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

• Home Health Agencies Offering Telehealth Use Decreased 19% Since COVID-19 Ended 
• Colorado House Bill 25-1213: Updates To Medicaid – Concerning Changes To The Medical Assistance Program
• Virta Health Launches Cost Guarantees For Its Weight Loss & Diabetes Reversal Program, Promising 0% GLP-1 Utilization Trend & Guaranteed Weight Loss 
• Riding The Policy Rollercoaster
• MUSC Health’s Ovatient To Expand Its Virtual-First Primary, Urgent & Behavioral Health Care Services In South Carolina
• SoundHound AI & Allina Health Launch AI Agent To Redefine Consumer Engagement
• Real Time Medical Systems Launches New Value-Based Care Solution, Delivering Live Post-Acute Care Insights
• Improving The Revenue Game
• Advanced Practice Professionals Now Make Up 40.6% Of The Clinical Professional Workforce 
• Caduceus LAUNCH Selects Six Digital Health Startup Companies For Its Spring Accelerator Cohort
• Capital Rx Acquires Care Navigation Company Amino Health 
• HerMD Launches Virtual Care Platform, Expanding Access To Specialized Women’s Health Care 
• Talkspace Integrates With Amazon Pharmacy, Offering Psychiatry Services & A More Seamless Medication Management Experience 
• Vitable Health Becomes Nationwide Virtual Primary Care Partner For Apaly, Expanding Advanced Primary Care Access For Enterprise Employees
• Health Care Mergers & Acquisitions Fell Slightly In Q1 Of 2025 Against Q4 Of 2024

See All

Alaska To Support Practice Transformation To Integrate Primary & Behavioral Health

The Alaska Department of Health, Division of Behavioral Health (DBH) is planning to help three primary care provider organizations offer integrated mental health and addiction treatment services via the Collaborative Care Model (CoCM). The selected primary care provider organizations will be awarded grants of up to $270,000 each per year for a 4.5-year period to develop the staffing and systems needed to implement the CoCM. CoCM focuses on defined consumer populations who are tracked in… Read

• Health Care Utilization Among Medicaid Expansion Adults Is Higher Than For Other Adults 
• The FQHC Question
• Just Quit It
• Mercy & Humana Partner To Open 65 Prime+ Clinics In Missouri 
• Average Time To Schedule Physician Appointments Increased By 19% To 31 Days

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