I want to get continuous structured data on emerging healthcare regulatory changes, competitive benefit plan designs, and pricing models from state and federal government health authority websites and major 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 | Provider | Document Title | Plan Name | Monthly Premium | Deductible | Coverage Type | Effective Date | Status | Summary | Last Updated | Notes | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 |
|
Centers for Medicare & Medicaid Services | Proposed 2026 Medicare Advantage Star Rating Adjustment | Medicare Advantage - National | $0.00 | $0 | Medicare Advantage | Feb 1, 2026 | Proposed | CMS proposes refinements to MA star ratings methodology including enhanced chronic care management metrics and blended quality measures for 2026 plan year. ... show all |
Feb 3, 2026 | Rulemaking notice; comment period open 30 days. | ||
| 2 |
|
|
Special Enrollment Period Policy Clarification | Marketplace Bronze Plan | $248.50 | $8,300 | Individual Marketplace | Feb 1, 2026 | Final | Clarifies documentation requirements for SEP eligibility related to recent state-level disaster declarations. ... show all |
Feb 2, 2026 | Applies to federally facilitated marketplaces. | ||
| 3 |
|
National Conference of State Legislatures | State Bills Tracker: Surprise Billing Restrictions | State Regulated ER Coverage | $32.00 | $1,200 | State-regulated Group | Jan 30, 2026 | Ongoing Legislation | Summary of 12 states introducing new caps on out-of-network ER payments and arbitration procedures. | Feb 4, 2026 | Includes bill numbers and veto likelihood assessment. | ||
| 4 |
|
Kaiser Family Foundation - State Health Facts | Medicaid Eligibility Expansion Status | Medicaid Expansion Standard | $0.00 | $0 | Medicaid | Feb 1, 2026 | Active | Updates showing three additional states implemented postpartum coverage extension to 12 months. | Feb 3, 2026 | Data compiled from state agency reports. | ||
| 5 |
|
Washington State Office of the Insurance Commissioner | Rate Review: Individual Market Filing | WA Individual Silver 2500 | $412.75 | $2,500 | Individual | Mar 1, 2026 | Approved | Approved rate increase of 3.8% for carrier's statewide silver tier product, citing pharmacy cost trends. ... show all |
Feb 2, 2026 | Public comment summary available on site. | ||
| 6 |
|
Kaiser Family Foundation | Employer Coverage Survey 2025 Findings | Typical Employer PPO | $534.00 | $1,500 | Employer-Sponsored | Jan 31, 2026 | Published | National averages for employer contributions and trends showing rising employee premium share in 2025. ... show all |
Feb 4, 2026 | Includes state-level breakdown and firm-size segmentation. | ||
| 7 |
|
Aetna | New 2026 Bronze HSA-Compatible Plan Launch | Aetna Bronze HSA 2026 | $199.99 | $3,900 | Individual HSA-eligible | Mar 1, 2026 | Active | Introduces tiered telehealth benefits and reduced preventive screening copays for HSA plans. | Feb 3, 2026 | Promotional 3-month waiver of telemedicine copays for new enrollees. | ||
| 8 |
|
UnitedHealthcare | Value-Based Care Contract Expansion | UHC Commercial ACO 2026 | $622.00 | $1,000 | Group Commercial | Feb 15, 2026 | Final | Expands shared savings ACO agreements with regional hospital systems; introduces social determinant metrics. ... show all |
Feb 1, 2026 | Provider performance dashboards to be rolled out. | ||
| 9 |
|
Cigna | Behavioral Health Parity Implementation Update | Cigna Open Access Plus | $465.25 | $1,250 | Commercial | Feb 1, 2026 | Updated Guidance | Policy update aligning prior authorization criteria with new parity guidance for outpatient behavioral services. ... show all |
Feb 4, 2026 | Applies to fully insured and ASO clients; educational webinars scheduled. | ||
| 10 |
|
Anthem Blue Cross | 2026 Narrow Network Plan Rollout | Anthem Essentials Narrow Network | $299.00 | $3,000 | Individual | Mar 1, 2026 | Active | Introduces lower-premium narrow network options with reduced specialist coverage and higher in-network incentives. ... show all |
Feb 2, 2026 | State-level provider directories updated. | ||
| 11 |
|
