Validated national polling finds support execution, prior-authorization friction, production-grade interoperability, and AI governance are shaping the next phase of practice management modernization
TAMPA, FLORIDA / ACCESS Newswire / January 14, 2026 / Black Book Market Research today announced the release of its 2026 Physician Practice Management Solutions (PPMS) Report, a vendor-neutral analysis of the operational trends influencing how ambulatory and multispecialty organizations evaluate practice management performance amid rising administrative burden and accelerating digital transformation.
The report is based on 31,420 completed and validated responses evaluating over four hundred practice management solutions. Findings are organized across 18 operational KPIs spanning patient access, financial clearance, prior authorization, revenue cycle workflows, interoperability, analytics, reliability, security, AI governance, and support partnership accountability.
2026 Trends and the Survey Evidence Behind Them
1) Market shift: from feature breadth to operational outcomes.
Practices are increasingly prioritizing day-to-day operational lift: workflow practicality, reduced administrative touches, and predictable throughput over feature inventories. Black Book's 2026 study evaluates performance across solutions-specific key performance indicators reflecting this outcome-driven decision lens.
2) Support execution is now an operational dependency.
As practice operations become more digitized and tightly staffed, organizations are treating escalation effectiveness, training readiness, and roadmap follow-through as core operational requirements. The 2026 KPI framework includes a dedicated measure for support responsiveness and partnership accountability, reflecting the degree to which service performance impacts operational continuity.
3) Prior authorization and pre-visit clearance remain persistent friction points.
Prior authorization continues to shape appointment readiness, documentation traceability, and downstream denials exposure. It is measured as a distinct operational KPI within the 2026 report, underscoring its direct influence on avoidable rework and pre-visit delays.
4) Interoperability in real operations remains uneven.
Organizations continue to distinguish between connectivity and interoperability that performs reliably in production workflows. Black Book evaluates interoperability as a real-operations KPI, reflecting ongoing variability in cross-system workflow continuity, manual workarounds, and recurring interface remediation.
5) AI adoption is expanding, but governance and control determine trust.
While AI is increasingly visible in operational workflows, adoption at scale depends on transparency, auditability, and human override capability. The 2026 KPI framework separately evaluates AI workflow enablement value and AI governance, explainability, and control, reinforcing that trust and oversight are prerequisites for high-impact automation.
6) Patient financial engagement is now inseparable from practice management performance.
With rising patient responsibility, organizations are elevating pre-visit estimates, payment pathways, and digital self-service as operational priorities. Black Book measures patient financial engagement and digital self-service as a distinct KPI, reflecting the growing impact of financial experience on call volumes, staff workload, and collections outcomes.
What's Included in the 2026 Edition
The 2026 PPMS Report provides vendor-neutral analysis and benchmarking across access, revenue cycle operations, interoperability, reliability, AI governance, and support accountability. The edition also includes a publication-ready directory of 439 physician practice management ecosystem providers across software, services, outsourcing, and advisory categories.
The report can be downloaded from the Black Book website: https://www.blackbookmarketresearch.com
About Black Book Research
Black Book Market Research is an independent healthcare IT research and public opinion firm. For more than two decades, Black Book has collected and analyzed validated client experience data across healthcare technology and services. Its research is used by healthcare organizations, investors, consultants, and media to benchmark operational performance, track emerging trends, and support evidence-based decisions. The 2026 PPMS Report provides a vendor-neutral view of the operational priorities practices are emphasizing across access, revenue cycle, support accountability, reliability, interoperability, and AI governance. The edition also includes a publication-ready directory of physician practice management ecosystem providers across software, services, outsourcing, and advisory categories. Media contact: research@blackbookmarketresearch.com
SOURCE: Black Book Research
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