Many health systems recognize that the shift to value-based care (VBC) is inevitable, but fewer have built the infrastructure needed to succeed within it. The barriers are well known: fragmented data, limited visibility into performance, and a lack of internal expertise in managing financial risk. But one of the most overlooked challenges is also one of the most fundamental – the inability to capture and report performance in a way that is accurate, timely, and actionable.

Without reliable reporting, even the most well-intentioned value-based care strategies fall flat.

Reporting: A Strategic Lever In traditional fee-for-service models, reporting often lived at the margins of operations – focused on compliance, billing, or retrospective analysis. But in value-based care, performance reporting plays a central role in defining how care is delivered, where investments are made, and how success is measured.

Today’s organizations must rethink reporting not as a regulatory task, but as a strategic function that connects clinical performance with financial outcomes. For many, this means reevaluating how data is captured, how attribution is tracked, and how insights are delivered back to the care team in time to act.

Three Structural Gaps Undermining VBC Reporting Fragmented Data Streams Clinical, claims, and population health data often sit in separate systems. This fragmentation makes it difficult to form a holistic view of patient populations or to measure the true impact of interventions. Lack of Attribution Clarity Virtual and team-based care delivery blurs the traditional lines of provider attribution. Without the right attribution models in place, organizations may underperform on measures simply due to mismatched data. Insufficient Measure Mapping CMS continues to refine and expand its quality measure sets, particularly under MIPS, MSSP, and MVP frameworks. Yet many provider groups still struggle to align their documentation with evolving specifications, resulting in missed opportunities and reporting penalties.

These issues are further compounded by time lags, incomplete submission processes, and lack of in-house registry or analytics expertise.

The Role of a Registry Partner in the VBC Operating Model To overcome these barriers, provider organizations are increasingly partnering with CMS-qualified registries (much like Quantician). These partners function not just as submission vendors – but as strategic extensions of a health system’s quality and population health teams.

The impact is multi-fold:

• Data Aggregation – Clinical and claims data are consolidated into a single view, allowing for accurate patient-level and population-level analysis.
• Attribution Management – Patients are properly linked to the right clinicians and performance groups, ensuring measure accuracy and contract alignment.
• Measure Alignment – Documentation is mapped precisely to CMS requirements, increasing scoring accuracy and reducing administrative rework.
• Submission Confidence – Data is validated, deduplicated, and submitted on time, with a clear audit trail and full compliance.

In effect, registries reduce the risks of operational complexities of reporting while helping organizations extract meaningful performance insights from their existing care delivery.

Reporting in a Virtual, Distributed Care Environment As more care shifts outside the clinic, through virtual care, remote monitoring, and decentralized teams, traditional reporting structures struggle to keep up. Static EHR reports and visit-based triggers no longer capture the full scope of clinical activity.

Registries equipped to work across these distributed models can close the gap. They provide the necessary infrastructure to track performance across touchpoints, interpret data from multiple channels, and ensure that all care (virtual or in-person) is captured accurately in performance reporting.

This capability is especially important for organizations transitioning to digital quality measurement (dQM), MVP pathways, and advanced APM contracts.

Turning Reporting into a Competitive Advantage In an increasingly risk-bearing industry, accurate and strategic reporting becomes a competitive differentiator. It enables organizations to improve performance, unlock incentive payments, avoid penalties, and build trust with payer partners.

But more importantly, it allows provider groups to see what’s working – clearly, consistently, and in time to course correct.

As VBC adoption accelerates and CMS continues its shift toward more dynamic, digital-first reporting models, the question is no longer whether reporting infrastructure matters. It’s whether organizations have invested in the systems and partnerships required to make it work.

Quantician is a CMS-qualified registry and performance reporting partner. We help provider organizations, ACOs, and health systems close reporting gaps, align with evolving CMS requirements, and turn data into strategic value under MIPS, MSSP, MVPs, and APMs.