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MARKET THEMES

The Forces Reshaping Healthcare Delivery

From AI-driven automation to the ongoing transition to value-based care, Veradigm tracks the macro trends that every healthcare leader needs to understand — and prepare for.

Four Themes Defining 2026

What Healthcare Leaders Must Understand

Veradigm's research team analyzes data from 300M+ patients and 700K+ clinicians to identify the trends that matter most to your organization.

01

AI & Automation in Clinical Workflows

Ambient AI documentation, clinical decision support, and automated prior authorization are moving from early-adopter pilots to mainstream deployment. Organizations that don't have a clear AI strategy are already falling behind their competitors — and their own physicians are asking why they aren't moving faster. Veradigm's data shows that practices using AI documentation tools are 40% less likely to report physician burnout as a top-5 challenge.

Ambient AI Clinical Decision Support Prior Auth Automation Physician Burnout
02

Value-Based Care Transformation

The transition from fee-for-service to value-based payment continues — but the models that work are becoming clearer. MSSP ACOs with strong data infrastructure are outperforming those relying on claims alone. The organizations winning under VBC share a common thread: they can identify their highest-risk patients before they become high-cost, and they can demonstrate their quality performance with clean, auditable data.

ACO / MSSP Quality Reporting Risk Stratification Population Health
03

Interoperability & Data Exchange (TEFCA / FHIR)

TEFCA went live and the race to meaningful nationwide interoperability is on. Organizations that can't receive and send patient data seamlessly are creating gaps in care, driving up costs, and falling short of federal compliance requirements. FHIR R4 APIs are becoming the baseline expectation, and payers are increasingly demanding real-time clinical data in lieu of lagging administrative claims.

TEFCA HL7 FHIR HIE CMS Compliance
04

Physician Burnout & the Workforce Crisis

Physician burnout has reached epidemic levels — 63% of physicians report signs of burnout according to the most recent AMA survey, and the primary driver remains administrative burden. The organizations retaining their physicians are taking a technology-first approach: reducing documentation load through AI, automating insurance workflows, and giving clinicians more of their time back. This is not just a quality-of-life issue — it's a strategic imperative for any healthcare organization.

Physician Burnout Documentation Burden Workforce Retention Ambient AI
Related Reading

Dive Deeper into These Themes

AI Healthcare
Ambient AI Documentation: What Physicians Actually Think After 6 Months
Data analytics
The Data Infrastructure Every ACO Needs to Succeed
Healthcare tech
TEFCA Is Live: What It Means for Your Organization Right Now
Doctors
63% of Physicians Report Burnout — And Technology Is Finally Part of the Solution
Research lab
MSSP Performance Analysis: What the Top ACOs Have in Common
Pharma
Prior Authorization Automation: A Practical Guide for Practice Managers
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