Jsonify | I want to get continuous structured data on emerging value-based care models, quality metrics, and provider payment methodologies from competitor insurance provider websites, regulatory filings, and industry health policy publications.

I want to get continuous structured data on emerging value-based care models, quality metrics, and provider payment methodologies from competitor insurance provider websites, regulatory filings, and industry health policy publications.

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Pilot Configuration

Goal I want to get continuous structured data on emergi... Gain insights on emerging care models and payment trends — streamline your research with automated data collection

11 website or app sources The Jsonify AI will open these automatically to explore and find your information

cms.gov

ahip.org

ncqa.org

healthaffairs.org +7 more

10 data columns

12 dashboard widgets

4 integrations

1 notification

Recommended

Pilot Phase (Scoped Evaluation)

Up to 12 weeks

€3,000 / month

Typical 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.

Post-pilot: Production pricing depends on scope. Use estimator to see typical monthly range →

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.

cms.gov

ahip.org

ncqa.org

healthaffairs.org

kff.org

modernhealthcare.com

becker'shospitalreview.com

nashp.org

healthcare.gov

clevelandclinic.org

harvard.edu

Add Source

Sample data preview. This is synthetic test data generated to illustrate the structure. Real data from your sources will be populated during the pilot. This data powers the dashboard widgets.

