The evolution of care: An annual care delivery report

2025 edition

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How trends across the healthcare landscape continue to evolve, and how organizations are responding.

Key findings

  • Care transitions remain fragmented despite digital advancements; real-time coordination continues to be a challenge.
  • Referral volume and patient acuity are rising in tandem, driving increased complexity in care planning.
  • Staffing shortages in post-acute and community care remain, leaving providers under constant pressure to do more with less.
  • AI and predictive analytics are helping providers deliver smarter, more efficient care and make better use of staff and resources.
  • New regulations are accelerating the move to value-based care, requiring more proactive provider collaboration.

By the numbers

$30B – $90B

Failures in care coordination contribute to an estimated $30 billion to $90 billion in spending annually.

↑34%

The average Van Walraven Index — a key indicator of comorbidity burden — has risen by 34% since 2019, with a 6% uptick in 2024.  

6.6 referrals

Providers submitted an average of 6.6 referrals per patient, with an average of 32% of all submitted referrals resulting in an acceptance. 

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2024 Report

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2023 Report

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2022 Report

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About WellSky

WellSky® is one of America’s largest and most innovative healthcare technology companies, leading the movement for intelligent, coordinated care. In today’s value-based care environment, WellSky connects providers, payers, health systems, life sciences companies, and community organizations through AI-powered software, analytics, and services. Our solutions help organizations scale smarter, collaborate more effectively, and unlock data-driven insights. The result is better alignment across all dimensions of clinical and social care — supporting better outcomes and lower costs.

WellSky serves more than 20,000 client sites — including the largest hospital systems, blood banks, cell therapy labs, home health and hospice franchises, post-acute providers, government agencies, and human services organizations. With more than 40 years of industry expertise further amplified by AI, WellSky anticipates clients’ needs and innovates relentlessly to shape the future of coordinated care. For more information, visit wellsky.com.