Blue Cross Blue Shield Association | Drug Formulary Update Q1 2026 | BCBS National PPO | $389.50 | $1,500 | PPO | Feb 1, 2026 | Updated | Adds new weight-loss agents to specialty tier with prior auth; updated step therapy protocols for MS drugs. ... show all |
Feb 3, 2026 | Cost-sharing changes effective at prescription refill. | ||
| 12 |
|
Centers for Medicare & Medicaid Services | Medicaid Managed Care Rate Setting Guidance | State MMC - Calypso Health | $276.00 | $0 | Medicaid Managed Care | Feb 1, 2026 | Final Guidance | Updated actuarial soundness benchmarks and supplemental payment guidance for behavioral health carve-outs. ... show all |
Feb 4, 2026 | States to submit rate certification by April 2026. | ||
| 13 |
|
|
Premium Tax Credit Estimator Tool Update | Marketplace Silver Enhanced | $158.40 | $2,800 | Marketplace | Feb 3, 2026 | Released | Tool now models expected cost-sharing reductions for 2026 benefit designs and state-based adjustments. ... show all |
Feb 3, 2026 | Tool recalibrated using 2025 claims data. | ||
| 14 |
|
National Conference of State Legislatures | State Rate Review Mandates 2026 | State Employee Plan | $612.00 | $750 | Public Employer | Jan 29, 2026 | Published | Compilation of legislative actions requiring public disclosure of insurer rate filings and analytic justification. ... show all |
Feb 2, 2026 | Includes model statutory language. | ||
| 15 |
|
Kaiser Family Foundation - State Health Facts | Uninsured Rate Quarterly Estimate | N/A | $0.00 | $0 | Population Metric | Jan 31, 2026 | Published | Estimated national uninsured rate decreased to 8.5% in Q4 2025; state variation highlighted. | Feb 4, 2026 | Methodology note: ACS-based weighting. | ||
| 16 |
|
Washington State Office of the Insurance Commissioner | Mental Health Parity Enforcement Bulletin | WA Standard PPO | $348.90 | $1,000 | Commercial | Feb 1, 2026 | Advisory | Bulletin directs carriers to update claim adjudication and internal audit processes to ensure compliance with parity rules. ... show all |
Feb 3, 2026 | Enforcement timeline included. | ||
| 17 |
|
Kaiser Family Foundation | State Premium Variation Analysis 2026 | Benchmark Silver Plan - Urban | $412.00 | $2,500 | Marketplace | Feb 2, 2026 | Published | Analysis showing premium dispersion driven by local hospital concentration and prescription drug costs. ... show all |
Feb 4, 2026 | Interactive maps and downloadable CSV included. | ||
| 18 |
|
Aetna | Small Group Tiered Network Pricing Update | Aetna Small Group Tier 1 | $389.00 | $1,000 | Small Group | Mar 1, 2026 | Filed | Filing proposes tiered network with lower premiums for employers selecting defined primary care network. ... show all |
Feb 2, 2026 | Pending state DOI approval. | ||
| 19 |
|
UnitedHealthcare | Standardized EPO Benefit Redesign | UHC EPO Standard 2026 | $344.50 | $1,500 | EPO | Mar 1, 2026 | Active | Redesign reduces co-insurance for chronic condition meds and expands in-network telepsychiatry benefits. ... show all |
Feb 4, 2026 | Marketing materials updated; broker webinar scheduled. | ||
| 20 |
|
Cigna | International Provider Pricing Pilot | Cigna Global Saver | $219.99 | $1,750 | International/Expat | Feb 15, 2026 | Pilot | Pilot offering negotiated international provider bundles for elective surgeries with fixed pricing guarantees. ... show all |
Feb 1, 2026 | Limited to select employer groups. | ||
| 21 |
|
Anthem Blue Cross | Telehealth Cost-Sharing Waiver Extension | Anthem PPO Telehealth Saver | $297.50 | $1,200 | Commercial | Feb 1, 2026 | Extended | Extends $0 copay for primary care telehealth visits through June 2026 for fully insured members. | Feb 4, 2026 | Self-funded groups may opt in separately. | ||
| 22 |
|
Blue Cross Blue Shield of Texas | 2026 Individual Market Plan Rate Filing | BCBSTX Bronze 2026 | $176.25 | $6,350 | Individual | Mar 1, 2026 | Filed | Proposes statewide average rate decrease of 1.2% citing lower inpatient utilization. | Feb 2, 2026 | Public hearing scheduled March 10, 2026. | ||
| 23 |
|
Centers for Medicare & Medicaid Services | Advance Notice: Payment Policy for 2026 Calendar Year | Medicare Part B National | $164.90 | $226 | Medicare Part B | Jan 1, 2026 | Advance Notice | Advance notice discusses proposed update to Medicare physician fee schedule and drug administration payments. ... show all |