	id	Source	ModelName	Description	PaymentMethodology	QualityMetrics	MonthlyPremium	EstimatedSavings	LastUpdated	Status
	1	cms.gov	Advanced ACO ValueTrack 2026	Medicare ACO model pilot focused on high-cost beneficiaries with integrated behavioral health incentives ... show all	Bundled payments + shared savings (2-sided risk)	30-day readmission rate; HEDIS composite; CAHPS patient experience	$0 (Medicare FFS participation)	$4.2M projected annual savings	Feb 2, 2026	Active pilot
	2	ahip.org	AHIP Value-Based Primary Care Framework	Industry framework recommending capitation blends for PCPs with quality bonuses	Primary care capitation + outcome bonuses	Preventive care uptake; chronic disease control (A1c/BP)	$45.00 employer contribution	Estimated 6-10% medical trend reduction	Feb 3, 2026	Published guidance
	3	ncqa.org	NCQA Patient-Centered Payment Program	Model tying patient-centered medical home recognition to per-member payments	Per-member-per-month (PMPM) + performance incentives	PCMH recognition score; care coordination index	$18.50 PMPM	$1.1M estimated system savings annually	Feb 4, 2026	Active
	4	healthaffairs.org	Integrated Behavioral Health VBP Study	Peer-reviewed analysis of behavioral health integration into VBP contracts	Blended capitation with quality holdbacks	Depression remission rate; follow-up after hospitalization	$0 (research scenario)	Projected ROI 1.9x over 3 years	Feb 1, 2026	Research study
	5	kff.org	Medicaid VBP Expansion Brief	Policy brief assessing state Medicaid VBP payment reforms	Managed care capitation with incentive pools	Access to care; preventive service rates; cost per member	$0 (state program)	State-level savings range: $50M–$120M annually	Feb 3, 2026	Analysis
	6	modernhealthcare.com	Employer Bundled Maternity Program	Private insurer program with bundled maternity episode payments	Global maternity bundle with gainsharing	Cesarean rate; maternal readmission; neonatal ICU days	$12.75 employer add-on PMPM	Projected $2.4M first-year savings	Feb 4, 2026	Launched
	7	beckershospitalreview.com	Readmission Reduction VBP Contract	Hospital-network contract tying payments to 30-day readmissions	Withhold/reward model based on readmission thresholds	30-day readmission; length of stay; post-discharge follow-up	$0 (provider contract)	$3.8M estimated annual savings	Feb 2, 2026	Negotiation
	8	nashp.org	State Medicaid Maternity Alternative Payment Model	State-sponsored APM to improve perinatal outcomes	Per-episode payment + outcome-based bonuses	Preterm birth rate; postpartum visit attendance	$0 (Medicaid program)	Projected reduction in NICU costs: $8.5M/yr	Feb 1, 2026	Implementation
	9	healthcare.gov	Marketplace Integrated Care Demonstration	Prototype for marketplace plans integrating care management incentives	Risk-adjusted capitation with quality bonus pool	Marketplace plan retention; HEDIS measures; ER utilization	$242.00 median premium shown	Estimated 4% premium trend moderation	Feb 4, 2026	Pilot
	10	clevelandclinic.org	Specialty Episode Payment Model - Cardiology	Health system internal model paying episodes for PCI and CHF care	Episode-based bundled payment with downside risk	30-day mortality; device complication rate; readmission	$0 (provider program)	$1.9M projected first-year savings	Feb 3, 2026	Active
	11	harvard.edu	Equity-Adjusted VBP Simulation	Academic simulation introducing equity weights into provider payments	Adjusted capitation with social-risk weighting	Equity-adjusted quality index; SDoH screening rates	$0 (simulation)	Model shows redistribute $2.2M to high-need populations	Feb 2, 2026	Research
	12	cms.gov	Duals Integration Demonstration 2.0	Updated model for integrating Medicare and Medicaid payments for dual eligibles	Aligned capitated payments across programs	Duals hospitalization rate; LTSS outcomes; beneficiary experience	$0 (public program)	Federal/state projected savings: $120M over 3 years	Feb 4, 2026	Open enrollment
	13	ahip.org	Commercial ACO+ Model	Carrier model offering ACO-like arrangements to commercial employers	Shared savings with upside-only option and quality thresholds	HEDIS commercial measures; cost per enrollee; engagement rate	$312.00 average employer plan premium	Average client savings 5.2% annual	Feb 1, 2026	Product offering
	14	ncqa.org	Behavioral Health Integration Recognition	Recognition program linking BH integration status to incentive payments	Recognition-weighted PMPM payments	Screening rates; treatment engagement; symptom reduction	$9.95 incentive PMPM	Quality-linked savings estimated $600K/year	Feb 3, 2026	Recognition active
	15	healthaffairs.org	Primary Care First Evaluation	Independent evaluation update of PCF model outcomes and finances	Advanced primary care payment + performance-based adjustments	Total cost of care; access measures; patient-reported outcomes	$0 (Medicare demonstration)	Net savings estimate $85M over 2 years	Feb 2, 2026	Evaluation published
	16	kff.org	Medicare Advantage VBP Trends Brief	Analysis of MA plan adoption of value-based payment mechanisms	Wide mix: capitation, risk corridors, performance bonuses	Star ratings; readmission; HEDIS MA measures	$29.00 average supplemental premium	MA plans report 3-7% cost containment	Feb 4, 2026	Report
	17	modernhealthcare.com	High-Need Patient Intensive Management	Commercial insurer program paying advanced care management firms	Retainer + success fee tied to utilization reductions	ED visits per 1000; inpatient days; medication adherence	$38.50 care management PMPM	Clients report $1.6M reduced utilization annually	Feb 3, 2026	Scaling
	18	beckershospitalreview.com	Value-Based Oncology Pathways	Oncology pathway program linking drug use to episode payments	Pathway-based bundles with provider incentives	Guideline-concordant therapy rate; adverse event rate	$0 (provider/drug contract)	Estimated chemo drug spend reduction 12% ($3.2M)	Feb 2, 2026	Adopted by networks
	19	nashp.org	State Rate-Setting for VBP Contracts	Toolkit for states to set rates and benchmarks for Medicaid VBP	Benchmark-based capitation with quality adjustments	Benchmark adherence; total cost per member; SDOH referrals	$0 (toolkit)	Tool predicts $25M statewide savings over 2 years	Feb 1, 2026	Resource published
	20	healthcare.gov	Consumer-Friendly VBP Plan Labels	Prototype labels to show beneficiaries how plans use VBP	Descriptive: indicates capitation, bundled, or FFS with bonuses	Star-equivalent labeling; access metrics	$198.00 median silver plan premium displayed	Estimated increased enrollment in VBP plans reduces churn 3%	Feb 4, 2026	Prototype
	21	clevelandclinic.org	Post-Acute Care Bundles	Integrated post-acute payment bundles for joint replacement patients	90-day episode bundle with shared savings	Functional recovery score; SNF days; readmissions	$0 (provider program)	Projected $2.7M savings system-wide	Feb 3, 2026	Active
	22	harvard.edu	Payment Reform & Health Equity Pilot	Field pilot testing equity-weighted payments in Medicaid ACOs	Capitation + equity adjustment factor	Disparity reduction index; chronic disease control	$0 (pilot)	Reallocates $4.1M to high-need enrollees; overall net savings neutral	Feb 2, 2026	Pilot ongoing
	23	cms.gov	Home-Based Primary Care VBP Initiative	Initiative incentivizing home-based primary care through shared savings	PMPM plus performance-based bonus	Hospitalizations avoided; patient satisfaction; time at home	$22.00 PMPM	Projected $9.3M avoided institutional costs	Feb 1, 2026	Open
	24	ahip.org	Behavioral Health Carve-In Payment Model	Model for integrating behavioral health into medical managed care payments	Integrated capitation with performance matrices	BH treatment initiation; follow-through; crisis event reduction	$14.50 PMPM allocated to BH services	Estimated $7.8M reduction in acute BH spending	Feb 3, 2026	Guidance
	25	ncqa.org	Chronic Care Management VBP Toolkit	Toolkit linking chronic care management recognition to payments	Recognition-linked PMPM + outcome bonuses	A1c control; LDL control; medication reconciliation	$11.25 PMPM incentive	Projected $900K reduced complications cost	Feb 4, 2026	Available
	26	healthaffairs.org	Surgical Episode Payment Review	Review of surgical episode payment programs and price transparency	90-day global bundles with price guarantees	Complication rates; patient-reported outcomes; cost variance	$0 (not an insurance product)	Average per-episode savings $2,100	Feb 2, 2026	Published analysis
	27	kff.org	Rural VBP Access Study	Study on VBP adoption in rural Medicaid managed care	Modified capitation with rural access add-ons	Provider availability; telehealth utilization; hospital closures averted	$0 (Medicaid context)	Projected hospital cost avoidance $12M statewide	Feb 1, 2026	Study
	28	modernhealthcare.com	Pharmacy Spend Management Bundle	Insurer-provider program bundling specialty drug management with outcomes	Outcomes-based drug contracts + shared savings	Drug adherence; hospitalization related to therapy; cost per treated patient	$29.99 formulary surcharge PMPM	Projected specialty spend reduction $5.4M	Feb 3, 2026	Rolling out
	29	beckershospitalreview.com	Value-Based Emergency Care Pathway	Network pathway reducing avoidable ED visits via urgent care integration	Episode payments for urgent care + ED diversion bonuses	Avoidable ED visit rate; patient satisfaction; follow-up within 7 days	$0 (provider/network program)	Estimated $1.2M emergency cost savings annually	Feb 4, 2026	Implemented
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!

