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.

Latest Resources

• Photon Raises $16 Million To Expand Prescription Management Platform
• AssureCare & Pillr Health Partner On Specialty Pharmacy Management Platform
• Commonwealth Of Pennsylvania Department Of State, State Board Of Medicine v. Character Technologies, Inc.
• Sanford Health & North Memorial Health Agree To Merge In Minnesota
• CMS Launches $50 GLP-1 Medication Demonstration Program For Medicare Beneficiaries
• Nebraska DHHS Launches Financial Incentive Program For Rural Health Care Workforce
• Basata Raises $21 Million To Expand AI-Based Referral & Scheduling Platform
• Breaking Down Silos: How One State Achieved 98% Faster Referral Response With Integrated Data & Coordination Tools
• New Coverage Pathway To Speed Medicare Beneficiary Access To Breakthrough Medical Devices
• LifeSkills, Inc. Rebrands As CAYA Collaborative Care Following Pennyroyal Center Merger
• Cross Country Healthcare To Be Acquired By Knox Lane In $437 Million Transaction
• UPMC To Acquire Trinity Health System From CommonSpirit, Expand Into Ohio
• Cobb County, Georgia Partners With Vera Whole Health For Employee Primary Care Services
• CMS Directs States To Expedite Revalidation Of High-Risk Medicaid Provider Organizations
• North Carolina Selects Five Regional Hub Leads For $1 Billion Rural Health Transformation Program

See All

Maryland Expands Advanced Primary Care To Medicare & Medicaid Members

On January 21, 2026, the Maryland Department of Health announced that the state expanded its advanced primary care delivery system to cover approximately 1.2 million residents enrolled in Medicare and Medicaid. The expansion, which took effect January 1, aims to improve preventive care and reduce unnecessary hospital visits by focusing on coordinated care and addressing social determinants of health. The state now operates three advanced primary care programs designed to give care teams more time… Read

• The MolinaCares Accord Awards $256,000 To Idaho Community Organizations
• Crafting Crisis
• 15% Of Employees Spend Up To $1,500 Out-Of-Pocket For Health & Wellness Apps
• Hospital RN Turnover Reaches 17.6%, With Average Replacement Cost Exceeding $60,000 Per Nurse
• Community Health Systems Completes Sale Of Three Pennsylvania Hospitals To Tenor Health Foundation

To sign-up for monthly Health Care System alerts, you must be signed in to your account.