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

• Kipu Health Acquires Team Recovery Technologies To Expand Consumer Engagement Capabilities & Complete Behavioral Health Platform
• Millions Of Workers, Including Many Employed By Large Employers, Continue To Rely On Medicaid & SNAP
• Health Care Professionals Report Increased Trust In Payers & Digital Tool Benefits
• West Virginia, Vermont Have Highest Health Insurance Premium Burden Relative To Median Income
• Legara, Inc. Launches Behavioral Health Workforce Platform For FQHCs To Reduce Psychiatric Wait Times
• Alliance Health Introduces New Web-Based Consumer Health Information Platform Powered By WebMD Ignite
• The Special Education Target
• Delayed Hospital Discharge More Than Four Times Higher Among Those Experiencing Homelessness
• HHS Defers More Than $1 Billion in Medicaid Payments To California & Minnesota Pending Review Of High-Risk Claims For Fraud
• WashU Announces New Academic-Industry Neuroscience Collaboration With Bristol Myers Squibb
• Dimer Health Raises $13.5 Million For Health Care Professional-Led AI Post-Discharge Care Model Expansion
• Colorado Medicaid Cuts Rates By 2%, Changes Behavioral Health Safety Net Reimbursement Model
• Colorado House Bill 26-1410: 2026-27 Long Appropriations Bill
• Colorado Medicaid Provider Rate Reductions 
• Mindoula Expands Whole Person Care Enablement Platform Through Strategic Acquisitions Of Valera Health & Janus Healthcare Partners

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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

• CMS Deferral Letter To California Medicaid Program Citing Program Integrity Concerns
• UnitedHealthcare Unveils Employer-Sponsored Lifestyle Spending Accounts With Digital Storefront
• Sweeping Back The Tide
• New Jersey Becomes 20th State To Join The Physician Assistant Licensure Compact
• Maven Clinic Introduces Maven Intelligence, An AI-Powered Care Management System For Women’s & Family Health

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