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.
A shared demo template. Read-only preview of what would be monitored in a real pilot.
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Jsonify Configuration Template
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
10
data columns
12
dashboard widgets
4
integrations
1
notification
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.
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 |
|
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 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 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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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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Filters
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Total Emerging Care Models Identified
367
total emerging care models identified
8%
Recent Regulatory Filings
| Date | Source | Regulatory Filing | Impact Level |
|---|---|---|---|
| 2026-01-15 |
|
Proposed Changes to Medicare Advantage Plans | High |
| 2026-01-20 |
|
Updates to Value-Based Care Models | Medium |
| 2026-01-25 |
|
New Quality Metrics for 2026 | High |
| 2026-01-30 |
|
Analysis of Payment Methodologies | Low |
| 2026-01-28 |
|
Report on Telehealth Regulations | Medium |
| 2026-01-22 |
|
Impact of Regulatory Changes on Providers | High |
Total Quality Metrics Analyzed
1,567
total quality metrics analyzed
8%
Trends in Quality Metrics Over Time
Top 5 Competitor Payment Models
Key Observations from Recent Policy Changes
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.
Payment Methodologies Comparison
Growth in Value-Based Care Adoption
Quality Metrics by Provider
| Source | Quality Metric | Current Value | Change | Date |
|---|---|---|---|---|
|
|
Patient Satisfaction | 88% | +3% | 2026-01-15 |
|
|
HEDIS Score |
|
|
2025-12-20 |
|
|
Preventive Care Compliance | 75% | +5% | 2025-11-30 |
|
|
Care Coordination Score | 82% | -1% | 2026-01-10 |
|
|
Access to Care Index | 90% | +2% | 2025-12-05 |
|
|
Chronic Disease Management | 70% | +7% | 2025-11-25 |
|
|
Health Equity Index | 65% | 0% | 2025-12-15 |
Distribution of Value-Based Care Models
Source Contribution to Data Insights
Regulatory Changes Timeline
Structured data feeds are included — we're happy to help with API integration and automation.
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Looking for more? Great news − this is just a small sample. Typically, our commercial customers process tens of thousands to millions of data points per task!
Radar continuously monitors your selected web sources and alerts you the moment something changes.
+6
Recent change
New Listing Appears
2m ago
Emerging Value-Based Care Model new model detected in filings
Recent change
Quality Metrics Updated
Yesterday
Provider Payment Methodology new metrics released for providers
Recent change
Availability Change
Yesterday
Regulatory Filing new filing available for review
Recent change
Coverage Gap Found
2m ago
Payment Methodology missing from recent sources
Recent change
Price Change Detected
5m ago
Monthly Premium Rates new rates updated for plans
Data connections determine where the collected data will be delivered. You can add, remove, or change connections at any time.
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