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Discover the HR trends transforming health care, including rapid change driven by artificial intelligence (AI), evolving care models and rising employee expectations.

Health care is changing at an unprecedented speed. Work has become more technology-enabled with AI, while employee expectations around fairness, well-being and trust continue to rise. For HR leaders, the challenge is navigating these changes in a way that strengthens care teams, without losing human judgment or accountability.

Against this backdrop, here are the HR trends that will matter most for health care in 2026. Use them to guide your HR strategy as you respond to related developments throughout the year.

Skills-focused workforce planning

Persistent staffing shortages and evolving care models are pushing HR teams in the health-care sector to rethink how roles are defined and filled. In 2026, job titles alone often fail to reflect how work gets done as telehealth, team-based care and AI-assisted tools impact responsibilities.

As a result, some organizations are shifting toward skills-focused workforce planning, prioritizing specific competencies in hiring and development over rigid job titles. This approach provides greater talent flexibility and better aligns workforce capabilities with patient demand.

This adjustment is not without its challenges, however. ADP’s 2025 HR trends study found that about 65% of midsized and large employers report difficulty providing meaningful skills development, even as 84% expect AI to streamline work without replacing people.

Responsible AI adoption

AI continues to play a large role in the health-care industry, particularly in scheduling, recruiting and workforce analytics. When used well, these tools can help teams respond more quickly to staffing needs and reduce administrative burden. In a regulated industry like health care, however, responsible adoption is essential.

AI-generated recommendations must be reviewed in context, with human oversight, to ensure decisions reflect clinical realities, patient safety and fair employment practices. Efficiency matters, but not at the expense of trust or care quality.

Workforce well-being

Burnout continues to affect health-care workers, driving turnover and compounding staffing pressures. As a result, HR leaders are increasingly focused on holistic well-being strategies that address mental, physical and financial stressors. That includes providing access to meaningful workplace benefits.

Providing holistic well-being support is easier said than done, however. ADP’s 2025 HR trends study found that roughly 90% of organizations say they feel responsible for employee well-being, yet many lack confidence in delivering the right support.

AI in employment decisions

The growing use of AI in HR is raising new compliance questions around hiring, promotions and workforce analytics. Emerging regulations are placing greater emphasis on transparency, accountability and fairness, including new state requirements that limit certain AI uses in employment decisions — for example, those that could result in employment discrimination under state civil rights law.

When HR teams use AI in health-care contexts, each use must align with regulatory expectations and ethical standards. Examples include providing safeguards to prevent unintended bias against protected characteristics, such as race, gender, age or disability, while practices such as bias audits and human review are essential when AI influences employment decisions.

Pay transparency and benefits compliance

Pay transparency and benefits requirements continue to expand across jurisdictions, including new European Union (EU) rules taking effect in mid-2026 that require salary-range disclosures and gender-neutral pay criteria, as well as new pay transparency laws emerging in states such as Massachusetts and Delaware.

For health-care employers operating across multiple regions, these changes add complexity around pay equity, protected leave and the taxation of wages and benefits.

To adapt, health-care teams need consistent pay practices, accurate records and close coordination across HR, payroll and legal. These efforts not only reduce compliance risk but also reinforce employee trust by supporting fairness and transparency in compensation and benefits practices.

AI governance

AI governance has become a core responsibility for HR leaders working in health care. It’s not enough to deploy tools within an organization and assume they will perform as intended. HR teams must monitor how AI is used, review outcomes for fairness and accuracy and ensure decisions remain compliant with changing regulations. Clear governance frameworks can help ensure HR technology supports ethical, consistent workforce decisions rather than introducing new risk.

HR technology integration

HR technology integration remains a persistent challenge in the health-care field. Systems supporting credentialing, payroll scheduling and employee access often span HR, IT and operations. When these systems are aligned, organizations can reduce errors and create a smoother employee experience. When they are not, inefficiencies and compliance gaps quickly emerge. As technology ecosystems grow more complex, coordination across teams becomes essential.

Automation with oversight

Automation can reduce administrative burden across HR functions, from onboarding workflows to timekeeping and benefits administration. In health care, however, automation must be applied carefully.

Repetitive tasks can be streamlined, but decisions that affect patient care or clinical staffing require human judgment. The most effective approaches use automation to support HR teams, without replacing accountability.

Balancing innovation and judgment

One theme cuts across every major HR trend in health care: balance. New tools and technologies are reshaping how work gets done, but human judgment remains essential. In 2026, the most effective organizations will combine innovation with a clear understanding of workforce realities and regulatory expectations.

For more insights on the HR trends shaping 2026, download ADP’s 2026 HR trends guidebook.