Value-Based Care Trends in 2026: AI, RPM, CCM, and Connected Care

At the same time, advancements in connected care technology, artificial intelligence (AI), Remote Patient Monitoring (RPM), and Chronic Care Management (CCM) are making value-based healthcare more scalable and effective than ever before.

In this guide, we explore the future of value-based care, key value-based care trends, implementation challenges, and how healthcare organizations can successfully transition to value-based healthcare models.

Why the Future of Value-Based Care Is Reaching a Turning Point

The CMS set a 2030 deadline for all Medicare beneficiaries to be in accountable care relationships. You can no longer treat value-based care as an optional care delivery strategy.

In fact, we’ve reached an inflection point, with economic pressure and policy momentum driving the steady shift towards accountable care. Here’s how and why:

• Rising Healthcare Costs: Healthcare payors continue pushing back against rising healthcare spending, making fee-for-service reimbursement increasingly unsustainable. Value-based care models create financial incentives for healthcare providers to improve efficiency, reduce avoidable hospitalizations, and deliver better patient outcomes.
• Expansion of Mandatory Value-Based Care Models: CMS is increasingly introducing mandatory accountable care initiatives. One major example is the Transforming Episode Accountability Model (TEAM), which requires participating acute care hospitals to manage episode-based spending targets tied to quality outcomes. These changes are accelerating the adoption of value-based care strategies across the healthcare industry.
• Technology Maturity Accelerating Adoption: The growth of electronic health records (EHRs), connected care platforms, AI-powered analytics, and cellular-connected medical devices now allows healthcare organizations to track outcomes at scale.

This technology maturity is making value-based healthcare programs more practical, measurable, and operationally sustainable.

Key Trends Shaping the Future of Value-Based Care

As technology, data, and remote care-delivery strategies mature, value-based care is trending away from one-size-fits-all population health strategies toward more specialized VBC models.

Here are the key trends shaping the future of value-based care:

• Adoption of specialty bundles: The TEAM model is driving VBC into more complex specialties with its episode-based payment structures (bundles). It fixes payments for all specialty services in a given episode. We’re likely to see greater adoption in oncology, orthopedics, and cardiology.
• Promotion of health equity: There’s a greater focus on addressing social determinants of health (SDOH). It’s expanding formal partnerships with community organizations to address food and housing insecurity.
• Integration of behavioral health: Data maturity and studies have revealed that high-cost patients often have behavioral or mental health comorbidities. As such, VBC is taking a “whole person” approach and integrating behavioral health into contracts.
• Expansion of risk-based contracts: Instead of just rewarding for performance, many VBC contracts now include risk-based contracts where you are financially accountable when costs exceed benchmarks. It ensures there’s both an upside and a downside risk to increase accountability.
• Adoption of AI and predictive analytics: Healthcare is shifting from reacting to illness to anticipating and preventing it. This shift is powered by AI capabilities that categorize patients by risk level to support targeted interventions.

How RPM and CCM Support the Future of Value-Based Care

Chronic diseases such as diabetes, hypertension, COPD, and heart failure account for a large percentage of healthcare spending.

Healthcare organizations are increasingly implementing Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) programs to improve chronic disease outcomes while supporting value-based care goals.

Remote Patient Monitoring (RPM)

Remote Patient Monitoring allows healthcare providers to continuously monitor patient health data using connected medical devices.

RPM programs help healthcare organizations:

• Detect clinical deterioration earlier
• Reduce avoidable hospitalizations
• Improve medication adherence
• Increase patient engagement
• Support proactive interventions

Chronic Care Management (CCM)

Chronic Care Management programs provide ongoing monthly support for patients with multiple chronic conditions.

CCM programs help improve:

• Care coordination
• Medication management
• Patient communication
• Preventive care
• Long-term chronic disease outcomes

Together, RPM and CCM create a connected care infrastructure that strongly supports value-based healthcare delivery.

