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

• Blue Cross Blue Shield Of Massachusetts Works With Gemini Health To Lower Prescription Drug Costs
• The CareBridge Group Announces $91 Million Grant To Launch The ‘Community Access Coalition’ To Address Social Determinants Of Health & Reduce Medical Debt Across Florida
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• Occupational Outlook Handbook: Healthcare Occupations
• Timely & Effective Care – State
• Medicare Advantage Organizations Overturned Nearly All Appealed Prior Authorization Denials For Skilled Nursing Facility Admission, Raising Concerns About Initial Denials
• Levrx Adds A New Feature To Manage Specialty Medications Across Pharmacies, Programs & Vendors
• Bluesight Partners with GraphiteRx & Mark Cuban Cost Plus Drugs To Expand Access To Cost-Saving Medication Sources
• Guideway Care Acquires Waypoint Healthcare Solutions To Expand Enterprise Consumer Activation Intelligence Solution
• Arizona Sues MultiPlan & 8 Insurers Over Alleged Out-Of-Network Reimbursement Price-Fixing Scheme
• GoHealth Medicare & Health Insurance Broker Files Chapter 11 Bankruptcy
• New York Governor Hochul Announces Completion Of $54 Million Supportive Housing Development On Manhattan’s Lower East Side
• Protera Health Partners With SSM Health At Work To Expand Access To Digital Musculoskeletal Care For Employer Clients
• Encompass Health Rehabilitation Hospital Of Irmo Now Open In South Carolina
• Arizona v. MultiPlan, Inc., et al.

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North Carolina Selects Five Regional Hub Leads For $1 Billion Rural Health Transformation Program

The North Carolina Department of Health and Human Services (NCDHHS) selected five organizations to serve as regional hub leads for the state’s Rural Health Transformation Program (RHTP). The selected organizations are Impact Health, Trillium Health Resources, Vaya Health, University of North Carolina Hospitals, and Access East. NCDHHS announced the selections on May 1, 2026, and expects to finalize the awards by June 1, 2026. The contracts are expected to run for five years. The organizations… Read

• RWJBarnabas Health Announces Partnership With Union County, New Jersey To Launch Mobile Pediatric Unit, Community Health Clinics
• MIT-Royalty Pharma Faculty Founder Initiative Supports Biotech Innovators
• Three States Plan To Implement Medicaid Work Requirements Before January 2027 Federal Deadline
• High-Deductible Health Plans Linked To Reduced Buprenorphine Use Among Adults With OUD
• Monigle Names The Most Trusted & Compassionate Health Care Brands

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