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Enterprise Data Warehouse

See more, with your data

The boutique ACO technology consultancy built by operators. Scroll to descend through the warehouse — from raw claims to the cube your whole ACO can query.

01 / Ingest

Every feed lands on one grain.

CCLF and BCDA bulk claims, EHR, lab, and patient-reported data — matched by TIN, NPI, and beneficiary into a single longitudinal record. Not pilots. Production pipelines on CMS feeds.

CCLFBCDAEHRLABPRO

02 / Model

A schema your analysts can read.

Three dimensions, one set of measures. Time across, Provider up, Measure in depth — the star schema that turns raw feeds into an analytics-ready core data model.

03 / Drill-down

From the whole ACO
to a single beneficiary.

Slice and roll up the same cube across the hierarchy — ACO → Practice TIN → Provider NPI → Beneficiary — without ever leaving the model or exporting to a spreadsheet.

04 / Data marts

One core. Many marts.

Deployable marts spin off the core on demand — each one a focused cube, ready to query.

RISK
HCC suspecting & RAF
QUALITY
APP eCQM / CQM
UTILIZATION
Readmits & ED
FINANCE
PMPM & TCoC

05 / Query

Your next CMS deadline is already on the calendar. Get ahead of it.

We design the warehouse, build it, and run it with your team.

Built by Operators

Founded by the co-founder and CIO of one of the nation’s first and most successful MSSP and Next Generation ACOs. Not theory — operating experience at risk.

Platform + Consultancy

ACO-OS plus hands-on advisory. We design the data infrastructure, build it, and run it with your team — EHR, lab, claims and patient-reported data unified into a single longitudinal patient record.

Compliance, Engineered

APP eCQM/CQM reporting, attribution thresholds, FHIR mandates, CMS public reporting — built to clear the deadlines, not chase them.

The quality reporting wall is here

The quality reporting wall is here

Since performance year 2025, an ACO that fails to report eCQMs/CQMs under the APM Performance Pathway scores an effective zero — forfeiting shared savings and triggering maximum losses under two-sided risk. Reporting has moved from a few thousand sampled patients to all-patient, all-payer data across every ACO clinician. We architect the aggregation, patient matching, and submission pipelines that make the new reality routine.

Risk is accelerating. So is the market.

Risk is accelerating. So is the market.

The Shared Savings Program is at record scale — 511 ACOs serving 12.6 million beneficiaries, with 82.8% in two-sided risk — and the one-sided on-ramp is shrinking. ACO REACH sunsets at the end of 2026; the ten-year LEAD Model launches in 2027 with benchmarks that are never rebased. D∑VHE∆LTH helps you model the transition, prove the benchmarks, and stand up operations before the deadlines stand on you.

Interoperability is now a mandate

Interoperability is now a mandate

CMS-0057-F FHIR APIs arrive in January 2027, opening payer claims and prior-auth data to risk-bearing groups. BCDA refreshes bulk Medicare claims weekly. Standards churn is constant — USCDI, US Core, SMART. We have been building on CMS data feeds since CCLF files were new, and we turn mandated plumbing into competitive intelligence.

End-to-End Solutions

Quality Reporting (APP)

All-patient eCQM, MIPS CQM and Medicare CQM pipelines: aggregation across EHRs, data-completeness assurance, and measure-set tracking as CMS phases requirements in and out — so reporting season is an export, not a fire drill.

Beneficiary Attribution & Alignment

Attribution now decides your track: the 5,000-beneficiary threshold and benchmark-year testing determine risk-track eligibility and payment caps. We monitor alignment continuously — not at reconciliation.

FHIR Data Engineering

BCDA weekly bulk claims, Blue Button 2.0, Provider Access API readiness, USCDI / US Core / SMART migrations. Production pipelines on CMS data feeds — not pilots.

Patient Matching & Roster Integrity

TIN/NPI roster management and beneficiary matching across claims and clinical data — the unglamorous work CMS itself acknowledges is the hard part of quality reporting.

Enterprise Data Warehouse & Data Marts

Raw claims and clinical feeds transformed into an analytics-ready core data model — then a library of deployable data marts on top: risk & HCC suspecting, quality measures, chronic conditions, utilization (readmissions, ED visits), encounters, and PMPM financials. No-coding ad-hoc query included, so any question gets an answer.

Analytics & Total Cost of Care

A 360-degree view at every level of the hierarchy — beneficiary, provider NPI, practice TIN, and the ACO as a whole. Performance, cost, risk and utilization measured against your benchmarks, so you know where the year is heading before reconciliation tells you.

Risk Stratification & Care Gaps

Condition flags, risk scores and care-gap registries built on the longitudinal record — focus resources where they move outcomes and quality scores, and close the gaps that drive both patient health and shared savings.

Model Strategy: MSSP & LEAD

REACH-sunset transition planning, LEAD-era long-horizon benchmark modeling, BASIC-to-ENHANCED glide-path decisions — guided by people who have operated at risk.

ACO-OS

The operating system for your ACO: participant & provider roster management (TIN/NPI), beneficiary alignment tracking, CCLF/BCDA claims ingestion, and CMS public-reporting compliance out of the box.

Your next CMS deadline is already on the calendar. Get ahead of it.