How KangarooHealth Supports Value-Based Care Programs

At KangarooHealth, we help healthcare organizations implement scalable connected care programs that support value-based healthcare initiatives nationwide.

Our connected care platform supports:

• Remote Patient Monitoring (RPM)
• Chronic Care Management (CCM)
• Remote Therapeutic Monitoring (RTM)
• Principal Care Management (PCM)
• Advanced Primary Care Management (APCM)
• GUIDE dementia care programs

Why Healthcare Organizations Choose KangarooHealth

Here are the main features that make us the preferred choice for organizations:

AI-Driven Risk Stratification

Our platform uses AI-powered analytics to identify high-risk and rising-risk patients for proactive intervention.

Quality Measure Reporting for Value-Based Care Programs

KangarooHealth helps healthcare organizations strengthen value-based care performance through comprehensive quality measure tracking and reporting support.
Our platform supports reporting workflows tied to:

• HEDIS measures
• eCQMs
• MIPS quality measures
• Chronic disease outcome tracking
• Hospitalization and utilization reduction metrics
• Preventive care and engagement metrics

Healthcare organizations can use KangarooHealth to improve visibility into patient outcomes, support payer reporting requirements, and strengthen performance in accountable care and risk-based reimbursement models.

Integration With Population Health and Utilization Management Platforms

KangarooHealth integrates with existing population health, utilization management, and care coordination software platforms.

Our interoperability capabilities help healthcare organizations:

• Consolidate patient monitoring data
• Improve care coordination workflows
• Enhance utilization tracking
• Support longitudinal patient records
• Reduce data silos across systems
• Improve operational efficiency for value-based care teams

We support customizable integration workflows that align with existing clinical operations and population health initiatives.

Largest Library of Connected Devices

KangarooHealth offers one of the industry’s largest libraries of FDA-cleared and FDA-approved connected medical devices.

Cellular-Connected Devices

Our devices work without requiring patient Wi-Fi, improving access for rural and elderly populations.

Custom EHR Integrations

We support seamless integration into existing healthcare workflows and EHR systems.

US-Based Clinical Monitoring Team

KangarooHealth provides dedicated US-based nurses and monitoring support to reduce operational burden for healthcare organizations.

Turnkey Value-Based Care Implementation

We help healthcare providers launch connected care programs with minimal operational complexity and no upfront implementation fees.

One area where AI and predictive analytics are already delivering value is in chronic disease management programs. Chronic conditions like diabetes and hypertension account for a significant portion of healthcare spending, but you can also manage the costs if you implement continuous oversight.

To do that, you can combine AI capabilities with:

• Remote Patient Monitoring (RPM) using connected devices to collect and transmit physiological data in near real-time. You can then use AI to analyze the data and identify high- and rising-risk patients to enable timely intervention.
• Chronic Care Management (CCM) to support care coordination, medication management, and ongoing engagement for patients with 2 or more chronic conditions.

Schedule a Demo of Kangaroo Health

At KangarooHealth, we are already helping providers across the nation with the infrastructure to integrate these workflows into their clinical operations.

We offer a remote patient care platform with AI-driven risk stratification capabilities and the largest library of FDA-cleared/approved connected devices.

You can use our platform to implement RPM and CCM, as well as Remote Therapeutic Monitoring (RTM), Principal Care Management (PCM), Advanced Primary Care Management (APCM), and Guiding an Improved Dementia Experience (GUIDE).

Schedule your free demo of our platform to see how we support value-based care programs for chronic conditions.

Benefits of Value-Based Care For Stakeholders

Value-based care is driving significant benefits for patients, providers, and payors.

Let’s explore some of the key benefits:

Benefits for Patients

VBC enables you to implement proactive care with continuous oversight and better coordination.

