New research shows just 35% of healthcare leaders are highly confident in claims data despite recognizing it as critical to VBC success
Beachwood, OH – September 18, 2025 – Health Data Innovations (HDI), a leading provider of healthcare data integration solutions, has announced a new report that uncovers a troubling contradiction at the heart of value-based care performance issues: while healthcare leaders universally recognize claims data as essential, most don’t trust the very data they’re relying on to make critical strategic decisions. The findings in the report, “Betting on Questionable Data: Healthcare Leaders Can’t Rely on Data to Manage Value-Based Care,” are based on independent, third-party research.
The new research quantifies the data confidence crisis plaguing the healthcare industry: 87% of healthcare leaders say claims data is important to VBC success and 74% report their executive leadership relies on this data for strategic decision-making, yet only 35% are highly confident in the quality and accuracy of their claims data. This means nearly two-thirds of healthcare organizations are making multimillion-dollar VBC commitments based on data they fundamentally question.
Key insights from the report reveal the scope of data integration challenges and their impact on VBC performance:
- 91% of organizations find accurately integrating and validating claims data challenging
- 45% report it takes five months or longer to integrate data from a new payer
- Only 22% are “very satisfied” or “extremely satisfied” with their current integration processes
- Just 11% rate their organization’s data infrastructure as “excellent”
- Organizations struggle across all critical VBC domains, with 84% rating themselves as only “somewhat successful” or less at minimizing network leakage
The research also reveals that organizations rely on claims data system-wide, extending far beyond analytics teams, with quality improvement teams (83%), population health teams (74%), and executive leadership (74%) all relying heavily on these datasets for critical organizational functions.
“Healthcare organizations are navigating value-based care with a compass they don’t trust,” said Jonathan Kaye, CEO of Health Data Innovations. “More than ever, economic pressures and competitive dynamics mean that solving these data challenges is critical to make sure they’re not losing revenue in value-based care models.”
Despite current challenges, the research indicates healthcare leaders recognize the need for new approaches: 90% of organizations not currently leveraging payer claims data indicate they are likely to invest in new integration solutions in the future.
The report is based on independent research that HDI commissioned from healthcare consultancy Sage Growth Partners in 2025, which surveyed 56 C-suite hospital and health system leaders with deep knowledge of their organization’s VBC strategy and data usage. Download the 2025 Market Report.
HDI Media Contact:
Verona Macdonell
Health Data Innovations
216-354-0021
vmacdonell@hd-innovations.com
About Health Data Innovations
Health Data Innovations (HDI) simplifies the complexity of data integration, empowering healthcare organizations to confidently harness accurate, consistent, and analytically ready data. HDI manages multiple inbound data feeds and standardizes diverse datasets using proven processes and deep healthcare expertise. As a trusted partner, HDI enables clients to make informed, data-driven decisions that optimize performance and improve operational efficiency—freeing healthcare professionals to focus on what matters most: managing healthcare, not wrangling data.
