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

• Becoming Highly Reliable
• Michigan v. BCBS of Michigan
• Verified Complaint For Declaratory & Injunctive Relief
• Shields Health Solutions Brings Clinical Teams & AI Together To Deliver Connected Performance Across The Specialty Care Continuum
• Spring Health Opens ‘VERA-MH Harm-From-Others’ Safety Rubric For Public Comment
• Illinois Announces More Frequent Medicaid Provider Organization Revalidation
• San José, California Launches Pilot Connecting People In Crisis With Care
• Rightway Raises $155 Million As It Leads The Next Generation Of Pharmacy Benefits
• Colorado Awards Nearly $170 Million To Rural Health Care Provider Organizations
• 2027 Part C & D Star Ratings Technical Notes
• Transparency in Coverage: Final Rule
• The Trump Administration Announces $209 Million To Expand Advanced Medical Care, Maternal Telehealth & Cancer Prevention Across Rural Iowa
• Juno Health & SlicedHealth Partner To Deliver Comprehensive Revenue Optimization For Rural & Critical Access Hospitals
• From Certainty To Clarity: Best Of The 2026 OPEN MINDS Health & Human Services Workforce Best Practices Summit
• Physician Compensation Growth Outpaces Productivity Gains In 2026

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Digital Health Startups Raised $7.4 Billion In The First Half Of 2026, Up 15% Over 2025

Venture funding for digital health rose by 15% in the first half of 2026 to $7.4 billion. This was an increase of 15% over the same period in 2025, which totaled $6.4 billion. The number of investment deals was nearly the same, at 244 in the first half of 2026 compared with 245 during the same period in 2025. The size of the deals shifted toward larger investments. Mega deals, defined as financings of $100… Read

• CMS Fact Sheet On 2027 Medicare Advantage, Part D Landscape, By State
• CMS Projects Over 16% Drop In Medicare Advantage Premiums For The 2027 Plan Year
• Business Groups Sue To Block New Jersey Law Penalizing Employers Whose Workers Receive Medicaid
• Health Care Sector Projected To Account For 37% Of New US Jobs Created Through 2035
• Florida Medicaid ABA Payment Rate Challenge Moves Forward After Judge Rejects State’s Dismissal Request

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