Company intelligence
VBC One
About VBC One
VBC One is a Management Services Organization (MSO) and consulting partner serving three client types: provider and medical groups (from independent practices to large multi-specialty groups), health plans, and provider enablement solutions. We’re the Goldilocks of support — not too little, not too much, but just right. Whether you need fractional operations, strategic advisory, or full-service MSO infrastructure, we scale our support to fit your organization’s needs today and grow with you tomorrow. Our expertise spans risk adjustment, quality performance, analytics, data submission, documentation education, coding, CDI, and retrospective program management. By blending clinical insight with scalable MSO infrastructure, we help our clients strengthen compliance, improve outcomes, and achieve sustainable revenue growth. Whether you’re a medical group, health plan, or provider enablement partner, VBC One delivers the just-right operational backbone and strategic guidance to thrive in value-based care.
Verified activity
Signals from VBC One
18 published signals
Research & Knowledge
VBC One published an analysis examining shifts in healthcare investment, including where VBC OneSource Market Leaders and Founding Partners Augustus Healthcare Solutions, Navina, Astrata, Inc, and Greater Good Health fit within the market’s changing priorities.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Strategy & Corporate Development
VBC One acquired Livara Health to deliver specialty value-based care and provider enablement.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Legal & Regulatory
VBC One reports that a federal court set aside Clover’s 3.5-Star rating and ordered CMS to recalculate it, moving the affected contract to 4.5 Stars—a full-star difference.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One published an article examining the primary care shortage and its implications for value-based care, NP-led team-based senior care models, and Medicare beneficiaries.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Legal & Regulatory
VBC One reports that the Eleventh Circuit reversed the federal district court decision that found the False Claims Act’s qui tam whistleblower mechanism unconstitutional under the Appointments Clause, allowing the underlying Medicare Advantage risk-adjustment case to proceed.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Legal & Regulatory
VBC One observed that UnitedHealthcare is dropping prior authorization for 1,700 services across multiple lines of business, including Medicare Advantage.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Strategy & Corporate Development
VBC One observed that Health Net is leaving the employer health insurance business in California and Oregon.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One published a report analyzing the Louisiana Medicaid transition, including UnitedHealthcare leaving and Elevance Health's Healthy Blue leaving, and the impact on over 290,000 Medicaid members.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One published an article examining the harder phase of rural transformation, focusing on building a workforce and operating model capable of serving older, medically complex populations long after the grant period ends.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One published an article examining CMS’s accelerated audit strategy, the V24-to-V28 transition, and the need for connected coding controls.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Strategy & Corporate Development
VBC One reports that the acronyms will change as CMS moves toward value-based care.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One reports that ASM begins bringing selected specialists treating heart failure and low back pain into a mandatory performance-based model.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One reports that LEAD begins in 2027 and runs for 10 years, the longest model CMS has ever tested.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One reports that more than 150 organizations have already been accepted for the ACCESS model.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One reports that ACCESS, a payment model for technology-supported chronic care, is now live and tying payment for technology-supported chronic care more closely to actual outcomes.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One published an analysis on new rural-health investments in Alaska, Ohio, Georgia, Virginia, and Arkansas revealing five different strategies involving clinical networks, pharmacy connectivity, virtual care, workforce development, specialty access, and technology.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Research & Knowledge
VBC One published an article exploring what WISeR could mean for health plans, risk-bearing providers, and healthcare technology companies in the context of CMS payment integrity.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.
Legal & Regulatory
VBC One reports that a federal judge denied Elevance's request for an immediate recalculation of its 2026 Medicare Advantage Star Ratings, allowing the underlying case to proceed.
Reported by Dr. Shannon I. Decker, PhD., MBA, MBA, M.Ed., M.Ed.