How ACC's Benchmarking Exam Became a Top Revenue Driver, Without Raising Prices

By bringing a nationally respected in-training exam in-house with OasisLMS, a leading medical education association scaled participation, improved program insight, and protected long-term revenue—without increasing prices or compromising quality.

The Problem

The Educational Foundation

ACC'sl training programs deliver an annual in-training benchmarking exam designed to support fellow education and long-term certification success. Modeled after the ABIM initial certification exam, the assessment allows fellows to track topic-level progress year over year.

Scalability Barriers

As participation grew, the exam—originally delivered through a third-party testing provider—became increasingly difficult to sustain. Delivery costs rose with every new cohort, reporting options were limited, and program coordinators lacked the insight needed to confidently evaluate learner performance and program effectiveness.

The Strategic Challenge

The association faced a critical challenge: How could it scale a nationally respected exam, improve insight for hundreds of programs, and protect long-term revenue—without raising prices or diluting educational value?

The Impact

Examinees increased from ~2,400 to ~3,700 annually
Participation expanded to ~300 medical training programs
Operational costs remained controlled despite national-scale growth The exam became the second-largest revenue driver, behind only the annual conference
The exam became the second-largest revenue driver, behind only the annual conference

The Impact

This is some text inside of a div block.

Examinees increased from ~2,400 to ~3,700 annually

This is some text inside of a div block.

Participation expanded to ~300 medical training programs

This is some text inside of a div block.

Operational costs remained controlled despite national-scale growth The exam became the second-largest revenue driver, behind only the annual conference

Results

To regain control over costs, data, and the learner experience, the association made the strategic decision to bring exam delivery in-house using OasisLMS. The platform needed to support thousands of examinees, hundreds of program coordinators, and complex benchmarking—all while scaling efficiently over time.
With OasisLMS, program coordinators gained access to clear, actionable dashboards that transformed how results were used. Coordinators could easily see topic-level performance, track year-over-year progress, and compare their programs against national benchmarks. The exam evolved from a one-time assessment into an ongoing program improvement tool.
As participation increased, the platform scaled seamlessly—without increasing per-user costs. A formal study later validated the model’s educational impact, showing that participation in the exam improved certification exam scores.
What began as a high-stakes assessment became a mission-driven program that strengthened outcomes, delivered sustained revenue, and positioned the association for future growth.

Download Full Case Study

Results

To regain control over costs, data, and the learner experience, the association made the strategic decision to bring exam delivery in-house using OasisLMS. The platform needed to support thousands of examinees, hundreds of program coordinators, and complex benchmarking—all while scaling efficiently over time.
With OasisLMS, program coordinators gained access to clear, actionable dashboards that transformed how results were used. Coordinators could easily see topic-level performance, track year-over-year progress, and compare their programs against national benchmarks. The exam evolved from a one-time assessment into an ongoing program improvement tool.
As participation increased, the platform scaled seamlessly—without increasing per-user costs. A formal study later validated the model’s educational impact, showing that participation in the exam improved certification exam scores.
What began as a high-stakes assessment became a mission-driven program that strengthened outcomes, delivered sustained revenue, and positioned the association for future growth.

Download Full Case Study

The exam didn’t just measure learning—it became a trusted tool for improving training outcomes across programs nationwide.”

— Program Leadership, ACC

oasis lms

Deliver learning that drives impact

Whether managing CME for physicians or supporting member growth, Oasis LMS helps deliver high-impact education efficiently and at scale.

Download Full Study Guide