Case Study: The South Bend Clinic achieves 4.6‑star Medicare Advantage ratings and significant shared savings with Lightbeam Health Solutions

The South Bend Clinic Using Analytics to Thrive Under Value-Based Contracts

The South Bend Clinic, a 130‑physician, provider‑owned multispecialty group, faced a lack of timely, actionable data for population health and risk stratification that hampered quality improvement and Medicare Advantage bonuses. To address stale claims reports and incomplete HCC coding, The South Bend Clinic partnered with Lightbeam Health Solutions to deploy its population health management platform.

Lightbeam Health Solutions implemented an enterprise data warehouse and daily‑updated, schedule‑driven “face sheets” and analytics that surface care gaps, uncoded diagnoses, and ED over‑utilizers at the point of care. As a result, Medicare Advantage quality stars rose from 4.1 to 4.6, HCC coding Percent Coding Validation trended 12% higher year‑over‑year, the ACO generated $579.50 PMPY savings (4.7× the MSSP average), and the organization advanced to MSSP track 3 while improving cost and quality benchmarks annually.

The South Bend Clinic

Andrea Cichra

Director of Population Health