The 2025 State of Technology in Value-Based Care (VBC) Report, released by Reveleer in collaboration with Mathematica and The Harris Poll, sheds light on critical technology gaps impeding the advancement of value-based care within healthcare systems. Conducted through a national survey involving 203 decision-makers from payer and provider organizations, the report highlights a significant alignment in VBC goals, yet underscores persistent obstacles in technology integration and execution.
### Payer and Provider Alignment: Opportunities Amidst Challenges
Traditionally, the narrative in the healthcare sector revolves around a perceived disconnect between payers and providers. However, the findings of this report challenge that notion: 100% of providers and 97% of payers believe their VBC goals are closely aligned. This alignment marks a crucial step forward—the industry is poised for transformation. Despite the uniformity in vision, the report reveals that execution remains misguided.
A notable statistic arises from the report: 92% of payers and 81% of providers indicated an uptick in VBC contracts over the past year, with expectations for further growth. This momentum, however, emphasizes an urgent call for synchronized execution. Jay Ackerman, CEO of Reveleer, aptly illustrates the need for collaborative efforts, stating, “While payers and providers are finally rowing in the same direction, synchronized efforts are essential for effective advancement.”
### The Data Disconnect: Bridging the Gap
Data management is a cornerstone of effective healthcare delivery, indispensable to the VBC model. An overwhelming 97% of providers and 96% of payers assert that robust data management confers a competitive advantage. Intriguingly, while confidence in data’s significance is high, the actual operational capabilities reveal a stark contrast. Only about one-third of respondents rated their data integration capabilities as “excellent.”
Moreover, concerns linger over the accuracy and completeness of patient data, with only 46% of providers and 53% of payers expressing confidence in the data they utilize for VBC initiatives. This gap between perception and reality adds a layer of vulnerability, as relying on flawed data compromises the full efficacy of VBC strategies.
### AI Adoption: Potential Amid Uncertainty
Artificial Intelligence (AI) remains a hot topic within healthcare, illustrated by the report’s finding that every surveyed organization is employing AI to some extent. Many respondents acknowledged that AI has positively influenced clinical decision-making, operational efficiency, and patient outcomes. Notably, over 80% of participants recognize it as a competitive advantage.
However, despite a shared belief in AI’s benefits, commitment to its widespread adoption falters. Only 38% of providers and 40% of payers consider themselves “fully committed” to using AI. Additionally, a mere 29% of providers and 21% of payers reported a significant increase in AI usage over the past year. This hesitation often stems from anxieties related to “AI hallucinations”—misleading or fabricated results—and concerns around transparency and ethical application in clinical settings.
### Training Gaps: Preparing Workforce for Transformation
A central element that the report highlights is workforce readiness, which is found to be seriously underfunded. Although nearly all participating organizations provide some form of AI training, only 32% of providers and 30% of payers offer extensive training programs. The lack of adequate education and training is a critical barrier to scaling AI’s full potential, posing risks both to staff competency and patient care quality.
### The Need for Comprehensive Strategies
The report reveals a clear pathway forward. With payer-provider alignment established, the focus now shifts to actionable strategies that address technology-related deficiencies. Organizations must prioritize integrated data management systems and invest in comprehensive AI training to harness the full potential of these technologies effectively.
A call to action resonates clearly throughout the findings: for VBC to reach its full potential, the healthcare sector must not only cultivate aligned visions but also bridge execution gaps through improved technology adoption and innovative workforce training.
### Conclusion
The Reveleer Report highlights a pivotal moment for value-based care. With a unified vision between payers and providers, the potential for significant improvement in healthcare delivery is high. However, substantial technology gaps—primarily in data management, AI adoption, and workforce training—are significant roadblocks. Addressing these challenges will require a concerted effort, thoughtful collaboration, and sound investment. Only then can healthcare organizations move from alignment of vision to actualized performance, truly transforming care delivery in a manner that benefits patients and providers alike.
By acknowledging these gaps and working collaboratively towards effective solutions, the journey towards a more integrated and efficient value-based care model can continue, nurturing a healthier future for all stakeholders in the healthcare ecosystem.
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