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Case StudyPopulation HealthValue-Based CareTeam Building

OnePartner Platform

How I built an in-house team and architected the technology platform that powered two ACOs to generate $180M+ in Medicare savings over a decade of value-based care.

$76M+

Total Earned Savings

Across both ACOs

$180M+

Generated Savings

Total Medicare impact

10

Performance Years

Consecutive positive years

40,000+

Peak Beneficiaries

Lives under management

The Challenge

In 2012, healthcare was fragmenting. Medicare was piloting Accountable Care Organizations, but most provider groups lacked the technology to succeed. The challenge was clear:

  • ×Patient data locked in 50+ different EHR systems with no interoperability
  • ×No visibility into when patients were admitted to hospitals across the region
  • ×Providers flying blind on quality metrics and cost performance
  • ×Care gaps invisible until they became expensive claims
  • ×No infrastructure for value-based care coordination

My Role: President & Chief Architect

As President of OnePartner from 2014-2022, I was responsible for the technology vision, architecture decisions, and most importantly—building the team. Every major technical decision ran through me:

Selected dbMotion as the HIE platform core
Built repeatable integration interfaces in Mirth Connect
Extended EHR agents with nSights capabilities
Implemented real-time alerting for care transitions
Architected Patient nSights & Provider nSights
Scaled the platform from 2.2M to 3M+ lives
Led expansion across 9 states
Powered 10 consecutive years of ACO performance

Building an Amazing Team

I was trusted to build OnePartner's technology team from the ground up. This wasn't outsourced work—it was 100% in-house development. We recruited, trained, and grew talent that could solve problems no vendor could.

In-House Excellence

  • • Built entire HIE platform with internal team
  • • Developed custom analytics and dashboards
  • • Built repeatable EHR integration interfaces
  • • Extended EHR agents with provider/patient insights

Lasting Impact

  • • Team members now in leadership at major corporations
  • • Alumni at health systems, tech companies, and startups
  • • Skills and culture that transferred to their careers
  • • Proud to see their continued success

“Nothing makes me prouder than seeing people I hired now in high-level positions at large corporations. The talent we built together went on to impact healthcare technology far beyond our region.”

ACOs Powered by OnePartner

Qualuable Medical Professionals

A22066

2013-2017

Coalition of 5 physician groups and 500+ providers across the Tri-Cities region

Highlands PhysiciansHolston Medical GroupMedical Care LLCMountain Region Family MedicineState of Franklin Healthcare

Emergent ACO

A4556

2019-Present

Expanded regional ACO covering Tennessee, Virginia, North Carolina, and beyond

Multi-state provider network9 states coverage26,000+ beneficiaries

Return on Investment

Annual Investment

<$1.5M

Per year operating cost

Annual Returns

$7.6M

Average earned savings/year

ROI

5x+

Return on investment

The Numbers: With less than $1.5M annual operating cost, OnePartner generated $76M+ in earned shared savings over 10 performance years—a return of over 5x the total investment. This doesn't include the $180M+ in total Medicare savings generated, quality bonuses, or the operational efficiencies gained.

Nationwide Partnership: Allscripts

The Deal

In a strategic move to expand OnePartner's reach, I traveled to Chicago to negotiate the final terms of a nationwide reseller agreement with Allscripts. This partnership would take our population health platform beyond Tennessee and Virginia to healthcare organizations across the country.

Negotiated enterprise reseller agreement
Allscripts became national distribution channel
Expanded coverage outside TN/VA territory

The Impact

9 States

Geographic expansion

The Allscripts partnership enabled OnePartner to onboard healthcare organizations in states where we had no prior presence, validating the platform's scalability and market fit beyond our home region.

“Going to Chicago to close that deal was a pivotal moment. It proved that what we built in Appalachia could compete—and win—on a national stage.”

