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2023 HOA Year in Review

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More Healthcare Insights

Value-based care reaches a quarter of revenue at 30% of surveyed health organizations

Value-based care reaches a quarter of revenue at 30% of surveyed health organizations

Wolters Kluwer Health argues value-based care software is judged on whether customers hit incentive thresholds and avoid penalties. A Fierce Healthcare-reported survey it cites puts value-based care at a quarter or more of revenue for 30% of organizations. The analysis is a vendor publication that ends by pitching its own UpToDate Connect API.

  • 01The sharper question for any population health or care coordination platform is whether it changes what a clinician does at the moment of decision, or only reports afterward what happened. Wolters Kluwer's reading of the evidence is that many platforms still struggle with the first.
  • 02Vendors selling into value-based contracts now face a build-or-license decision on clinical content, because Wolters Kluwer names current, trusted content, consistent clinician adoption across sites, and a traceable link from guidance to quality metrics as the three hard problems.

Sep 18, 2026

Hospitals lost money on telehealth with every payer type in 2025

Strata Decision Technology's Performance Trends report found telehealth encounters at U.S. hospitals rose 79% from January 2019 to January 2026, yet average total cost margins were negative for commercial, Medicare, Medicaid and self-pay patients in 2025. Adoption has outrun reimbursement. The gap lands on health systems that posted a 0.2% operating margin in April, according to Strata.

  • 01A negative total cost margin on telehealth across all four payer categories is now a national benchmark from a dataset covering more than 2,200 hospitals; a health system's own per-encounter virtual care margin can be measured against it.
  • 02Remote patient monitoring encounters grew nearly 4,000% since 2019 while reimbursement for the service is still maturing, so an RPM business case built on volume alone will miss the number that actually decides its viability.
  • 03The signal to watch is whether any single payer category shows a positive telehealth margin in Strata's next Performance Trends cut. As of the 2025 data, none did.

Sep 18, 2026

Most reprocessing audit gaps trace back to training, turnover and leadership

Most reprocessing audit gaps trace back to training, turnover and leadership

Joint Commission findings on its reprocessing standard point mostly to training, turnover, leadership and missing ownership, not sterilizers. CDC epidemiologists and a 2019 review add cleaning verification and manufacturer instructions as the steps to watch. Audit people and process steps as closely as the autoclave.

  • 01Of the Joint Commission's list of reasons hospitals miss reprocessing standard IC.02.02.01, at least eight concern people, priorities and management, so competency records and a named process owner belong in the audit as much as sterilizer logs.
  • 02A structured audit tool that scores compliance step by step, as a 2020 BMC Health Services Research study did across 189 reprocessing cycles, shows where training hours should go; the Nepal hospitals scored best on cleaning and storage and worse on the steps between.

Sep 14, 2026

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