Healthcare AI investment focusing on hard-dollar returns and clinical workflows amid shift from pilots to widespread production–Bain & Company and KLAS Research

• Providers remain capacity-constrained, prioritizing revenue cycle management and solutions with demonstrable returns on investment
• AI-powered tools gain traction among providers – ambient documentation adoption furthest along
• Payers face higher medical loss ratios, utilization rates, and risk-adjustment scrutiny while bracing for enrollment pressures.
• Payer IT dollars take aim at care coordination and utilization management, with increased spending in pockets of high-ROI value-based care.

NEW YORK and SALT LAKE CITY, Oct. 9, 2025 /PRNewswire/ — US healthcare providers and payers are ramping up the AI investments most likely to improve profit margins as they focus on an imperative of harnessing tech to bolster returns, a new study from Bain & Company and KLAS Research reveals...