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.
Editor’s Picks
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Medicare Ends Part D Premium Subsidy Program
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Delaware Enacts Moratorium On For-Profit Acquisition Or Control Of Non-Profit Acute Care Hospitals
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Kentucky Governor Reverses Planned 4% Medicaid Rate Cut Using $255 Million In State Surplus
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Health Care Professionals Report Increased Trust In Payers & Digital Tool Benefits
Latest Resources
- Health Savings Account Balances Grow But Only 18% Invest Their Funds
- CMS Proposes Public Accuracy Scores For Medicare Advantage Provider Organization Directories Starting In 2029
- Poor Workforce Health Costs U.S. Economy $2.33 Trillion Annually
- INTEGRIS Health, Oklahoma’s Largest Non-Profit Health System, To Become Risant Health’s Third Member
- Workers’ Share Of Family Health Insurance Premiums Rises 9% In 2026
- Uninsured Rate Among Working-Age Adults Climbs To 11.2%
- Senior Housing Unit Demand Outpaces New Supply
- UnityPoint Health Selects Omega Healthcare As Strategic Partner To Advance Revenue Cycle Transformation
- A Game Of Cat & Mouse
- Montana To Receive $3.63 Million In Federal Funding To Expand Rural EMS & Bring More Care Directly To Consumers Across The State
- Emplify Health & Pearl Health Partner To Expand Accountable Care Across The Upper Midwest
- Health Foundation of South Florida Invests $225,000 To Establish Overtown Youth Center As A Community Health Access Hub
- West Tennessee Healthcare Expands Critical Care Support Through EICU Program In Partnership With Philips & Hellocare.ai
- Making Those AI Decisions Work
- Where Are You On The AI Map?Â
- Rural Health Care Organization In Indiana, Parkview Health, To Acquire Shared Services Provider Ovation Healthcare
- Otter Health Launches With $8 Million To Build A New Era Of Utilization & Quality Management Beyond Prior Authorization
- New Mexico Awarded $74 Million In Federal Funding To Expand Rural Specialty, Maternal & Behavioral Health Care
- Rutgers & RWJBarnabas Health To Launch Innovation Hub, Powered By Amazon Web Services
- Ochsner Health Partners With Joy 101 To Strengthen Workforce Well-Being & Culture
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Government Contract Award Announcements
- Texas’ Kendall County Awards Inmate Health Care Services Contract To Southern Health Partners, Inc.
- Alaska Awards Mental Health Trust Authority Home & Community-Based Services Innovation & Reform Contract To HCBS Strategies, Inc.
- Virginia Awards Mobile Crisis Response Training Services Contract To Sargad, LLC
- Nebraska Awards Tobacco Quitline Services Contract To Consumer Wellness Solutions, Inc.
- Ohio’s Lucas County Awards Comprehensive Health Care Services For Incarcerated Individuals Contract To Armor Health Of Lucas County, LLC