Feb 3, 2026 | Final rule due later in 2026 rulemaking cycle. | ||
| 24 |
|
|
Agent/Broker Certification Update | Marketplace Agent Support | $0.00 | $0 | Marketplace Services | Feb 1, 2026 | Updated | New training modules on SEP documentation and QHP standardized ID cards required for 2026 enrollment season. ... show all |
Feb 4, 2026 | Certification platform updated. | ||
| 25 |
|
National Conference of State Legislatures | Pharmacy Benefit Manager Oversight Trends | PBM Contracting Model | $0.00 | $0 | Regulatory Policy | Jan 28, 2026 | Published | Tracker of states enacting PBM transparency laws including rebate pass-through and fee disclosures. | Feb 2, 2026 | Includes model oversight frameworks. | ||
| 26 |
|
Kaiser Family Foundation - State Health Facts | Behavioral Health Provider Shortage Maps | N/A | $0.00 | $0 | Workforce Metric | Feb 1, 2026 | Released | Interactive map showing counties with highest per-capita shortages and telehealth adoption rates. | Feb 3, 2026 | Data from licensure boards and claims. | ||
| 27 |
|
Washington State Office of the Insurance Commissioner | Consumer Notice: Rate Filing Explanations | WA Individual Gold 400 | $502.00 | $400 | Individual | Mar 1, 2026 | Published | Explainer released to help consumers interpret insurer rate filing narratives and allowed medical loss ratio info. ... show all |
Feb 2, 2026 | Templates for comment letters provided. | ||
| 28 |
|
Kaiser Family Foundation | Medicare Advantage Enrollment Trends 2025-2026 | MA Regional HMO | $28.00 | $0 | Medicare Advantage | Jan 31, 2026 | Published | Report highlights continued MA enrollment growth to 51% of Medicare beneficiaries with regional variation. ... show all |
Feb 4, 2026 | Includes enrollment by plan type and star rating distribution. | ||
| 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 Regulatory Changes Monitored
Top 5 Competitor Benefit Plans
Competitor Pricing Comparison
| Source | Product | Price | Change | Date |
|---|---|---|---|---|
|
|
Standard Plan | $250 | +5% | 2026-01-15 |
|
|
Premium Plan | $300 | -3% | 2026-01-20 |
|
|
Basic Plan | $200 | +10% | 2026-01-25 |
|
|
Comprehensive Plan | $350 | +2% | 2026-01-30 |
|
|
Value Plan | $220 | +8% | 2026-01-28 |
|
|
Market Analysis Report | $0 | N/A | 2026-01-31 |
|
|
Medicare Advantage Plan | $180 | +4% | 2026-01-22 |
Total Competitor Plans Analyzed
Distribution of Plans by Regulatory Compliance
Key Observations on Regulatory Changes
Emerging Regulatory Changes Over Time
Most Common Pricing Models
Competitive Analysis Summary
Pricing Trends by Competitor
Latest Regulatory Updates from CMS
| Date | Source | Regulatory Change | Impact | Details |
|---|---|---|---|---|
| 2026-01-15 |
|
Updated Medicare Advantage Plans | Increased coverage options | Expanded telehealth services and preventive care. |
| 2026-01-20 |
|
New ACA Subsidy Criteria | Lower premiums for many | Income thresholds adjusted for household sizes. |
| 2026-01-25 |
|
State Medicaid Expansion Updates | Broader eligibility in 3 states | New legislation passed in Florida, Georgia, and Wyoming. |
| 2026-01-30 |
|
Changes to Prescription Drug Pricing | Potential cost savings for consumers | Negotiation allowed on high-cost medications. |
| 2026-01-31 |
|
New Compliance Guidelines for Insurers | Tighter regulations on claims processing | Insurers must adhere to 30-day claim response time. |
| 2026-01-28 |
|
Innovations in Employee Health Benefits | Enhancements in wellness programs | Launch of new mental health support initiatives. |
| 2026-01-29 |
|
Telehealth Coverage Requirements | Expanded access for patients | Mandatory coverage for all telehealth services. |
| 2026-02-01 |
|
Premium Rate Adjustments | Increase in rates by 5% | Annual adjustment based on medical inflation. |
Volume of Regulatory Changes by Source
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Radar continuously monitors your selected web sources and alerts you the moment something changes.
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