Five trends shaping value-based care in 2026

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Value-based care contracting hit record volume across payers and providers in 2025, yet the capacity to operationalize those contracts has not kept pace. Reveleer's second-annual report, The State of Technology in Value-Based Care 2026, produced with The Harris Poll and Mathematica, found the same imbalance across the trends it measured: adoption has outpaced governance.

Jay Ackerman, CEO and President of Reveleer, joins RISE Radio host Ilene MacDonald to walk through the five trends and what they signal for 2026. Ackerman draws on Reveleer's work with health plans and providers to explain why contract growth, AI adoption, and data investment all climbed while the governance to manage them lagged, and where leaders should focus first.

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Featuring:

Jay Ackerman
CEO and President
Reveleer

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What you'll hear in this episode: 

• Why contract volume is rising while mean payer value-based care revenue share fell 12 points, and provider alignment on shared goals slipped from 100% to 88%
• The gap between infrastructure and execution: 98% of organizations say they have the right infrastructure, yet 94% still run manual workflows
• Why data security draws the most investment while confidence in data quality stays low, and what that gap does to AI outcomes
• The governance problem behind 100% AI adoption, when only 35% of organizations have a process to catch incorrect AI outputs
• Where payers and providers are most exposed on CMS audits, and why traceability is the readiness test that matters
• Ackerman's three priorities for 2026: AI governance, consolidation around accuracy over feature count, and documentation built into the workflow

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Regulators adjudicate on documentation, not intent."
_{- Jay Ackerman, CEO and President, Reveleer}

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Three priorities for healthcare organizations in 2026

1. Put AI governance in place before an audit forces it. Every organization surveyed runs AI, but only 35% have a process to catch incorrect outputs. Ackerman's first priority for 2026 is a governance process with human review and hallucination detection, established before a RADV finding makes it mandatory.
2. Consolidate around accuracy, not feature count. The rush to buy point solutions has left disconnected technology stacks, with 94% of providers and 91% of payers still running manual workflows. Fewer well-integrated applications outperform a larger stack, so the work now is connecting what is already installed.
3. Build documentation into the workflow. Regulators adjudicate on documentation, not intent, yet only 13% of payers and 29% of providers feel ready for CMS requirements. Traceability from retrieval through submission keeps records audit-ready before an auditor asks for them.

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The five trends come from Reveleer's second-annual report, The State of Technology in Value-Based Care 2026, produced with The Harris Poll and Mathematica from a survey of 200 senior payer and provider executives.

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