I want to get continuous structured data on emerging value-based care models, reimbursement policy changes, and competitor contractual payment terms from global regulatory filings, industry white papers, and competitor insurance provider websites.
A shared demo template. Read-only preview of what would be monitored in a real pilot.
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 | Document Type | Policy/Model | Effective Date | Reimbursement Impact | Affected Providers | Summary | Last Updated | Status | ||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
Regulatory Notice | Advance APM Expansion — Medicare Shared Savings | Feb 1, 2026 | +5% bundled payment add-on in Year 1; shared savings cap adjusted | Primary care groups, ACOs, hospitals | CMS updates criteria for Advanced APM eligibility and increases bundled-payment add-on for qualifying MSSP ACOs; modifies quality scoring thresholds and risk adjustment factors. ... show all |
Feb 3, 2026 | Final | ||
| 2 |
|
Guidance Memo | Behavioral Health Integration Payments | Jan 30, 2026 | Establishes new CPT-like add-on payments; estimated +$12M annually | Behavioral health clinics, community mental health centers, FQHCs | HHS issues guidance encouraging use of new add-on codes to reimburse integrated behavioral health services in primary care settings; provides implementation timeline and reporting requirements. ... show all |
Feb 2, 2026 | Proposed | ||
| 3 |
|
White Paper | Value-Based Behavioral Health Pilots | Jan 28, 2026 | Pilot demonstrates 8% total cost reduction, reimbursement realignment recommended | Medicaid managed care plans, behavioral health providers | KFF analysis of state pilots shows potential cost savings via outcome-based contracts and bundled payments for SUD and serious mental illness care. ... show all |
Feb 4, 2026 | Published | ||
| 4 |
|
Research Article | Episode-Based Payment for Oncology | Jan 27, 2026 | Model projects episode payments with 3–7% downside risk sharing | Oncology practices, hospital outpatient departments | Peer-reviewed evaluation modeling oncology episode payments indicates mixed quality outcomes; recommends staged risk corridors and quality safeguards. ... show all |
Feb 1, 2026 | Published | ||
| 5 |
|
Policy Brief | Telehealth Chronic Care Reimbursement | Jan 25, 2026 | Parity reimbursement recommended; telehealth visits reimbursed at 90–100% of in-person rates | Primary care, specialty clinics, remote monitoring vendors | NIH-funded study recommends permanent parity for chronic care telehealth visits and proposes bundled remote-monitoring payment codes to improve adherence. ... show all |
Feb 2, 2026 | Recommended | ||
| 6 |
|
Study | Capitated Payment Impact on Rural Hospitals | Jan 29, 2026 | Capitation lowered variable margins; predicted net -4% revenue for small rural hospitals | Rural hospitals, critical access hospitals | Study assesses financial stress of capitated contracts on rural hospitals and suggests targeted risk adjustment to avoid closures. ... show all |
Feb 3, 2026 | Published | ||
| 7 |
|
Industry Report | Commercial Payer Reference-Based Pricing | Feb 2, 2026 | Providers face average -15% reimbursement vs. billed charges; narrow network incentives | Specialty physicians, outpatient surgery centers | Report on growth of reference-based pricing by national commercial payers; highlights disputes and arbitration trends with providers. ... show all |
Feb 3, 2026 | Trend | ||
| 8 |
|
Regulatory Update | State NAIC Model Adoption — Value-Based Contracting Disclosure | Feb 1, 2026 | Administrative cost +$0.5M/insurer for reporting; potential market stability | Insurers, employer-sponsored plans, brokers | Several states begin adopting NAIC model requiring disclosure of value-based contract terms and performance metrics; compliance timelines vary by state. ... show all |
Feb 4, 2026 | Adopted (partial) | ||
| 9 |
|
News Article | Medicare Advantage Social Determinants Payment Adjustments | Jan 31, 2026 | MA plans to receive targeted SDOH adjustment payments up to +3% | MA plans, community-based orgs, care coordinators | CMS finalizes SDOH payment adjustments for MA plans to support nonclinical services; implementation guidance published. ... show all |
Feb 2, 2026 | Final | ||
| 10 |
|
Analysis | Bundled Payments for Joint Replacement 2.0 | Jan 26, 2026 | Episode pricing tightened; downside risk increased to 12% | Orthopedics, SNFs, inpatient rehab facilities | Analysis of next-generation bundled payment models shows higher downside risk but greater opportunity for shared savings with care redesign. ... show all |
