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Article · Operations

A CFO's checklist for value-based care readiness

The operational capabilities a practice needs before signing a value-based contract: HCC coding, quality-measure capture, attribution tracking, and the reporting cadence to back it.

  • MCMark Chen, JD · Reviewed by Dr. Emily Reed
  • 10 min read
  • Published March 15, 2026

The lede

Most practices sign their first value-based contract before they can actually report against it. The result is a year of effort with no shared-savings payout.

This checklist is what our CFO clients use before they sign: an operational gate covering HCC coding, quality-measure capture, attribution tracking, and the reporting cadence that earns trust with the payer.

What this piece covers

  • HCC coding maturity: where most practices fall short.
  • Quality-measure capture inside the encounter, not after.
  • Attribution tracking and the dispute window most miss.
  • The reporting cadence that builds payer trust.

In editorial review

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