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.


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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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