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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Two More States Announced For CMS AHEAD Model; Six In Total Participating
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Nearly 1.5 Million Part D Enrollees Reached Out-of-Pocket Limit By June 2024
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Four States Approved To Allow Medicaid Coverage For Traditional Health Care Practices
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Small, Private For-Profit Hospitals Had Lowest Rate Of Health Care-Associated Infections
Latest Resources
- Concentration Of Healthcare Expenditures & Selected Characteristics Of People With High Expenses, United States Civilian Noninstitutionalized Population, 2018-2022
- Behavioral Health Software Provider Dazos Raises $25 Million From Radian Capital
- Northwell Health & Nuvance Health Complete Merger To Become A $23 Billion, 28-Hospital System
- Guardian Pharmacy Services Opens New Long-Term Care Pharmacy Location In Columbus, Ohio
- Jennie Stuart Health To Join Deaconess Health Kentucky
- The National Behavioral Health Association Of Providers Selects Verifyle As Partner To Improve Data Security
- Community Health Systems To Sell Ownership Interest In Cedar Park Regional Medical Center In Texas To Ascension Health
- Let Food Be Thy Medicine
- Duke University Spin-Out Pluto Health Now Qualified As Tennessee Medicaid Provider Organization
- Court Orders Florida Medicaid To Update Its FQHC Reimbursement Formula To Accommodate A Broader View Of Scope Expansion
- Family Health Centers Of Southwest Florida v. Florida Agency For Health Care Administration
- DeliverHealth & Google Cloud Partner To Offer AI For Comprehensive & Accurate Clinical Documentation Solutions
- CMS Suspends Eight MIPS Improvement Activities For 2025
- Ontrak Health Launches WholeHealth+ Solution For Intermountain Health In Nevada
- Just 34% Of All Hospital/Health System Initiatives Used An EHR To Collect SDOH Data

- Amerigroup DC Launches Medicaid Value-Based Agreement With DC Connected Care Network
- Voice AI Agent, Zo by Zocdoc, Launched To Streamline Bookings By Phone
- Average Hourly Wage For Physician Assistants Is Lowest In Arkansas & Highest In California
- hellocare.ai Raises $47 Million To Accelerate AI-Assisted Virtual Care & Transform Hospital Rooms Into Smart, Connected Care Environments
- Ohio High Value Network Launches With 26 Rural Hospitals
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Government Contract Bidding Opportunities
- Louisiana Seeks Group Home In Region 2 For Adult Males With Severe & Persistent Mental Illness
- South Carolina’s Laurens County Seeks Detention Center Food Service Program
- Texas Seeks Software, Subscriptions & Web-Based Application Services
- South Carolina’s Georgetown County Seeks Educational Consultation Services
Government Contract Award Announcements
- Nevada Awards Staff Wellness Program Curriculum & Mobile App Services Contract To EmbGro
- Hawaii Awards Legal Advocacy, Outreach & Referral Services To Protect The Rights Of Children & Their Families Contract To Legal Aid Society Of Hawaii
- Colorado Awards SafeCare Colorado Expansion Services Contract To All American Families dba Families Plus
- California Awards Preadmission Screening & Resident Review (PASRR) Level II Evaluation Services Contract To Keystone Peer Review Organization, LLC dba Acentra Health
- New Jersey’s Passaic County Awards Alternative Responses To Reduce Instances Of Violence & Escalation (ARRIVE) Together Critical Incident Model Services Contract To St. Joseph’s Health, Inc. dba St. Joseph’s University Medical Center, Inc.