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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Health Care Sector Bankruptcies Increase 84% Between 2021 & 2022
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Health Care Industry Mergers & Acquisitions Projected To Increase In 2023
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Governments Worldwide Urged To Invest In Health Care Interoperability
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19% Of Health Care Provider Organization Reimbursements In 2021 Were Through Contracts With Downside Financial Risk
22 States File Petition For CMS To Repeal COVID-19 Vaccine Mandate For Health Care Workers
On November 17, 2022, the Montana Attorney General joined by attorneys general from 21 other states filed a petition to ask the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) to repeal rules requiring health care facilities to ensure that all staff are vaccinated against coronavirus… Read
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- Reaching In
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Government Contract Bidding Opportunities
- Tennessee Seeks ASO Medical Administration
- Michigan Seeks Medical and/or Prescription Drug Administration Services
- Pennsylvania Seeks Community HealthChoices Services
- Oklahoma Seeks Medicare Advantage Plan Services
Government Contract Award Announcements
- West Virginia Awards Specialized Managed Care for Children and Youth Contract to Coventry Health Care of West Virginia, Inc.
- Alabama Awards Comprehensive Inmate Health Services Contract to YesCare Corporation
- California's San Diego County Awards Three Workers Compensation Managed Care Services Contracts
- Massachusetts Awards 20 Behavioral Health and Long-Term Services and Supports Community Partners Program Contracts
