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Statistics

Healthcare AI and patient outreach statistics, 2026

A sourced reference of the numbers healthcare operators cite most when making the case for AI: how many clinicians already use it, how often staff use unapproved tools, what HIPAA violations cost, what Star Ratings bonuses are worth, what outreach staff cost, and how patients answer the phone. Every figure links to its source and shows when it was published.

Last reviewed: October 1, 2026

AI use in healthcare

Shadow AI

  • 40%

    of hospital and health system providers and administrators have encountered unauthorized AI tools at work; 17% have used them, and about 1 in 10 used one for direct patient care.

    Wolters Kluwer survey, n=518 · January 2026

  • 58%

    of frontline health system staff used general AI tools such as ChatGPT, Gemini, or Copilot for work in the past 30 days; 17% of those users sometimes or often included identifiable patient information.

    Black Book Market Research, n=228 · December 2025

HIPAA

  • $145 to $73,011

    per violation, depending on culpability, with an annual cap of $2,190,294 per provision.

    HHS inflation adjustment · January 28, 2026

  • 18

    identifiers must be removed for Safe Harbor de-identification. 45 CFR 164.514(b)(2).

    eCFR · Current

  • Not final

    The HIPAA Security Rule update proposed in January 2025 was not final as of October 2026; the federal regulatory agenda targets July 2027.

    Unified Agenda · October 2025 agenda

Medicare quality and payment

  • $13.4 billion

    or more in Medicare Advantage quality bonus payments in 2026, up from $12.7 billion in 2025.

    KFF · August 2026

  • 64%

    of MA-PD enrollees are in contracts rated 4 stars or higher for 2026; the enrollment-weighted average is 3.98 stars.

    CMS 2026 Star Ratings fact sheet · 2026

  • 11

    Star Ratings measures removed by the CY2027 final rule.

    CMS · April 6, 2026

  • 115

    payment HCCs in the V28 risk model, used at 100% for payment year 2026 (86 in V24).

    CMS 2026 Announcement · 2026

  • 75 points

    the 2026 MIPS performance threshold; the maximum negative adjustment is 9%.

    CMS 2026 QPP final rule fact sheet · 2026

  • $2,100

    Part D out-of-pocket cap in 2026, rising to $2,400 in 2027.

    Medicare.gov · 2026

Staffing costs

  • $21.97/hour

    median wage for medical assistants; $22.00 for pharmacy technicians; $46.90 for registered nurses.

    BLS OEWS · May 2025

  • 29.4%

    of employer compensation cost in health care and social assistance goes to benefits.

    BLS ECEC · June 2026

Patients and the phone

Medication adherence

  • 80%

    PDC is the standard adherence threshold (90% for antiretrovirals).

    Pharmacy Quality Alliance · Current

  • 3.4 to 6.1×

    greater odds of adherence for patients in a pharmacy medication synchronization program, in a small study (47-81 patients per drug class).

    Holdford and Inocencio, JAPhA · 2013

Rivvi operating data

  • 104,000+

    patients reached and a 0.45% opt-out rate at Southeast Medical Group.

    Rivvi · August 2026

  • 56%

    refill success with Rivvi outreach versus 5-10% with manual outreach at Southeast Medical Group.

    Rivvi · August 2026

  • 30,000 to 100,000

    patient calls a month handled by Rivvi since August 2024.

    Rivvi · August 2024 onward

Questions

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Reviewed quarterly and when a cited source changes. The date at the top shows the last review.
Can I cite these statistics?
Yes. Cite the original source linked on each row. For Rivvi's own figures, cite Rivvi with the date shown.

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