Pilot Configuration
Pilot Phase (Scoped Evaluation)
Up to 12 weeksTypical scope: multi-country, weekly updates, multiple categories
- Real data from real sources
- Live dashboards or export feeds
- Validate scope, refresh cadence, quality
- Fixed price, no ongoing commitment
Most teams start here to validate fit before expanding.
Now, schedule a short call below to confirm scope and start the pilot, or build something new.
or email us at paul@jsonify.co
Data sources are the websites and apps where information will be collected from. These can be changed or expanded at any time. This is turned into data rows.
| id | Source | Model | Measure | Value | Benchmark | Contract Term | Effective Date | Status | ||
|---|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
ACO REACH | Hospital Readmission Rate (30-day) | 8.7% | CMS Nat'l Avg 11.2% | Performance-based shared savings/2-year | Jan 31, 2026 | Active | ||
| 2 |
|
PCMH Recognition v2025 | Diabetes HbA1c Control (<8%) | 72.4% | NCQA Peer 68.1% | Annual recognition renewal | Jan 30, 2026 | Awarded | ||
| 3 |
|
Value-Based Primary Care Pilot | Total Cost of Care per Member | $6,450 PMPY | Regional avg $7,200 PMPY | 3-year capitated agreement | Jan 29, 2026 | Under Evaluation | ||
| 4 |
|
Medicaid ACO Demonstration | Emergency Dept Visits per 1,000 | 210 visits | State avg 260 visits | 5-year demonstration waiver | Jan 31, 2026 | Reporting | ||
| 5 |
|
MA Value-Based Contract | Star Rating (Overall) | 4.5 stars | CMS threshold 4.0 | Annual contract with quality bonuses | Feb 2, 2026 | Finalized | ||
| 6 |
|
Risk Adjustment Incentive | Risk Score Accuracy (R-squared) |
|
Industry avg 0.78 | Performance bonus/1 year | Jan 28, 2026 | Implemented | ||
| 7 |
|
Hospital VBP Program | Patient Safety Composite | 0.92 (normalized) | Nat'l median 0.85 | Quarterly pay-for-performance | Feb 3, 2026 | Active | ||
| 8 |
|
Integrated Behavioral Health Bundle | Depression PHQ-9 Response Rate | 48% | Published trial 41% | 2-year bundled payment | Jan 30, 2026 | Pilot | ||
| 9 |
|
CHC Value-Based Contracting | Preventive Visit Rate | 84% | HRSA target 80% | 3-year grant-aligned contract | Feb 1, 2026 | Active | ||
| 10 |
|
Orthopedic Episode Payment Model | Average Episode Cost | $16,200 | National median $18,400 | 90-day bundled payment | Feb 2, 2026 | Implemented | ||
| 11 |
|
CMMI Primary Care First | Advance Care Planning Documentation | 36% of attributed pts | Program target 30% | 2-year participation | Jan 29, 2026 | Reporting | ||
| 12 |
|
Behavioral Health Integration Recognition | Follow-up After ED Visit (7-day) | 58% | NCQA target 60% | 12-month quality improvement plan | Feb 3, 2026 | In Progress | ||
| 13 |
|
Total Cost of Care Contract (Commercial) | Avoidable Admissions Rate | 78 per 10,000 | Market avg 95 per 10,000 | Shared savings w/ downside risk/1 year | Jan 31, 2026 | Under Negotiation | ||
| 14 |
|
Medicare ACO REACH Expansion | Social Risk Adjustment Implementation | Yes (implemented) | Peer ACOs partial | 3-year model participation | Feb 1, 2026 | Active | ||
| 15 |
|
Dual Eligible Integrated Plan | Care Transitions Follow-up (%) | 71% | CMS goal 70% | Annual integration contract | Jan 28, 2026 | Compliant | ||
| 16 |
|
Specialty Pharmacy Value Contract | Medication Adherence (PDC) | 85% | Therapeutic class avg 78% | Performance rebate/12 months | Jan 30, 2026 | Live | ||
| 17 |
|
Sepsis Care Bundle Pay-For-Performance | Timely Antibiotics (<1h) | 92% compliant | HCAHPS peer 88% | Quarterly incentive payments | Feb 2, 2026 | Active | ||
| 18 |
|
Episode-Based Oncology Bundles | Mean Out-of-Pocket per Cycle | $342 | Market median $410 | 6-month bundled price guarantee | Jan 31, 2026 | Piloting | ||
| 19 |
