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

• Positioned To Pivot?
• Century Health Raises $5 Million Seed Round As AI-Powered Platform Achieves 97% Accuracy In Clinical Data Abstraction
• Cityblock Health Partners With Humana In North Carolina To Support Nearly 20,000 Dual-Eligible & Medicare Advantage Members
• Hartford HealthCare & Vitea Partner To Advance Responsible AI Innovation Across Health Care
• Pillr Health Acquires CaptureRx, Expanding Pharmacy Solutions To More Health Care Organizations
• Pennsylvania-Based Multi-Cultural Health Evaluation Delivery System Chooses NextGen Healthcare EHR & Practice Management
• The Integration Buffet
• Safety In Crisis
• OffPlan Launches For Individuals, Families & Employers, Bringing Unlimited Direct Primary Care To Three States
• Walmart & SCAN Plan Medicare Advantage Launch In Two States
• Medicare Launches ACCESS Model; Outcome-Based Payments For Technology-Enabled Care Includes Depression, SUD & Nicotine Addiction
• Health Care Providers Remain Unpaid For ICE & CBP Detainee Care Since October 2025
• Aurora Health Care Investing Nearly $50 Million In Milwaukee Health & Social Services Hub
• Five Blue Cross Blue Shield State Plans Are Downcoding & Reducing Payments For Evaluation & Management Claims
• Jumping The Workforce Gap

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Digital Health Startups Raised $7.4 Billion In The First Half Of 2026, Up 15% Over 2025

Venture funding for digital health rose by 15% in the first half of 2026 to $7.4 billion. This was an increase of 15% over the same period in 2025, which totaled $6.4 billion. The number of investment deals was nearly the same, at 244 in the first half of 2026 compared with 245 during the same period in 2025. The size of the deals shifted toward larger investments. Mega deals, defined as financings of $100… Read

• Sentara Health Selects GW RhythmX To Pilot AI For Primary Care Clinical Decision Support & Coordination
• Viome Acquires Circulate Health, Closing the Loop Between Early Chronic Disease Diagnostics, Precision Nutrition & Treatment
• Risepoint Acquires Keypath Education’s North American Operations To Expand Online Health Care Education & Clinical Placement Services
• Patient Protection & Affordable Care Act; Temporary Moratoria On Certain Agent & Broker Registration To Participate In The Exchanges
• Are You Ready For Your Diamond?

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