Feb 3, 2026 | Finalized Pilot | ||
| 11 |
|
Policy Paper | Commercial Value-Based Contracting Best Practices | Jan 24, 2026 | Guidance to align payment with outcomes; potential margin shifts for high-performing providers | Commercial payers, provider groups, ACO-like networks | AHIP issues best practices for structuring incentives, data sharing, and dispute resolution in VBC contracts; includes sample payment ladders. ... show all |
Feb 1, 2026 | Published | ||
| 12 |
|
Model Regulation | Transparency in Provider Contracting | Feb 3, 2026 | Requires disclosure of average network reimbursement rates; administrative compliance cost projected | Insurers, provider networks, regulators | NAIC releases model requiring standardized reporting on contractual reimbursement terms and performance measures to enhance market transparency. ... show all |
Feb 4, 2026 | Proposed | ||
| 13 |
|
Fact Sheet | CMS Primary Care HCH Program Expansion | Feb 2, 2026 | Monthly prospective payment increased by +$18 per beneficiary | Primary care clinicians, FQHCs, RHCs | Expansion of Home and Community-based HCH supports higher prospective payments and care coordination funds for complex patients. ... show all |
Feb 4, 2026 | Final | ||
| 14 |
|
Report | Medicaid Managed Care Value-Based Purchasing | Jan 31, 2026 | States encouraged to include VBP contracts with 10–20% at-risk portions | Medicaid MCOs, behavioral health and LTSS providers | HHS release outlines framework for states to implement VBP in Medicaid managed care emphasizing outcomes and provider capacity building. ... show all |
Feb 2, 2026 | Guidance | ||
| 15 |
|
Briefing | State Innovations for Rural Value-Based Payment | Jan 29, 2026 | Examples show mixed revenue effects; recommended targeted adjustments | Rural providers, community hospitals, Medicaid plans | KFF highlights state-level innovation to tailor VBP to rural settings, including risk corridors and safety-net subsidies. ... show all |
Feb 3, 2026 | Published | ||
| 16 |
|
Commentary | Risk Adjustment Revisions for Social Risk | Jan 30, 2026 | Proposes +2–6% adjustment for high social-risk populations | Safety-net hospitals, community clinics | Commentary argues for refined risk adjustment in VBC to avoid penalizing safety-net providers serving high social-risk patients. ... show all |
Feb 2, 2026 | Published | ||
| 17 |
|
Evaluation | Integrated Primary Care Payment Bundle | Jan 27, 2026 | Bundle reduces ER utilization; potential revenue neutral with care redesign | Primary care networks, urgent care centers | Multi-site evaluation of integrated primary care bundles shows decreases in inpatient utilization but requires upfront care management investment. ... show all |
Feb 1, 2026 | Published | ||
| 18 |
|
Breaking News | Commercial Payer Announces Risk-Based Oncology Contracts | Feb 3, 2026 | Oncology practices offered shared savings with up to 10% downside | Oncology practices, specialty drug manufacturers | Major commercial payer launches risk-based oncology contracts in select markets, tying reimbursement to outcomes and total cost of care. ... show all |
Feb 4, 2026 | Announced | ||
| 19 |
|
Article | Self-Funded Employer Bundles for Musculoskeletal Care | Jan 26, 2026 | Employers report -18% per-episode cost vs. fee-for-service | Employer health plans, surgical centers, physical therapy networks | Employers adopt episode-based bundles for MSK care showing substantial savings; contracts include surgeon quality requirements and rehab pathways. ... show all |
Feb 2, 2026 | Implemented | ||
| 20 |
|
Report | MA Plan Risk Adjustment Coding Revisions | Jan 25, 2026 | Coding changes increase average risk score by +1.8% for affected enrollees | MA plans, coding vendors, primary care providers | CMS finalizes updates to MA risk adjustment model; plans must update coding and analytics to capture adjustments. ... show all |
Feb 3, 2026 | Final | ||
| 21 |
|
Feature | Post-Acute Care Value-Based Contracting | Jan 28, 2026 | SNFs face bundled outcomes penalties up to -7% for readmissions | SNFs, home health agencies, hospitals | Feature examines new contractual terms tying post-acute reimbursement to readmission and functional outcome measures; adoption growing among large systems. ... show all |
Feb 4, 2026 | Trend | ||
| 22 |
|
Toolkit | Metrics for Social Care Contracts | Jan 23, 2026 | Standardized metrics may shift funds toward community partners (+$2–5 per member PMPM) | Payers, CBOs, health systems | AHIP releases toolkit with standardized outcome measures and payment mechanisms for contracting with community organizations addressing SDOH. ... show all |