These interventions offer your patients the following benefits:

• Improved outcomes: VBC is characterized by higher medication adherence, better-coordinated transitions, earlier detection, and fewer crises. Also, because reimbursement is tied to outcomes, the patient experience and clinical quality improve significantly.
• Lower out-of-pocket costs: Hospitalizations, ED visits, and various complications from chronic conditions are typically the highest cost drivers. Reducing these events helps lower patients' out-of-pocket costs, especially when they are on co-pay plans.

Benefits for Providers

Implementing VBC in your healthcare organization has both administrative and clinical benefits as follows:

• Shared savings: The goal of VBC is to deliver better care at lower cost. If you meet the required quality standards while keeping costs below the target cost of care, the payor shares a portion of the cost savings with you.
• Better patient relationships: One of the key benefits of RPM, CCM, and similar programs is that they allow you to extend your patient relationship beyond the clinic. The continuous engagement makes your patients feel supported at all times, not just when something goes wrong.
• Offloading operational tasks: Tools built to support value-based care can help you automate some administrative tasks so you can focus on actual patient care. For instance, KangarooHealth automates alerting and escalation workflows as well as documentation and compliance tracking.

Benefits for Payors

The benefits for payors are mostly cost-related. VBC helps them replace the unpredictability of fee-for-service models with a system focused on superior outcomes, which drives lower long-term costs.

For instance, a CMS-commissioned study of their CCM program found that patients enrolled in the program used ER services less often, had appreciably lower hospitalization rates, and (excluding those who received only 1 month of CCM) cost the payor $95 less per month.

Role of Technology in Value-Based Care Evolution

As we’ve discussed, AI is transforming how we identify high- and rising-risk patients. That’s only one part of the transformation technology is bringing to value-based care, though.

Technology is also shaping the VBC evolution in the following ways:

• Intelligent triage to reduce alert fatigue: With more data coming in, you need a way to filter for clinically meaningful signals amid the “noise”. For instance, KangarooHealth uses intelligent triage and tailored escalation protocols to significantly reduce alert fatigue.
• Low bandwidth telehealth for rural access: In many rural areas, broadband is limited, and Wi-Fi may be inconsistent. To solve for this, you can make cellular networks your connectivity layer for RPM. For instance, at KangarooHealth, we use cellular-enabled devices that don’t require patient-provided internet.
• Interoperability for seamless data sharing: VBC programs require managing patients across different settings. Interoperability standards (such as FHIR) support this by enabling the sharing of data from remote monitoring, EHR, labs, claims, etc. It can help you build a longitudinal patient record.

Challenges in the Transition to Value-Based Care

While VBC has clear benefits for all stakeholders, the transition hasn’t been without significant hurdles.

Some of the challenges you can expect to face include:

• The transitional cost burden: You will likely maintain some fee-for-service infrastructure while implementing VBC, which also requires more complex tools. To reduce the burden of transitioning to VBC, you can use turnkey services with minimal upfront costs/fees.
• The downside financial risk: Where the contract includes financial penalties for non-performance, the downside risk can be substantial. You can mitigate this risk by ensuring contracts accurately reflect your patient population.
• Data fragmentation: Some providers are facing data silos in which remote patient care data does not feed into their EHRs. You want to ensure that the new platforms you onboard can seamlessly integrate with your existing EHR.

Implement Value-Based Healthcare Successfully with KangarooHealth

Healthcare organizations can avoid many of the operational, staffing, financial, and technology challenges associated with transitioning to value-based care by partnering with the right connected care implementation platform.

KangarooHealth helps healthcare organizations successfully implement and scale value-based healthcare programs through turnkey connected care infrastructure, AI-driven analytics, clinical monitoring support, and seamless workflow integration.

We Extend Care Beyond the Clinic

Value-based care programs require healthcare organizations to actively manage patients between office visits, especially individuals living with chronic conditions.

