Embed Best-in-Class VBC Intelligence Into Your Platform.
Ensure Data Solutions provides HCIT vendors, RCM companies, and EMR platforms with API-first, private label population health, quality management, risk adjustment, and network intelligence capabilities — so you can deliver VBC value to your clients without building it from scratch.
Why HCIT Vendors Partner With Ensure
Building VBC Modules From Scratch Is Expensive
Developing certified quality measures calculations, risk adjustment logic, Stars optimization, and care management workflows in-house requires years of development and deep regulatory expertise — and still risks certification failures that delay go-to-market.
VBC Market Demand Outpaces Product Roadmaps
Health plan and provider clients are requesting population health, quality analytics, and risk adjustment features your platform does not yet offer — creating competitive vulnerability to VBC-native alternatives in every RFP cycle.
Regulatory Complexity Is a Moving Target
CMS quality measure updates, Stars methodology changes, and risk adjustment model revisions require continuous engineering resources just to stay compliant — resources better deployed on your core product differentiation.
Clients Need a VBC Analytics Layer
RCM vendors, billing companies, and EMR platforms whose clients are in risk contracts are expected to help monitor financial performance, care gaps, and population health — capabilities that go far beyond traditional platform offerings.
Compliance Infrastructure Is a Heavy Lift
HITRUST R2 certification, SOC 2 Type II audits, and other licensing represent significant ongoing compliance investment. A pre-certified partner engine eliminates this burden and accelerates enterprise sales cycles.
Go-to-Market Speed Is Critical
Every quarter without a VBC analytics story is a quarter where health plan and provider RFPs route to competitors. Time-to-market for new capabilities defines competitive outcomes in the VBC market.
What HCIT Partners Embed From the VBC OS™
Every VBC OS™ module is CTF© — Customizable to Fit your programs, contracts, and workflows. Deploy the full VBC OS™ or embed individual modules via API.
NCQA-Certified HEDIS Calculation Engine
Embed certified HEDIS measure calculations directly into your platform via REST API. Deliver the accuracy and NCQA certification badge your health plan and provider clients require — without the multi-year certification process and ongoing regulatory maintenance burden.
- NCQA-certified HEDIS calculations via REST API — all major measure sets supported
- Supports MA, Medicaid, and commercial HEDIS measures for all plan types
- Returns measure-level numerator/denominator data for your platform display layer
- Continuously updated with each annual HEDIS measurement year specification from NCQA
Risk Adjustment & HCC Identification Engine
Bring risk adjustment intelligence to your EMR or RCM platform. Our HCC identification engine analyzes clinical and claims data to surface prospective and retrospective suspect conditions — enabling your clients to capture more risk revenue without additional workflow complexity.
- HCC suspect identification from structured clinical and claims data via API
- RAF score calculation and projection by patient and population segment
- CMS model-aligned risk logic: MA V28, ACA/HHS-HCC, and Medicaid models
- Returns actionable coding gap recommendations for EMR provider workflow integration
Fully Branded Population Health Portal
Deploy the full VBC OS™ under your brand — private-label with your logo, color scheme, and user experience. Modular by design: show only the data elements relevant to your clients. Includes MFA, RBAC, and HITRUST-certified enterprise security out of the box.
- Full private-label: your brand, your domain, your user experience
- Modular configuration: display only relevant VBC OS™ modules per client type
- Multi-Factor Authentication and Role-Based Access Control built in
- HITRUST R2 certified security — satisfies payer delegation agreements from Day 1
Population Health & Risk Stratification Layer
Add hospitalization-risk stratification — scored by a seven-model LLM ensemble —, care gap management, IDCT coordination, and omnichannel outreach to your platform — enriching your clinical or financial workflows with population-level intelligence that drives measurable client outcomes at scale.
- 7-LLM-validated risk scores and patient cohort stratification via API integration
- Care gap identification, tracking, and closure workflow integration
- IDCT coordination workflows for multi-disciplinary care teams
- FHIR-native data exchange for seamless embedding in EMR clinical workflows
Healthcare Data Warehouse & Analytics Infrastructure
For platforms that need to aggregate, normalize, and analyze multi-source healthcare data, EnsureVAULT© provides a healthcare-specific data warehouse backbone — with pre-built CMS, NCQA, and state regulatory reporting capabilities already built in.
- Healthcare-specific data warehouse: claims, EMR, and clinical data normalization
- CMS Audit Universe file generation capability pre-built and ready to deploy
- KPI management and provider performance reporting infrastructure
- Pre-built regulatory reporting for MA, Medicaid, and ACO programs
FHIR Interoperability Infrastructure
Leverage our existing FHIR integrations with major EHR systems and HIEs to accelerate your platform's interoperability roadmap — avoiding months of individual EMR integration work and SMART-on-FHIR certification cycles.
- Pre-built FHIR R4 integrations with major EHR systems
- HIE connectivity via ADT for real-time clinical event notifications
- Structured and unstructured clinical data exchange and normalization capabilities
- HIPAA-compliant, HITRUST-certified data transmission infrastructure
How HCIT Vendors Partner With the VBC OS™
RCM Platform Adds Quality Analytics
Revenue cycle company adds quality gap identification and HCC risk adjustment via EnsureQUAL© and EnsureRAF© APIs — enabling clients to see quality performance alongside financial data in a unified dashboard under the RCM company's own brand.
EMR Vendor Embeds Population Health
Ambulatory EMR platform uses EnsureCM©'s risk stratification API to display 7-LLM-validated patient risk scores in the physician's workflow — adding population health intelligence to the point-of-care experience without a separate portal.
TPA Deploys Private Label Portal
Third-party administrator deploys the full VBC OS™ under its brand as a premium analytics offering — providing health plan clients a HITRUST-certified quality and risk adjustment platform without writing a single line of software.
Digital Health Accelerates Interoperability
Care coordination platform integrates EnsureXCHANGE©'s FHIR infrastructure to reduce its EMR integration roadmap from 18 months to 3 months — deploying with major EHR systems simultaneously.
HCIT Vendor Wins Health Plan RFPs
An HCIT vendor competing against VBC-native platforms embeds EnsureSTARS© and EnsureRAF© — winning a Medicare Advantage RFP they would previously have lost on quality and risk adjustment capability gaps.
Analytics Company Adds Regulatory Reporting
Healthcare analytics startup uses EnsureVAULT© as their regulatory reporting backbone — deploying pre-built CMS Audit Universe, quality measure, and state Medicaid reporting without hiring a dedicated regulatory engineering team.
Ready to Add VBC Intelligence to Your Platform?
Ensure Data Solutions is the fastest path to a credible, certified VBC OS™ capability for HCIT vendors. Let's explore how a partnership accelerates your product roadmap and wins more deals.