The Role of Technology in Aligning Payer and Provider Goals Around Value-Based Care and Quality Measurement
Publish Date: 2026-05-12 11:01:00
Source Domain: www.healthcareittoday.com
Technology is a vast umbrella term that covers so many aspects in healthcare, ranging from the smaller side, like healthcare apps and personal wearable devices, to the larger side, like artificial intelligence and precision medications. This makes it very difficult to be aware of all the technology in healthcare and how it’s useful in all of the many aspects of healthcare. So today, we are going to narrow this wide field down by focusing our attention on the technologies that are helpful in aligning payer and provider goals.
We reached out to our incredible Healthcare IT Today Community to ask — what role does technology play in aligning payer and provider goals around value-based care and quality measurement? Below are their responses.
Kempton Presley, CEO at AdhereHealth
Facilitating shared visibility, decision support, and interpretation, technology is essential to aligning payer and provider goals in value-based care. Data integration with advanced analytics flags members who are nonadherent, overdue for screenings, or trending toward higher utilization—allowing teams to prioritize outreach and close multiple quality gaps in a single interaction. That precision improves efficiency and strengthens shared accountability.
But technology isn’t the strategy. It’s the tool. AI can flag that a prescription wasn’t picked up; without proper training, the model can’t reliably uncover why. Human insights regarding transportation barriers, cost-driven refill delays, or a patient’s choice of groceries over medications require an emotional quotient that a generative model cannot emulate. Those insights require conversation, trust, and personal judgment. In value-based care, analytics surface shared risks to each stakeholder, but empathy and behavioral expertise from payor and provider constituents alike turn data into adherence, quality improvement, and lasting outcomes.
Lindsay Porter, VP of Coding and Clinical Solutions at AGS…