Qualuable ACO Performance (2014-2017)

$7.4M
2014
$5.0M
2015
$4.8M
2016
$3.0M
2017
Earned Savings by Year
YearBeneficiariesSavings RateEarned Savings
201422,9759.16%$7.4M
201521,4286.07%$5.0M
201623,9295.11%$4.8M
201725,4813.08%$3.0M
Total (4 Years)Avg: 5.86%$20.2M

Emergent ACO Performance (2019-2024)

$3.3M
2019
$8.7M
2020
$8.3M
2021
$10.2M
2022
$13.3M
2023
$12.4M
2024
Earned Savings by Year
YearBeneficiariesSavings RateEarned Savings
201930,0316.12%$3.3M
202032,7847.21%$8.7M
202136,1625.85%$8.3M
202239,6506.36%$10.2M
202330,0708.34%$13.3M
202426,3738.19%$12.4M
Total (6 Years)Avg: 6.95%$56.2M

Decade of Performance: Combined Timeline

$7.4M
2014
$5.0M
2015
$4.8M
2016
$3.0M
2017
Transition
2018
$3.3M
2019
$8.7M
2020
$8.3M
2021
$10.2M
2022
$13.3M
2023
$12.4M
2024
Qualuable ACO
Emergent ACO

Combined Impact: A Decade of Value-Based Care

$76M+

Earned Shared Savings

$180M+

Total Medicare Savings

10

Performance Years

<$15M

Total Investment (10 yrs)

5x+ Return on Investment

Less than $1.5M/year operating cost → $7.6M/year average returns

Source: CMS Medicare Shared Savings Program Performance Year Results (data.cms.gov via mimilabs)

Key Architecture Decisions

dbMotion as HIE Core

Selected dbMotion for its proven clinical data aggregation and normalization capabilities. The platform could harmonize data from 50+ disparate EHR systems into a unified longitudinal patient record.

Outcome: Enabled real-time visibility across the entire care continuum for 40,000+ patients.

Mirth Connect Integration Interfaces

Built reusable integration interfaces inside the Mirth Connect engine for its HL7v2/FHIR transformation capabilities. Created a repeatable pattern for each EHR—custom channels for ADT feeds, lab results, and clinical documents that could be rapidly deployed to new practices.

Outcome: Enabled real-time care coordination across 9 states.

EHR Agent Extension Strategy

Extended existing EHR agents with our Provider nSights and Patient nSights capabilities, putting community, clinical, and claims data directly at the provider's desktop alongside VBC measures and financial performance. Rather than asking clinicians to use another portal, we brought insights to where they already worked.

Outcome: Drove 85%+ provider adoption by eliminating workflow disruption.

Real-Time ADT Alerting

Implemented real-time alerting system for care transitions. When a patient was admitted or discharged, their care team received notifications to enable coordination.

Outcome: Enabled proactive intervention and care coordination.

Products We Built

Patient nSights

Comprehensive patient-facing risk stratification and care gap identification. Aggregated claims, clinical, and social determinants data to surface high-risk patients before they became high-cost.

  • HCC risk score optimization
  • Care gap identification
  • Social determinants integration
  • Predictive risk modeling

Provider nSights

Unified provider desktop bringing community, clinical, and claims data together with VBC measures and financial performance. Gave physicians complete visibility into patient context, quality metrics, and cost performance at the point of care.

  • Community, clinical & claims data integration
  • VBC measures & financial performance
  • Quality measure tracking
  • Care coordination tools

HIE Community Record

Longitudinal patient record aggregating community-wide data from all participating providers. Combined clinical encounters, claims history, and care transitions into a unified view that eliminated information silos.

  • Multi-EHR data aggregation
  • CMS CCLF claims integration
  • Medication reconciliation
  • Transition of care alerts

Technology Stack

dbMotion

HIE Platform

Mirth Connect

Integration Engine

HL7v2/FHIR

Standards

SQL Server

Data Store

EHR Agent Extensions

Provider Desktop

ADT Feeds

Real-time Data

CMS CCLF / Claims

ACO Analytics

Tier III Data Center

Infrastructure

Key Lessons

Build the Team First

The best technology comes from empowered teams. Investing in people paid dividends for a decade—and continues to impact healthcare through their careers at other organizations.

Meet Providers Where They Are

Extending existing EHR agents with our nSights capabilities succeeded because we didn't ask providers to change their workflow. We put community, clinical, claims data, and VBC measures directly at their desktop.

Real-Time Data Changes Behavior

When care teams knew about hospital admits within minutes instead of days, they could actually intervene. Speed of data equals quality of care.

Consistency Beats Perfection

Ten consecutive years of positive performance came from steady improvement, not dramatic changes. Build systems that compound.

Building the Next Generation

The lessons from OnePartner—team building, provider-centric design, real-time data—now power Phiniti's Ambient Scribe. Same philosophy: reduce friction, meet providers where they are, and let technology handle the administrative burden.