Value-based care (VBC) contracts promise alignment. The data rarely delivers it. Health plans and provider networks sign shared accountability agreements, yet continue operating from entirely different views of the same patient. Quality teams work retrospective reports, providers receive data too late to act on and performance gains plateau year over year.
Presented by Cozeva and Vatica Health, this session examines a real-world partnership between the combined platform and a health plan client to show what changes when both sides of a VBC contract share real-time, actionable data. Speakers will walk through the operational model that made it work—how quality and risk adjustment data was surfaced directly into provider workflows, how cross-functional alignment was built across plan and provider teams, and the resulting impact on HEDIS® performance, risk capture and contract outcomes.
Attendees will leave with a practical replication framework for auditing payer-provider data exchange, redesigning provider reporting for action and building the shared accountability infrastructure that makes VBC contracts truly perform.
Learning Objectives:
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Diagnose the data latency and workflow gaps in their current payer-provider quality reporting model that prevent providers from taking timely action to address open care gaps.
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Describe the operational components of a real-time, bidirectional payer-provider data-sharing model—including what it requires from health plan quality, network and contracting teams.
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Apply a provider segmentation framework to identify which provider relationships offer the highest VBC performance opportunity and should be prioritized for data integration.
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Explain how joint quality and risk-adjustment data surface new performance levers that neither program can see on its own, and how that changes the provider engagement strategy.
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Develop an action plan to restructure provider-facing quality reporting from a compliance-oriented retrospective model to an action-oriented, real-time workflow.
