Value Based Care

Power Performance in Value Based Care with Accurate Data and Aligned Teams

Office Ally supports payers and ACOs in managing Value-Based Care (VBC) contracts. Our solutions ensure accurate patient rosters, identify and help close care gaps, and share clinical and claims data across systems, allowing you to improve care coordination, reduce missed opportunities and help your team meet quality and financial goals.

Accurate Roster Monitoring

Close Gaps In Care

Post-care Continuity

Data Connectivity & Exchange

Practical Integration

Align Patient Rosters with Confidence

Ensure your organization gets credit for the patients it’s managing. Fix attribution errors before they impact performance and payment.

Reconcile Medicare and Medicaid rosters and flag discrepancies
Confirm eligibility and coverage in real time
Flag key life events, track defined benefit utilization at care settings, monitor coverage changes, and more
Avoid claim denials tied to attribution or assignment issues
Enhance compliance with CMS requirements

Available with:

Insurance Discovery

Close Care Gaps at Scale

Surface and resolve care gaps using claims and clinical data to improve outcomes and meet HEDIS and risk adjustment targets.

Identify open care gaps from historical claims and clinical sources
Generate HEDIS-ready reports for outreach and tracking
Improve performance on quality measures across programs

Available with:

Insurance Discovery

Payer Gateway

Monitor Post-Acute Adherence

Stay connected across the care continuum with better visibility into patient journeys.

Supports VBC metrics tied to readmissions and transitional care
Monitor post-acute activity to ensure care plan adherence
Receive alerts when patients deviate or don’t initiate care
Improve outcomes with early intervention

Available with:

Insurance Discovery

Deliver Clean, Timely Data Across Teams

Enable seamless sharing of clinical and claims data to support coordination, reporting and payment accuracy.

Connect your data ecosystem using FHIR, HL7 and C-CDA standards without rebuilding everything from scratch
Provide structured insights to payers, providers and care teams
Power VBC analytics, risk adjustment and compliance

Available with:

Payer Gateway

Insurance Discovery