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Date	Source	Regulatory Filing	Impact Level
2026-01-15	cms.gov	Proposed Changes to Medicare Advantage Plans	High
2026-01-20	ahip.org	Updates to Value-Based Care Models	Medium
2026-01-25	ncqa.org	New Quality Metrics for 2026	High
2026-01-30	healthaffairs.org	Analysis of Payment Methodologies	Low
2026-01-28	kff.org	Report on Telehealth Regulations	Medium
2026-01-22	modernhealthcare.com	Impact of Regulatory Changes on Providers	High

Recent policy changes have led to a 15% increase in the adoption of value-based care models among competitor insurers, highlighting a significant shift in the industry.

Quality metrics related to patient outcomes have improved by an average of 10% following regulatory updates in payment methodologies, as reported by ncqa.org.

Insurance providers that have integrated new payment models are seeing a 20% decrease in hospital readmission rates, suggesting improved care coordination.

Emerging trends indicate a growing emphasis on social determinants of health in payment methodologies, driven by insights from healthaffairs.org.

The alignment of incentive structures with quality metrics is becoming a standard practice, as outlined in recent findings from cms.gov.

Source	Quality Metric	Current Value	Change	Date
cms.gov	Patient Satisfaction	88%	+3%	2026-01-15
ncqa.org	HEDIS Score	4.2	+0.1	2025-12-20
healthaffairs.org	Preventive Care Compliance	75%	+5%	2025-11-30
ahip.org	Care Coordination Score	82%	-1%	2026-01-10
kff.org	Access to Care Index	90%	+2%	2025-12-05
modernhealthcare.com	Chronic Disease Management	70%	+7%	2025-11-25
becker'shospitalreview.com	Health Equity Index	65%	0%	2025-12-15