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 organizationsāincluding 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.
Editor’s Picks
-
Two More States Announced For CMS AHEAD Model; Six In Total Participating
-
Nearly 1.5 Million Part D Enrollees Reached Out-of-Pocket Limit By June 2024
-
Four States Approved To Allow Medicaid Coverage For Traditional Health Care Practices
-
Small, Private For-Profit Hospitals Had Lowest Rate Of Health Care-Associated Infections
Latest Resources
- Health Care Mergers & Acquisitions Fell Slightly In Q1 Of 2025 Against Q4 Of 2024
- Health Care Utilization Among Medicaid Expansion Adults Is Higher Than For Other AdultsĀ
- The FQHC Question
- Just Quit It
- Mercy & Humana Partner To Open 65 Prime+ Clinics In MissouriĀ
- Capital Rx Acquires Care Navigation Company Amino HealthĀ
- Average Time To Schedule Physician Appointment Increases 19% To 31 Days
- A Clinical Pharmacist-Led Transition Of Care Intervention In The Emergency Department Reduced Subsequent Medication-Related Events More Than Usual Care
- Caduceus LAUNCH Selects Six Digital Health Startup Companies For Its Spring Accelerator Cohort
- Leveraging AI For Short Term Advantage & Long-Term Strategy: A Discussion With Ravi Ganesan, CEO & Founder, Core Solutions
- NextGen Healthcare Welcomes Madison Dearborn Partners As New Investment Partner With Significant Ownership Stake
- DispatchHealth & Medically Home Close Merger, Creating A National Platform For Complex Care At Home
- UnityPoint Health To Acquire MercyOne Siouxland Medical Center In Iowa
- Four Health Systems Invest $8 Million In Rad AI, Planning To Advance Their Use Of Enterprise AI For Radiology Workflows
- Aveanna Healthcare Holdings Completes Acquisition Of Thrive Skilled Pediatric Care

- Owens & Minor & Rotech Healthcare Terminate Previously Announced $1.36 Billion Acquisition
- Surfing The Innovation Adoption Wave
- Innovation Adoption Among Specialty Care & Primary Care Provider Organizations: The Results Of The 2025 OPEN MINDS Innovation Adoption Survey
- Koda Health & Medical Home Network Partner To Expand Access To Advance Care Planning Tools For Federally Qualified Health Centers
- 6,468 Personal Health Information Data Breaches Exposing More Than 732 Million Records Occurred From 2009 & 2024
To sign-up for monthly Health Care System alerts, you must be signed in to your account.
Government Contract Award Announcements
- Delaware’s New Castle County Awards Off-Site Program Services For 18-20 Year Olds With Disabilities Contract To Opportunity Center, Inc.
- Nevada Awards Staff Wellness Program Curriculum & Mobile App Services Contract To EmbGro
- Hawaii Awards Legal Advocacy, Outreach & Referral Services To Protect The Rights Of Children & Their Families Contract To Legal Aid Society Of Hawaii
- Colorado Awards SafeCare Colorado Expansion Services Contract To All American Families dba Families Plus
- California Awards Preadmission Screening & Resident Review (PASRR) Level II Evaluation Services Contract To Keystone Peer Review Organization, LLC dba Acentra Health