Operators first. Consultants second.
D∑VHE∆LTH was founded by Ricardo J. Matos, who co-founded and served as CIO of one of the nation's first and most successful Medicare Shared Savings Program and Next Generation ACOs — growing it to a high-performance network of more than 1,400 providers across 300+ locations and 22 hospital facilities, with tens of thousands of aligned beneficiaries in the most aggressive Medicare alternative payment mechanisms. That operating experience — not slideware — is what we bring to every engagement.
Why now
Value-based care has reached an inflection point. The Shared Savings Program is at record scale — 511 ACOs serving 12.6 million beneficiaries, with 82.8% in two-sided risk. Quality reporting has become a hard compliance wall: since performance year 2025, an ACO that fails to report eCQMs/CQMs receives an effective zero. ACO REACH sunsets at the end of 2026, the ten-year LEAD Model launches in 2027, and CMS interoperability mandates open new FHIR data feeds in the same window. Every one of those transitions is a data problem before it is a policy problem.
What we do
D∑VHE∆LTH is the premier boutique partner for ACOs, IPAs, MSOs and risk-bearing physician groups that need their data infrastructure to keep pace with their risk: APM Performance Pathway quality reporting, beneficiary attribution and alignment tracking, FHIR data engineering on CMS feeds (CCLF, BCDA, Blue Button 2.0, Provider Access APIs), enterprise data warehousing with a library of deployable data marts — risk, quality, chronic conditions, utilization, PMPM — total-cost-of-care analytics delivering a 360-degree view at every level of the hierarchy (beneficiary, provider, practice, ACO), and model strategy from MSSP track selection to LEAD-era benchmark planning — much of it productized in our ACO-OS platform.
I think that by now anyone reading this will have realized that the healthcare delivery environment in our country is experiencing a profound shift. As payors and increasingly employer groups deploy variations of the ACO, high performance networks and PCMH's, we are also faced with the possibilities and limitations that the evolving regulatory environment presents. D∑VHE∆LTH is dedicated to the advancement of the value based healthcare delivery model, and we will continue to work with customers and regulators to establish the ACO as a valuable alternative in the market.