We’re diving into what’s changing for healthcare plan providers and administrators this year!
Communication is becoming one of the most important tools for healthcare plan providers. Not just for sharing information, but for improving operations for administrators and creating better health outcomes for members. 2026 will see healthcare communication trends addressing common challenges.
When communication is unclear or fragmented, it creates confusion and mistrust. When it’s done well, it leads to better decisions, smoother workflows, and a consistent member experience.
The Reality Healthcare Organizations Are Facing
Healthcare plan providers sit at the intersection of care delivery and coverage. That position brings unique challenges.
Rising costs, workforce shortages, and burnout affect both clinical and administrative teams. Regulations around data, AI, and privacy are evolving quickly. And many organizations are still working with fragmented systems that don’t always talk to each other.
On top of that, members are navigating more complex care journeys. Patient engagement strategies are being tested as care is increasingly delivered outside traditional clinical settings, through virtual visits, home-based care, and community services. That means health plan providers are expected to communicate clearly across every touchpoint, often with fewer resources.
All of this puts communication under a brighter spotlight than ever before.
Here are five shifts shaping how healthcare communication management is evolving for healthcare plan providers in 2026, and why they matter.
1. AI: From Pilot to Practical Tool
Instead of focusing on abstract testing, healthcare plan providers are joining other organizations in highly regulated industries in employing AI for everyday tasks.
For customer service teams, AI can pull together the right information, such as coverage details, recent claims, authorizations, and past interactions, in one place, so that representatives aren’t jumping between systems while handling customer queries.
Behind the scenes, AI can also take care of routine tasks that slow teams down. Things like sorting incoming requests, drafting standard responses, flagging issues that need follow-up, or preparing member outreach don’t always need to be done manually. When those tasks are handled automatically or with AI support, administrators have more time to focus on complex cases and work that requires human judgement.
AI isn’t replacing people. It’s giving teams more support so they can work efficiently and communicate clearly. Working with a customer communications management (CCM) organization can give healthcare plan providers the foundation to leverage the latest advancements in AI.
2. Omnichannel Engagement Removes Barriers to Care and Communication
Care isn’t just being delivered in clinical settings. By 2026, that shift will be impossible for healthcare plan providers to ignore.
Members receive care through virtual visits, at home, and through community-based services. This changes how plans need to work, as well as how they’re communicated.
The challenge isn’t simply adding new benefits or coverage categories. It’s making sure plans actually support non-traditional care in ways that reflect the modern patient experience. Healthcare plan providers need to adapt their plan designs and communication methods to better meet member needs and care preferences.
Additionally, with the rise of the gig economy in the U.S., providers see an opportunity to offer microinsurance that meets the need for affordable, flexible coverage options.
Providers must ensure that their channel selection is reflective of the modern approach to the delivery of care. Just like practitioners, they need to think outside of the exam room:
- Does your content suite include communications that can be delivered in a variety of formats and channels?
- Are they strategically aligned so that when you’re executing an omnichannel strategy, your members receive consistent messaging regardless of channel?
Given the amount of information providers need to distribute, offering resources in digital and print formats can positively influence your member engagement.
Healthcare plan providers that succeed in 2026 will be those that design plans around where care actually happens and communicate them in a way that’s simple, consistent, and relevant.
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3. Modular, Visual Content is Improving Flexibility, Accessibility, and Retention
Healthcare plan providers are finding new ways to break down complex information to improve member engagement.
Rather than relying solely on long, static documents like a member’s Explanation of Benefits (EOB), many insurers are incorporating modular, digital content models that facilitate the use of short, digestible explainers to be reused and adapted for portals, apps, email, and print, all within a compliant environment.
Driven by a rise in short-form video content as a source for news and entertainment, providers are increasingly supplementing EOBs with visual and video content delivered through digital channels.
Short explainers help clarify cost breakdowns, claim decisions, and member instructions (think, how do I set up my member portal?), reducing confusion and building trust.
The benefits of modular, flexible content are far-reaching. But the most valuable is the opportunity for hyper-personalization. Working with a CCM provider to create modular frameworks gives you the advantage of tapping into your member data for custom, hyper-personalized communications that reflect an individual’s unique healthcare needs.
Together, these changes are reshaping how healthcare plan providers approach member communications, creating space for more flexible and personalized content strategies at scale.
4. How People Search is Changing How Content is Designed
People are asking healthcare questions differently than they used to. Instead of typing keywords into a search engine, many are using AI tools or conversational search to ask full queries with details.
That shift changes how healthcare information needs to be written. Content has to be clear, structured, and easy to understand at a glance. Dense language and long explanations make it harder for people and AI tools like Google’s Gemini to find and interpret what they need.
At the same time, storytelling plays a bigger role in 2026. Healthcare information is often complex and emotional. When it’s framed in a way that connects to real experiences, people are more likely to understand and retain it, ultimately improving health literacy.
This doesn’t mean oversimplifying. It means explaining things in a way that feels human and accessible while maintaining HIPAA compliant messaging.
5. Systems Will be Simplified, and Security Strengthened
Healthcare plan providers are also rethinking their technology. Many are realizing that having disconnected or legacy systems and tools creates risks, confusion, and unnecessary cost.
In 2026, consolidation is becoming more thoughtful. The focus is on keeping what works, improving integration, and making systems easier to manage. Organizations won’t be looking to cut and replace vendors. They’re looking to create interoperability between systems and tools.
And this shift is closely tied to security. As AI use increases and online communication is standardized, protecting member and patient information becomes a top priority. Healthcare organizations will increase investments in their tech infrastructure to meet this need.
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Going Forward in Healthcare Communications Management
Healthcare communication in 2026 is taking on a “less is more” approach. It will offer simplified, consolidated digital health ecosystems to better reflect real-world, flexible care models, protect member privacy, and deliver engaging narratives for improved information retention and health outcomes.
Organizations that invest in modular content, coordinated channels, thoughtful use of AI and strong internal alignment will be better equipped to adapt to what’s ahead.