The Provider’s Hidden Advantage in VBC: Survey Reveals Data is the Linchpin

Last month, Reveleer, in partnership with The Harris Poll and Mathematica, released a comprehensive survey report examining how prepared providers are for the continued evolution of value-based care. The State of Value-Based Care Report highlighted significant insights for providers: namely, providers are facing substantial opportunities to use technology to improve workflows, quality, financial performance, and regulatory compliance.  

Whether providers can take advantage of these opportunities to find success in value-based care depends on their ability to integrate technology, take advantage of their data, and make better use of constrained resources. Below, we break down what the survey revealed is at stake for providers in value-based care and how they can be competitive in today’s healthcare environment.

The state of technology in value-based care

The State of Value-Based Care Report was an effort by Reveleer, The Harris Poll, and Mathematica to better understand payers and providers’ use of technology and its connection to value-based care goals. The report surveyed over 200 U.S.-based directors, executives, and C-suite leaders, focusing on approaches to data management, artificial intelligence, and cybersecurity.

The report highlighted several key insights for providers:

• Most providers continue to face challenges with data integration. Only a third of surveyed leaders would rate their system integration as excellent. Unfortunately, fragmented data often leads to fragmented care, weakening population health goals and causing misalignment with payers.  

• Compounding these data challenges is the security of the data. Of the providers surveyed in the State of Value-Based Care report, nearly 1 in 4 had suffered a major cybersecurity incident. These incidents are becoming more frequent and damaging.

• Manual workflows also jeopardize providers’ value-based care goals, leading to staff burnout, documentation errors, and slow audits. Unfortunately, 85% of surveyed providers continue to experience manual workflows as a major challenge to value-based care.

• Finally, although more than 9 in 10 see positive impacts from artificial intelligence (AI) in healthcare, only 38% of survey providers are fully committed to AI. The result? Lost return on investment, lagging innovation, and missed care gap closures.

Key lessons for providers from the State of Value-Based Care Report

Providers can minimize risk and improve financial performance when they adopt innovative technology.

Currently, providers that are slower to adopt data management, AI, and advanced security solutions are missing revenue opportunities. Value-based care contracts that tie payment to cost containment necessitate the use of data to pinpoint care gaps and better target population health efforts, all necessary to contain costs and improve outcomes.  

Furthermore, poor integration, manual processes, and data fragmentation can cause quality metrics to suffer. Not only does this translate to worse outcomes for patients, but it also can lead to financial penalties, missed bonuses, and unfavorable payer negotiations.

Providers that take advantage of their data to create a complete picture of patient health improve their ability to manage the total cost of care, quality, and patient attribution. This helps them to succeed, even as they are exposed to increasing levels of risk in two-sided value-based care contracts.

Modernizing technology systems can give providers a competitive advantage.

Although the vast majority of providers are aware of the importance of technology, including AI, only 33% have achieved strong system integration or full AI adoption. This execution gap is creating a divide between providers who are better able to achieve the goals of value-based care and those who are not.  

Payers are seeking high-performing, tech-enabled partners. Unfortunately, falling behind on technology adoption can lead to losing out on value-based care contracts. As value-based care models become the norm, providers with robust data, analytics, and automation will become more attractive to both payers and patients.

Providers can transform clinical quality and patient outcomes when they transform their data.

Currently, many providers experience deeply ingrained data silos and poor interoperability. This can hinder proactive care, care gap closure, and population health management, leading to worse patient outcomes and lower patient satisfaction.  

AI, however, can solve these data challenges. It can provide actionable insights from large quantities of disparate data sources to support clinical decision-making and care gap identification. As a result, providers are better equipped to reduce hospital readmissions and deliver on preventive care goals.  

Reducing regulatory and compliance exposure requires investments in secure technology.

Manual workflows, fragmented technology systems, and low rates of security preparedness are exposing providers to potential data breaches at an alarming rate. Just over half of surveyed providers would say they are “very prepared”, and one in four have experienced a major incident. These failures expose providers to findings of non-compliance, potential penalties, and reputational harm.

Providers must invest in secure, HITRUST-certified platforms to manage and protect their data. Increasing scrutiny on security is table stakes to meet regulatory requirements and avoid costly disruptions to care.

Providers need better ways to reduce staff burnout.

The continued challenge of healthcare workforce shortages is compounded by the excess of manual processes in providers’ workflows. Healthcare staff increasingly experience burnout, further slowing workflows and making it impossible to scale value-based care initiatives.

Using technology to automate processes, streamline data, and even embed training into workflows can transform provider experience and reduce administrative burden. Making better use of critical clinical resources unlocks capacity for higher-value clinical work and improves staff satisfaction.

How providers can act now to better prepare for value-based care

The State of Value-Based Care Report highlighted several key gaps in providers’ ability to move the needle on cost and quality goals. Unfortunately, providers that fail to act may face:

• A higher likelihood of financial penalties, lost incentive payments, or negative contract terms

• Reduced ability to attract and retain patients who demand quality, coordinated, transparent care

• Greater vulnerability to cyberattacks, regulatory fines, and loss of organizational trust

Fortunately, by proactively investing in robust data platforms, actionable AI tools, and security readiness, providers can:

• Secure a first-mover advantage in payer negotiations

• Deliver better care and outcomes, boosting their reputation and relevance in an increasingly competitive VBC arena

• Build resilient, scalable operations that drive measurable improvements in efficiency and quality, turning data ambition into operational reality

For providers, closing these gaps is not just strategic; it is existential in the current healthcare environment. The stakes are nothing less than their ability to thrive, compete, and deliver on the promise of value-based care.

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To learn more about the most recent trends in AI, data management, and cybersecurity as they relate to value-based care, download the State of Value-Based Care Report.  

Providers interested in an AI-powered approach to value-based care should explore Reveleer’s one platform for value-based care. Reveleer offers Clinical Intelligence, Risk Adjustment, and Quality Improvement solutions for provider organizations, using AI to generate clinical insights, directly integrated with existing provider workflows, to realize improved risk adjudication and quality gaps closure. Schedule a demo today to learn more.