|
Rural Health Value Contracts | Telehealth Utilization Rate | 29% of visits | Rural avg 18% | 2-year federal support + value incentives | Feb 3, 2026 | Funded | ||
| 20 |
|
Spine Care Pathway (Commercial) | Reoperation Rate within 1 year | 3.1% | Specialty network avg 4.5% | Outcomes guarantee/2 years | Jan 29, 2026 | Guaranteed | ||
| 21 |
|
Medicare Shared Savings ACO | Preventable Hospitalization Rate | 120 per 100,000 | Regional avg 150 per 100,000 | Shared savings w/quality lockbox/annual | Feb 1, 2026 | Active | ||
| 22 |
|
Patient-Centered Specialty Practice | Care Coordination Score (0-100) | 82 | NCQA median 75 | Recognition & quality-based payments | Jan 30, 2026 | Recognized | ||
| 23 |
|
Capitated Behavioral Health Model | Per Member Per Month (PMPM) Cost | $48.50 | Fee-for-service adj $62.00 | 24-month capitated contract | Feb 2, 2026 | Contracted | ||
| 24 |
|
State Medicaid Managed Care VBP | LTSS Avoidance Rate | 12.3% reduction | Baseline 0% | Value-based tiers/3 years | Jan 28, 2026 | Implemented | ||
| 25 |
|
Chronic Care Management Bundle | A1c Control (<7%) in T2DM | 39% | MA plan avg 35% | Monthly PMPM + quality add-on | Feb 3, 2026 | Monitoring | ||
| 26 |
|
Provider Performance Network | Timely Specialist Referral (%) | 94% within 14 days | Network avg 88% | Pay-for-referral-performance/annual | Jan 31, 2026 | Active | ||
| 27 |
|
Readmissions Reduction Incentive | 30-day Readmit Reduction | 22% relative reduction | Program target 15% | Gainsharing/2 years | Jan 29, 2026 | Exceeded | ||
| 28 |
|
Remote Monitoring RPM Contract | Hypertension Control (<130/80) | 66% | Published cohort 60% | 12-month RPM subscription + outcomes refunds | Feb 1, 2026 | Scaling | ||
| 29 |
|
FQHC Quality Incentive | Childhood Immunization Up-to-Date | 91% | HRSA goal 90% | Annual grant add-on | Jan 30, 2026 | Compliant | ||
| 30 |
|
Joint Replacement VBP | Post-op Infection Rate | 0.6% | National 1.2% | Bundled payment + penalty clause/90 days | Feb 2, 2026 | Active | ||
| Looking for more? Great news − this is just a small sample. Jsonify production workflows process anywhere from tens of thousands to millions of real data rows per run! | ||||||||||
Filters
Total Value-Based Care Models Identified
Value-Based Care Model Adoption Rates
Number of Regulatory Filings Reviewed
Trends in Provider Quality Metrics Over Time
Most Common Contract Terms
Key Insights on Competitor Strategies
Distribution of Contract Terms by Competitor
Detailed Provider Quality Metrics
| Provider Name | Quality Metric | Performance Score | Source | Effective Date |
|---|---|---|---|---|
| Health Plan A | Patient Satisfaction | 92% |
|
2026-01-15 |
| Health Plan B | Preventive Care Compliance | 88% |
|
2026-01-20 |
| Health Plan C | Chronic Disease Management | 85% |
|
2026-01-12 |
| Health Plan D | Hospital Readmission Rates | 79% |
|
2026-01-10 |
| Health Plan E | Medication Adherence | 90% |
|
2026-01-05 |
| Health Plan F | Care Coordination | 87% |
|
2026-01-25 |
| Health Plan G | Emergency Room Utilization | 80% |
|
2026-01-30 |
Recent Changes in Contract Terms
| Source | Provider | Contract Type | Change | Effective Date |
|---|---|---|---|---|
|
|
HealthPlan A | Value-Based Contract | +5% | 2026-01-15 |
|
|
HealthPlan B | Shared Savings Program | +3% | 2026-01-20 |
|
|
HealthPlan C | Bundled Payment |
|
2026-01-25 |
|
|
HealthPlan D | Capitation Model | +6% | 2026-01-22 |
|
|
HealthPlan E | Pay-for-Performance | +2% | 2026-01-18 |
|
|
HealthPlan F | Risk Adjustment | +7% | 2026-01-30 |
Top 5 Competitors by Provider Quality Score
Cumulative Growth of Value-Based Care Models
Regulatory Changes Impacting Value-Based Care
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