38% of digital health purchasers that use performance-based contracts say they cannot independently verify the outcomes vendors report, in PHTI's 2026 survey of health plans, employers and health systems.
38%
of digital health purchasers with performance-based contracts can't independently verify vendors' reported outcomes
38% of digital health purchasers that use performance-based contracts say they cannot independently verify the outcomes vendors report, in PHTI's 2026 survey of health plans, employers and health systems.
PHTI asked this of the 182 respondents with performance-based contracts, out of 321 in all. In the same survey, 68% of employers and 55% of health plans said they use performance-based contracts for digital health.
Source: Peterson Health Technology Institute, 2026 State of Digital Health Purchasing (opens in a new tab), Page 22, challenges with vendor-provided data in performance-based contracts (n=182); page 18, use of performance-based contracts (n=321). Verified October 2026.
Related charts
- From research
30 of 44 top healthcare problems need no patient data, in Kent Applied's analysis
Kent Applied, Where AI tools fit in healthcare, by kind of organization; NYC Local Law 144; California Civil Rights Council - From research
Health care and social assistance firms use AI at about the US rate, half the top sector's
US Census Bureau, Business Trends and Outlook Survey (sector estimates); BTOS national estimates; US Census Bureau, Business Trends and Outlook Survey (about the survey); US Census Bureau, 2022 NAICS descriptions - From research
Hospital drug expenses grew 13.6% in 2025, nearly twice as fast as total expenses
American Hospital Association, Costs of Caring 2026 (March 2026) - From research
Of the 44 problems, 13 are about money and payers and 10 about rules, surveys and audits
Kent Applied, Where AI tools fit in healthcare, by kind of organization
Sources for the figures above: US Census Bureau, Business Trends and Outlook Survey (sector estimates) (opens in a new tab); Business Trends and Outlook Survey, national estimates (opens in a new tab); American Hospital Association, Costs of Caring 2026 (March 2026) (opens in a new tab).
Related facts
3,567
of 5,121 US community hospitals belong to a health system of any size
3,567 of the 5,121 US community hospitals belonged to a health system of any size in the 2024 AHA Annual Survey, and 1,797 were rural, AHA's 2026 Fast Facts reports. The two counts overlap, because some rural hospitals also belong to a system.
Source: Fast Facts on U.S. Hospitals, 2026.
KentApplied46%
of nursing staff turned over in 12 months at the median skilled nursing facility
The 12-month rate of nursing staff turnover as of 2024 was 46% for the median skilled nursing facility, MedPAC reported in March 2026.
Source: March 2026 Report to the Congress, Chapter 7: Skilled nursing facility services.
KentApplied41.2%
of US rural hospitals operate in the red
41.2% of US rural hospitals operate in the red, and the median rural hospital's operating margin is 2.0%, Chartis reported in its 2026 study of rural hospitals.
Source: 2026 Rural Health State of the State.
KentApplied
Sources for the figures above: Fast Facts on U.S. Hospitals, 2026 (opens in a new tab); March 2026 Report to the Congress, Chapter 7: Skilled nursing facility services (opens in a new tab); 2026 Rural Health State of the State (opens in a new tab).
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