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
- Are Middle Managers Your Change Agents?
- DispatchHealth & Medically Home Close Merger, Creating A National Platform For Complex Care At Home
- NextGen Healthcare Welcomes Madison Dearborn Partners As New Investment Partner With Significant Ownership Stake
- Owens & Minor & Rotech Healthcare Terminate Previously Announced $1.36 Billion Acquisition
- Aveanna Healthcare Holdings Completes Acquisition Of Thrive Skilled Pediatric Care
- Four Health Systems Invest $8 Million In Rad AI, Planning To Advance Their Use Of Enterprise AI For Radiology Workflows
- The Medicaid Question
- NYC Health + Hospitals Launches Workforce Development Program For Behavioral Health Nurses
- For Medicare Beneficiaries With Dementia, ACO Participation Had No Impact On End-Of-Life Care Processes, Outcomes & Health Spending
- UnityPoint Health To Acquire MercyOne Siouxland Medical Center In Iowa
- Care Career, Inc. Acquires Four Health Care Staffing Firms
- Virtual Physical Therapy Platform Hinge Health Becomes A Publicly Traded Company
- VirtuAlly & Teledigm Health Partner To Bring Virtual Nursing To Rural Health Care Systems
- Seattle Children’s Hospital Partners With Google Cloud To Launch AI Agent To Support Clinical Decision-Making
- Crisis Preparation & Recovery, Inc. Closes Outpatient Division

- Curative Health Insurance Company Launches Curative Telehealth, Offering Members Free Virtual Care
- Medicare Accountable Care Organizations Generated From $4.1 Billion To $8.1 Billion In Savings Between 2012 & 2019
- Nearly Half Of All Health Care Spending In 2022 Was For 5% Of The Population
- Concentration Of Healthcare Expenditures & Selected Characteristics Of People With High Expenses, United States Civilian Noninstitutionalized Population, 2018-2022
- Women’s Health Company O Positiv Health Launches Nationwide At Walmart
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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.