Download the 2026 Black Book Report: The State of ROI & HILM Technology
Release of Information (ROI) and Health Information Lifecycle Management (HILM) have shifted from back-office clerical tasks to frontline enablers of compliance, risk management, and digital transformation. In 2026, regulatory tightening, payer-provider integration, and AI-driven automation have propelled ROI/HILM into the spotlight as one of healthcare’s most compliance-critical investments. With 889 validated survey responses from HIM directors, compliance officers, ROI specialists, payers, and executives, this 90-page report benchmarks the performance of 20 major vendors across 18 Black Book KPIs.
What You’ll Learn
Market Growth & Disruption:
U.S. ROI/HILM spend is projected at $2.3B in 2026, up 11% year-over-year. AI adoption has cut turnaround times by 20–30%, but uneven progress leaves critical compliance blind spots.
Regulatory Pressures:
HIPAA 2026 penalties, TEFCA interoperability deadlines, and ONC information blocking enforcement are driving procurement. Vendors unable to embed compliance safeguards risk exclusion from RFPs
Purchasing Trends:
- 72% of providers rank ROI/HILM as a top-three compliance IT priority.
- 63% of provider RFPs now require measurable automation (AI, RPA).
- 44% of payers increased spend in 2026 to prepare for CMS audits.
Future Outlook:
By 2028, the market will consolidate from 20 vendors to 10–12 dominant players. AI explainability will be mandatory, ROI clerks will evolve into compliance stewards, and ROI/HILM platforms will anchor healthcare’s information governance stack
Who Should Download:
- Hospital & Health System Leaders strengthening compliance and audit readiness
- CIOs, CMIOs & HIM Directors investing in automation and interoperability
- Payers & Audit Managers navigating CMS requirements and revenue risk
- Investors & Advisors tracking market consolidation and compliance innovation
About Black Book Research:
Since 2011, Black Book has been the industry’s independent benchmarker of healthcare IT performance. With over 3.5 million validated user submissions, our vendor-agnostic rankings cut through hype to deliver real-world satisfaction, compliance, and ROI intelligence.