Health Care System
The United States health care system encompasses a mixture of private and public entities that are either non-profit or for-profit. Health care coverage may be financed through federal and state government programs or can be purchased through the health insurance marketplace. In contrast, a smaller proportion of the U.S. population is uninsured. The resulting effects of a decentralized system has led to considerable challenges for provider organizations—including cost pressures, a push towards alternative payment models, and market consolidation. Despite these challenges, there are opportunities for provider organizations in reducing excess costs and utilization, particularly as payers look for innovative approaches that can demonstrate a return-on-investment in terms of cost and consumer outcomes.
Editor’s Picks
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Medicare Ends Part D Premium Subsidy Program
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Delaware Enacts Moratorium On For-Profit Acquisition Or Control Of Non-Profit Acute Care Hospitals
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Kentucky Governor Reverses Planned 4% Medicaid Rate Cut Using $255 Million In State Surplus
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Health Care Professionals Report Increased Trust In Payers & Digital Tool Benefits
Latest Resources
- Bureau Of Labor Statistics Employment Projections: 2025-2035 Summary
- Iris Telehealth Launches Integrated Women’s Behavioral Health Solution To Bring Proactive Support Into Women’s Health Journeys
- Arkansas Awarded $54 Million In Second Round Of Federal Rural Health Care Funding
- Relatient Expands Intelligent Scheduling To Behavioral Health, Helping Organizations Scale Consumer Access For High Demand
- OnMed, Jackson Health System & The Salvation Army Deploy OnMed CareStation To Extend Care Beyond Hospital Walls In Miami, Florida
- Embarq Health Integrates Cirventis Virtual-First Care Infrastructure
- Building Burnout-Proof Teams
- RazorMetrics Reports That Its Pharmacy Savings Strategies Reduced Costs For Its Tennessee Customers By More Than $12 Million
- CMS Removes 760,000 People From Marketplace Insurance Plans
- Medicaid Managed Care Enrollment Declined 5.5% Year-Over-Year In The Second Quarter Of 2026
- ChatGPT For Healthcare Integrated With Epic EHR
- Massachusetts Medicaid Seeks 1115 Waiver Extension Adding Hospital Incentives & Global Budgeting
- ARPA-H Selects UpDoc To Lead Development Of Autonomous Clinical AI System
- NovaOne Launches Next-Generation Platform Uniting Behavioral & Physical Health
- Positioned To Pivot?
- Century Health Raises $5 Million Seed Round As AI-Powered Platform Achieves 97% Accuracy In Clinical Data Abstraction
- Cityblock Health Partners With Humana In North Carolina To Support Nearly 20,000 Dual-Eligible & Medicare Advantage Members
- Hartford HealthCare & Vitea Partner To Advance Responsible AI Innovation Across Health Care
- Pillr Health Acquires CaptureRx, Expanding Pharmacy Solutions To More Health Care Organizations
- Pennsylvania-Based Multi-Cultural Health Evaluation Delivery System Chooses NextGen Healthcare EHR & Practice Management
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Government Contract Bidding Opportunities
- Hawaii Seeks Safe Spaces For Youth Program On Oahu
- Texas’ Harris County Seeks Substance Abuse Treatment Services & Other Cognitive, Criminogenic Interventions For Female Offenders In The Women Helping Ourselves Program
- Alaska Seeks Mental Health Deferred Maintenance & Accessibility Improvement Services
- Washington Seeks SS4A Safety Action Plan Services
Government Contract Award Announcements
- Texas’ Kendall County Awards Inmate Health Care Services Contract To Southern Health Partners, Inc.
- Alaska Awards Mental Health Trust Authority Home & Community-Based Services Innovation & Reform Contract To HCBS Strategies, Inc.
- Virginia Awards Mobile Crisis Response Training Services Contract To Sargad, LLC
- Nebraska Awards Tobacco Quitline Services Contract To Consumer Wellness Solutions, Inc.
- Ohio’s Lucas County Awards Comprehensive Health Care Services For Incarcerated Individuals Contract To Armor Health Of Lucas County, LLC