KangarooHealth provides purpose-built infrastructure for continuous remote patient care and supports major connected care programs, including:

• Remote Patient Monitoring (RPM)
• Chronic Care Management (CCM)
• Remote Therapeutic Monitoring (RTM)
• Principal Care Management (PCM)
• Advanced Primary Care Management (APCM)
• GUIDE dementia care programs

Our connected care platform enables healthcare organizations to consistently track:

• Vital signs
• Symptoms
• Patient-reported outcomes
• Chronic disease trends
• Care engagement activity

This continuous visibility helps providers intervene earlier, improve care coordination, and strengthen value-based care performance.

We provide:

• Custom EHR integrations
• Integration with population health and utilization management platforms
• Configurable care pathways
• Automated escalation workflows
• AI-driven risk stratification tools

Our platform supports over 50 chronic conditions and allows healthcare organizations to customize workflows based on:

• Patient population complexity
• Clinical goals
• Value-based care initiatives
• Specialty-specific programs
• Risk-based reimbursement requirements
• We Support Quality Measure Reporting for Value-Based Care Programs

Contact us today to chat with an expert.

Frequently Asked Questions (FAQs)

Let’s now answer some commonly asked questions about value-based care:

What Is the Future of Value-Based Care?

The future of value-based care involves healthcare systems shifting toward outcomes-based reimbursement models supported by AI, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), predictive analytics, and connected care platforms.

What Are the Biggest Value-Based Care Trends?

Major value-based care trends include:

• AI and predictive analytics
• RPM and connected care
• Risk-based reimbursement models
• Specialty bundled payments
• Health equity initiatives
• Behavioral health integration

How Does RPM Support Value-Based Care?

RPM supports value-based care by enabling continuous monitoring, early intervention, proactive chronic disease management, and reduced hospitalizations.

How Does CCM Improve Value-Based Healthcare?

CCM improves value-based healthcare by strengthening care coordination, patient engagement, medication management, and long-term chronic disease support.

Why Is Technology Important in Value-Based Care?

Technology enables healthcare organizations to track outcomes, improve care coordination, automate workflows, identify high-risk patients, and scale connected care programs efficiently.

What Are the Key Metrics to Evaluate Value-Based Care Success?

To evaluate the success of value-based care, you can track clinical outcomes, patient experience, and financial performance using the following key metrics:

• Clinical outcomes: 30-day all-cause readmission rates, avoidable ED visits per 1000 patients, chronic disease control data (HbA1c levels, blood pressure control, etc.), and preventive screening rates.
• Patient experience: Engagement rates, Net Promoter Score (NPS), and Patient-Reported Outcome Measures (PROMS).
• Financial performance: Risk Adjustment Factor (RAF) scores, Medical Expense Ratio (MER), and Total Cost of Care (TCOC) per member.

What Are the Reporting Requirements for Value-Based Care Programs?

Many reporting requirements are shifting from optional to mandatory.

For instance, CMS increasingly requires reporting on electronic Clinical Quality Measures (eCQMs), which measure the quality of patient care across inpatient and ambulatory programs. Also, CMS recently transitioned SDOH reporting from voluntary to mandatory.

How Do Digital Health Platforms Support Value-Based Care?

Depending on the features offered, you can use digital health platforms in the following ways:

• Use cloud-based platforms to aggregate patient data.
• Use automation features to streamline care workflows.
• Use risk stratification features to prioritize high-risk patients.
• Use reminders/messaging features to improve patient engagement.
• Use collaboration features to enhance care coordination.
• Use tracking and reporting features to support outcome measurements and reporting.

Conclusion

The future of value-based care is being shaped by connected care technology, AI-driven analytics, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and proactive healthcare delivery models.

Healthcare organizations that successfully transition to value-based care strategies will be better positioned to improve patient outcomes, reduce healthcare costs, and strengthen long-term financial sustainability.

At KangarooHealth, we help healthcare providers implement scalable connected care programs designed for the future of value-based healthcare.

Our connected care platform supports continuous patient monitoring, care coordination, AI-driven risk stratification, and seamless workflow integration.

Ready to strengthen your value-based care strategy?

Request a free demo today to see how KangarooHealth helps healthcare organizations scale connected care programs nationwide.