Topics That Sparked Your Interest in 2025

As we close out 2025, we’re looking back at the ideas, questions, and innovations that resonated most with healthcare leaders this year. Across conferences, client conversations, and the insights we shared, a few themes consistently rose to the top, like navigating value-based care, establishing strong governance, modernizing data and analytics, and leveraging AI responsibly to support clinical and operational teams. 

Based on what you viewed most, here’s a look at Tegria’s most-read content from 2025. 

Navigating the CMS Shift to Value-Based Care: Are You Prepared To Succeed? 

As CMS accelerates the shift toward value-based care, healthcare organizations increase focus on quality and cost-effectiveness of care. The shift means healthcare organizations must rethink their care model designs, data systems, and financial strategies as they transition to value-based care. Assessing readiness, investing in analytics and technology, and fostering a culture of collaboration can help position your organization for success.   

Overcoming Capacity Management Challenges in Patient Access 

Tegria’s CHIME survey found that capacity management remains a top barrier to patient access, with nearly all healthcare leaders citing it as a major challenge. Limited clinician availability, staff shortages, and inefficient scheduling systems hinder organizations’ ability to meet patient demand. Aligning technology with operational strategies, along with investing in interoperability and workforce training, can improve operational efficiency and access. Other strategies to enhance capacity management include standardizing referral management, using analytics to forecast patient demand, and promoting cross-team collaboration.  

Navigating CMS-0057: What Providers Need To Know 

While more attention has focused on payer responsibilities, healthcare providers also face significant challenges in aligning with the CMS-0057 Final Rule’s technical and operational demands. Although payers are regulated differently, provider compliance still demands technical and workflow changes to support seamless integration with payer systems. Key challenges include technical integration, workflow disruption, cybersecurity risks, financial strain, and navigating regulatory uncertainty. However, provider organizations that modernize infrastructure, invest in training, and collaborate with payers can turn compliance into an opportunity to improve care coordination, efficiency, and patient engagement. 

Training for Tough Conversations: How Agentic AI Supports Healthcare Providers 

Most clinicians receive minimal training in formal communication and how to navigate emotionally charged conversations. To address this gap, Tegria, Providence, and the Institute for Human Caring are collaborating to develop an emotionally responsive training tool that stimulates realistic, high-stakes conversations between patients and providers. This scalable, on-demand training approach aims to replicate the benefits of traditional actor-based roleplay. While many AI tools in healthcare are built to optimize workflows or streamline operations, this project highlights a different use case: supporting the human side of care.  

Your Guide to Building a Proactive Healthcare Data Strategy 

As value-based care and population health reshape the industry, organizations need real-time, trustworthy data to succeed. Building your data strategy rests on four foundational pillars: strategic alignment, data governance, scalable architecture, and advanced analytics readiness. Your data strategy roadmap progresses through distinct phases. First, establish your foundation by assessing your current state and defining goals with measurable KPIs. Next, build your technical infrastructure through scalable architecture and a robust governance framework. Finally, continue to cultivate a data-driven culture and continuous improvement mindset to transform your data into a catalyst for growth. 

Fixing a Costly Billing File Error To Deliver Major Monthly Savings 

A large Midwestern payer partnered with Tegria to resolve a recurring billing file error that was causing significant revenue loss. Tegria analyzed historical billing detail file trends, identified the root cause, implemented a backend fix to correct the logic, and validated improvements through a comprehensive comparison of post-fix billing files. The impact of the fix was immediate and substantial. Monthly billing losses due to errors dropped nearly 87% and enabled the payer to recover $780,000 in historical lost revenue.  

Dive deeper into real-world success stories, expert insights, and proven practices with Tegria’s case studies and thought leadership.