Industry analysis · 2026
We tracked the self-reported priorities of 105 health systems across the two most recent cycles of IDN data. The playbook is changing fast — and the leaders are already running the next version. Get the full report.
105
$11.4M
+24 pts
-37%
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Inside the playbook
Three categories jumped heading into mid-2026 — contract compliance (+12 pts), analytics (+12 pts), and resiliency (+24 pts) — while the established disciplines held steady.
The systems making real progress ship small, tightly scoped automation that reaches production in months — not multi-year transformation programs.
“Contract compliance” and “AI” kept their names, but the work underneath changed: continuous every-invoice verification, detection moved pre-payment.
Top systems aren't paying 20% for recovery audits anymore. They're using AI to fix the root cause — and where each leader is placing that bet.
What fixing the root cause is worth: $11.4M in contract compliance savings and a 37% reduction in off-contract spend at one health system.
Dashboards surface the leak. A digital workforce closes it — pre-payment, inside the workflow, with no queue and no handoff.
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