Feb 1, 2026 | Published | ||
| 23 |
|
Guidance | Insurance Rate Filing Disclosure for VBC Programs | Feb 2, 2026 | Insurers to include projected VBC savings in rate filings; impacts premium calculations | Insurers, regulators, employers | NAIC issues guidance to standardize disclosure of expected financial impacts from VBC programs within rate filings to improve regulatory oversight. ... show all |
Feb 4, 2026 | Issued | ||
| 24 |
|
Provider Bulletin | Home Infusion Therapy Payment Model | Jan 24, 2026 | Introduces per-episode payment with +$50 care coordination add-on | Home infusion providers, specialty pharmacies | Bulletin outlines new payment methodology for home infusion including quality metrics and supplier enrollment requirements. ... show all |
Feb 2, 2026 | Final | ||
| 25 |
|
Funding Opportunity | VBP Capacity-Building Grants | Jan 29, 2026 | Grants to support transition costs; no direct reimbursement change but reduces implementation burden | Safety-net hospitals, community clinics, behavioral health providers | HHS announces grants to help providers implement value-based contracts, invest in analytics, and strengthen care management. ... show all |
Feb 3, 2026 | Open | ||
| 26 |
|
Analysis | Medicaid Section 1115 Waiver Trends for VBC | Jan 26, 2026 | Waivers enabling VBP expected to shift 10–20% of payments into at-risk arrangements | State Medicaid agencies, MCOs, long-term services providers | KFF tracks recent 1115 waivers enabling states to pursue VBP strategies, including outcome-based payments and managed care incentive structures. ... show all |
Feb 1, 2026 | Published | ||
| 27 |
|
Policy Forum | Quality Measure Alignment Initiative | Feb 3, 2026 | Alignment expected to reduce administrative waste and enable clearer pay-for-performance tiers | Hospitals, physicians, payers | Forum calls for national alignment of quality measures across federal and commercial VBC programs to simplify contracting and reporting. ... show all |
Feb 4, 2026 | Published | ||
| 28 |
|
Meta-Analysis | Effectiveness of Pay-for-Performance Programs | Jan 22, 2026 | Modest improvements in process measures; negligible effect on mortality in aggregate | Hospitals, primary care, specialists | Meta-analysis evaluates multiple P4P programs and recommends integrating with broader VBC mechanisms for sustained impact. ... show all |
Feb 2, 2026 | Published | ||
| 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
Top 5 Emerging Value-Based Care Models
New Competitor Contracts This Month
Trends in Reimbursement Policy Changes
Volume of Regulatory Filings Over Time
Changes in Insurance Provider Policies Over Time
Distribution of Payment Models by Type
Recent Industry White Papers
| Title | Source | Publication Date | Key Findings | Impact on Value-Based Care |
|---|---|---|---|---|
| Transforming Healthcare: New Payment Models |
|
2026-01-15 | Explores incentives for chronic disease management | Positive impact on patient outcomes |
| Value-Based Care Strategies: A Global Overview |
|
2026-01-10 | Comparative analysis of international models | Broad implications for US policy |
| Innovative Reimbursement Approaches |
|
2026-01-20 | Discusses bundled payments for orthopedic patients | Promotes efficiency in care delivery |
| The Future of Healthcare Payment Reform |
|
2025-12-05 | Evaluates recent legislative changes | Potential shifts in provider payment structures |
| Leveraging Technology in Value-Based Care |
|
2026-01-25 | How digital tools enhance patient engagement | Increases adherence to treatment plans |
Summary of Global Regulatory Filings
| Source | Model Type | Change in Reimbursement Policy | Key Dates | Impacted Providers |
|---|---|---|---|---|
|
|
Bundled Payments for Care Improvement (BPCI) | Increased by 15% | 2026-01-15 | Hospitals, Specialists |
|
|
Patient-Centered Medical Home (PCMH) | No change | 2026-01-20 | Primary Care Physicians |
|
|
Accountable Care Organizations (ACO) | Decreased by 5% | 2026-02-01 | Multi-Specialty Groups |
|
|
Value-Based Purchasing (VBP) | Increased by 10% | 2026-01-25 | Healthcare Systems |
|
|
Capitation Models | Under review | 2026-02-01 | Community Clinics |
|
|
Shared Savings Program | Increased by 8% | 2026-01-30 | Independent Physicians |
|
|
Quality Incentive Programs | No change | 2026-01-18 | Nursing Facilities |
Competitor Payment Terms Comparison
Key Observations on Reimbursement Policies
Percentage of Models by Regulatory Source
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