The Work Behind the Quality Score
Is Where We Live.

SmartOps Health gives ACOs and practices the patient engagement infrastructure, campaign intelligence, and operational support to turn open care gaps into completed actions, across MSSP, ACO REACH, MIPS, and commercial quality programs.

Built with physicians, office managers, and operators who've scaled successful ACOs and independent practices.

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Physician reviewing patient records
Why SmartOps Health

Most Quality Gaps Close in the Follow-Through, Not the Screening.

The PHQ-2 gets completed. The follow-up plan never gets documented. The colonoscopy gets referred. The result goes untracked. These aren't clinical failures. They're operational ones, and they're exactly where quality scores collapse.

SmartOps Health was built to close that second gap. The space between what the data shows and what actually happens at the point of care. We combine patient engagement infrastructure, hands-on consulting, and campaign intelligence designed specifically for value-based care environments.

What We Do

Five solutions. One operational layer.

Each stands on its own. Together they form the infrastructure between clinical care and quality performance that most practices are missing.

POC Ready
01
Quality Intelligence Widget

An embeddable dashboard that surfaces open care gaps and tracks measure completion against your ACO and MIPS targets. Designed to sit inside your existing workflow, not replace it. Prototype available for POC partnerships.

MSSP · REACH · MIPS Care Gap Tracking Real-Time Alerts POC Available
02
SmartOps Campaigns

Targeted gap closure campaigns built around how your patients actually respond. We build patient motivation profiles from intake data and design outreach sequences tailored to each patient type, so the right message reaches the right patient at the right time across every payer program.

Motivation Profiling Multi-Payer Gaps Targeted Outreach Gap Attribution
03
Ambient Patient Engagement

Smart physical and digital touchpoints embedded in the spaces patients occupy every day. Connected QR entry points in waiting rooms, exam rooms, and patient homes create frictionless on-ramps to care actions without requiring an app, a login, or a phone call.

Connected Touchpoints Frictionless Access Daily Environment Gap Attribution
04
Practice Performance Consulting

Hands-on support for practices and ACO-affiliated providers struggling to hit benchmarks. We assess workflows, identify documentation gaps, train staff on measure requirements, and implement operational changes that move performance. Available for individual practices and ACO networks.

Workflow Assessment Staff Training ACO Alignment Gap Remediation
Coming 2026
05
Care Beyond the Clinic

Quality scores measure what happens at the visit. Patient wellbeing is shaped by what happens everywhere else. Built from real experience running a patient fund inside a Medicare ACO, this program pairs patient motivation profiling with low-cost, high-impact social interventions. A patient who is lonely gets connection. A patient who is anxious gets a reason to engage. A patient who cannot manage at home gets the equipment they need. Grounded in the Medicare Advantage supplemental benefits framework and the clinical evidence on social prescribing, this is care that reaches patients where their health is actually determined.

Social Prescribing Motivation Profiling MA Supplemental Benefits ACO Patient Fund Model Loneliness + Anxiety Interventions
Quality programs we work across
MSSP
ACO REACH
MIPS
HEDIS
Commercial
Doctor writing notes at desk with laptop and stethoscope
"Every practice knows quality measures matter. The hard part is not awareness. It is that the work falls on staff already stretched thin, across systems that were never built to talk to each other. We built SmartOps Health to fix that."
Victoria Farias  ·  Founder, SmartOps Health
Patient Engagement

Meet patients where they already are.

The hardest gaps to close require patient action between visits. SmartOps Health embeds intelligent care triggers directly into the spaces patients occupy every day, making the next step effortless whether they are at home, in the waiting room, or on the go.

Senior woman sitting on sofa using tablet at home
Ambient Care Triggers

Smart connected objects placed in patients' daily environments, kitchen, wallet, waiting room, that surface care actions the moment a patient is ready to act. A single tap or scan opens a direct path to scheduling, screening, or a care gap resource. No portal. No friction. No forgetting.

Care-Moment Timing

Outreach delivered at the right moment in a patient's care journey, not on a broadcast schedule. Smart Campaigns sequence touchpoints based on where a patient is in their gap closure path, what type of reminder they respond to, and what action still needs to happen.

Closed-Loop Attribution

Every touchpoint is tracked from first scan to completed care action. SmartOps connects physical and digital engagement back to specific quality measures and payer programs, so you can see exactly which outreach is closing gaps and which needs to be adjusted.

2012
Began building one of Texas's first MSSP ACOs from the ground up
2018
Achieved 100% CMS quality score & top-25% national ACO performance
2022
Ranked #8 nationally in ACO shared savings
2024
Founded SmartOps Health to bring operational infrastructure to ACOs & practices everywhere
About SmartOps Health

We built the operational layer most ACOs are missing.

SmartOps Health exists to close the gap between quality data and quality outcomes. Most ACOs and practices have the data. What they are missing is the operational infrastructure to act on it consistently, at scale, without adding headcount.

Our founder Victoria Farias spent over a decade building one of Texas's first MSSP ACOs from nothing. She managed eCQM submissions, quality registry relationships, provider education, and executive reporting. She also ran a patient fund that sent meals on Thanksgiving, delivered shower chairs to patients who needed them at home, and provided walkers to patients who could not afford them. Patients called it the most meaningful thing their ACO ever did. That experience is the foundation of Care Beyond the Clinic.

MSSP, ACO REACH, and MIPS program expertise
eCQM, CAHPS, and quality registry management
Operated patient fund delivering social interventions inside a live ACO
Provider engagement and network development, Texas
Work With Us

Let's close some gaps.

Whether you are exploring a POC partnership, need consulting support for your ACO or practice, or want to see the quality widget in action, we would welcome the conversation.