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Unveiling the 2025 State of Technology in Value-Based Care

A recent report, titled the 2025 State of Technology in Value-Based Care, has revealed troubling trends that could hinder the progress of value-based care (VBC) initiatives. This report, created by Reveleer and Mathematica, highlights key technological and data barriers that threaten to stall momentum in the healthcare sector. Despite a shared vision between payers and providers, execution struggles may undermine the potential of these innovative care models.

The Alignment Dilemma

The survey results illustrate that both payers and providers are largely aligned in their goals for value-based care, with 100% of healthcare providers and 97% of payers indicating they share strong VBC aspirations. However, this alignment does not translate into effective collaboration. The report stresses that while there is confidence in technology's role in advancing VBC, a lack of synchronized execution is preventing stakeholders from maximizing their impact.

Interestingly, 92% of payers and 81% of providers report growth in their VBC contracts over the past year, with an optimistic outlook for future expansion. Yet, without cohesive execution, these ambitions risk being met with stagnation, according to Jay Ackerman, CEO of Reveleer. Ackerman highlights that although alignment exists, if payers and providers do not collaborate more effectively, they risk progressing at a sluggish pace.

Data Strategy and Integration Challenges

The report emphasizes the importance of a solid data strategy, with nearly all organizations surveyed recognizing it as a competitive asset. A staggering 97% of providers and 96% of payers concur that strong data management enhances their market position. However, the reality of operational integration paints a different picture. Only about a third of respondents, both payers (31%) and providers (33%), rate their data integration capabilities as excellent.

Furthermore, confidence levels vary, with less than half of the surveyed group expressing full confidence in the accuracy and completeness of their patient data for VBC initiatives. This inconsistency highlights a critical vulnerability in effectively scaling VBC.

The Inconsistent Utilization of AI

Artificial intelligence (AI) is acknowledged as a vital component in modern healthcare, with all surveyed organizations utilizing it to varying degrees. Approximately 96% of providers and payers believe their AI-driven strategies provide a competitive edge. The impacts of AI are evident, as reported benefits include improved clinical decision-making (95% of providers), increased operational efficiency (95%), and better patient outcomes (also 95%).

Despite this, commitment to AI integration remains low, with only 40% of payers and 38% of providers fully dedicated to AI adoption. The report indicates concerns regarding AI's reliability, particularly around issues such as algorithmic transparency and ethical implications, which hinder the full-scale adoption of AI technologies.

Training Gaps in Workforce Preparedness

Another critical aspect hindering the full realization of AI's potential is the insufficient training offered to personnel. While most organizations provide some level of AI training, only a small fraction—30% of payers and 32% of providers—offer comprehensive training programs. This gap in preparation contributes to hesitancy around AI use and represents a significant barrier for organizations wishing to scale their technology adoption effectively.

As the industry faces increasing pressure to improve outcomes while curbing costs, organizations that marry technological advancements with workforce readiness are likely to gain a competitive advantage. Ngan MacDonald, Director of Data Innovations at Mathematica, reinforces the idea that technology is not a cure-all; she emphasizes that real investment in data architecture, workforce development, and AI governance is crucial for achieving scalable value-based care.

Conclusion

In conclusion, the 2025 State of Technology in Value-Based Care report serves as a clarion call for the healthcare industry. While alignment between payers and providers is stronger than ever, tangible improvements will require focused collaboration and upgraded strategies across technology, data, and workforce training. Organizations that heed this advice stand to benefit significantly as they navigate the future of value-based care, ensuring better health outcomes for patients and greater efficiency in healthcare delivery.