Add the suggested challenge to the challenges list (the last bullet).  Lack of standardizations for value-based performance reporting format Data is in unstructured formats Lack of common definitions, for example, Total Care Capitation (TCC) could have many different calculations Data retrieval is time intensive because of reports coming from various portals and is not scalable Data is error-prone based on human error when entering into reporting systems Misalignment on time periods when data is shared, and care is delivered. Various reporting, payment, and reconciliation periods can make tracking performance across contractual measures difficult for providers to understand how well they are performing prior to various settlement dates. Variation in metrics used across payers and also variation in methodology – e.g., attribution