional Medicare beneficiaries into accountable care relationships by 2030. ACO REACH, Medicare Shared Savings Program (MSSP), and Kidney Care Choices are among the current APM tracks already active. Participation in a qualifying APM exempts clinicians from MIPS reporting and provides a 5% Medicare Part B incentive payment.
Vizier tracks your quality performance under both fee-for-service and value-based frameworks simultaneously — modeling how your current clinical outcomes would translate into shared savings or shared losses under an ACO contract.
Detailed Guides and Analytics for Every US Program
2026 Complete MIPS Guide
The full methodology, measure selection strategy, scoring formula, and submission timeline for the 2026 MIPS performance year. 3,000+ words of practical guidance.
Read the Guide →MIPS Reporting Analytics
Real-time score tracking, benchmark comparison, penalty risk calculator, and MIPS Value Pathway modeling for clinical practices.
See MIPS Analytics →Readmission Prevention
HRRP penalty exposure calculation, LACE scoring, discharge planning gap analysis, and provider-level readmission rate comparison.
See Readmission Analytics →Revenue Cycle Optimization
E&M coding gap detection, denial root cause analysis, and payer performance benchmarking for US billing environments.
See RCM Analytics →Built for the US Regulatory Environment
MIPS scoring, HRRP penalty modeling, ACO quality tracking, and revenue cycle analytics — designed for US health systems navigating the full complexity of CMS quality programs.