BFILABS.AI brings founder-led healthcare analytics to provider-owned ACOs — risk adjustment, quality measure performance, population stratification, and shared-savings forecasting. No junior associates. No Big 4 overhead. Cloud or on-prem, your call.
Five questions ACO leaders are asking right now — and what BFILABS.AI does about them.
Are we leaving shared savings on the table because RAF capture is incomplete?
We map condition capture across attributed lives, identify documentation and HCC coding gaps that are dragging the benchmark down, and build a defensible path to recover what's recoverable — without putting you on the wrong side of OIG scrutiny.
Is our quality multiplier eroding the bonus we expected?
Quality measure performance is now a direct lever on shared savings. We build measure-level dashboards, prioritize the gaps that move the multiplier, and design provider-facing scorecards that drive the right behavior change.
Do we have member-level risk stratification that actually drives care management priority?
Most ACOs run population health on lookback claims. We build forward-looking risk models that surface the right 5% of members for the right intervention, with the cost-of-care projection your CMO needs to defend the spend.
Can we forecast benchmark vs. expenditure with confidence going into PY close?
We build scenario-driven shared savings models that let your CFO walk into the board meeting knowing what's likely, what's possible, and where the next dollar of investment moves the needle most.
Is our analytics stack built for VBC, or duct-taped from FFS reporting?
An ACO running on FFS reporting tools is fighting with one hand tied. We design and stand up the data infrastructure VBC actually needs — cloud or on-premises, depending on your compliance posture — without a 9-month consulting cycle.
Are we paying Big 4 prices for junior staff to learn on our data?
Every BFILABS.AI engagement is led by a former Fortune 10 healthcare analytics executive. No rotating associates. No layered project teams. No $400/hour bills for someone three years out of school. Just founder-led delivery at 40–60% of Big 4 rates.
The whole platform maps to the levers that move shared savings under MSSP and REACH.
HCC capture, coding accuracy review, and condition documentation analytics tuned for the ACO benchmark methodology. CMS-HCC V28 ready.
Measure-level performance dashboards, gap identification, intervention prioritization, and provider scorecards that move the quality multiplier.
Forward-looking risk models, SDOH layering, care-management cohorting, and intervention ROI tracking. The 5% who drive 50% of cost.
Benchmark vs. expenditure scenario modeling, MLR analytics, contract impact analysis, and CFO-ready board materials.
Real calculators built on real CMS data — the same modeling logic we apply to client work. Use them on your numbers. No login. No data leaves your browser.
Score a member with full V28 crosswalk, hierarchy logic, and disease interactions. See exactly what's driving the RAF.
Open the calculatorModel the dollars at stake on a documentation or chart-review program. Find the minimum RAF lift to justify the investment.
Open the calculatorSee the Pareto curve of cost in a real-shaped population. Toggle care programs and watch projected savings respond.
Open the demoRelevant to ACOs in MA-aligned populations. Model the revenue impact of reaching 4.0+ stars under 2026 weights.
Open the simulatorNo login. No data leaves your browser. Built for compliance-conscious ACO leaders.
A 15-question self-assessment across the five capabilities that decide whether an ACO collects shared savings or writes a check. Take it in 8 minutes.
No marketing emails. We send the assessment, and that's it. Unsubscribe is a reply.
It'll land in your inbox in under a minute.
Designed for ACO timeframes — not for billable-hour maximization.
30-minute strategy session. We listen, you talk. We learn your benchmark, your contract, and the two or three things that are actually moving.
Two-week paid diagnostic. We come back with a quantified picture of where the savings are, where the risks are, and what to do first.
We build the analytics, the dashboards, and the playbooks. Cloud or on-prem. You own what we build — your IP, your environment.
Optional retainer. We stay engaged for ongoing analytics, quarterly reviews, and the next set of moves. Or hand off — your call.
Pricing is a starting point. Final scope and price are set in the SOW after the strategy session.
6–12 weeks. Single-objective scope.
Ongoing. Most popular for active ACOs.
Per dashboard. Cloud or on-prem.
The first conversation is 30 minutes, free, and confidential. Bring your three biggest questions; we'll bring 20 years of operating experience. If we're a fit, we'll talk about scope. If we're not, we'll point you at someone who is.
Schedule an ACO Strategy Session