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

• Brookdale Community College Partners With New Jersey’s First Charitable Pharmacy To Support Student Health
• The Global Health Care Workforce Has A 34 Million Worker Shortage
• Alaska Awarded $160 Million In Federal Funding To Add Cutting-Edge Technology To Its Rural Health Transformation Program
• Baystate Health & Trinity Health Of New England Sign Definitive Agreement To Integrate Mercy Medical Center & Strengthen Regional Care
• U.S.-Born Medical Graduates Highest Proportion In Hospice & Palliative Medicine, Gastroenterology Internal Medicine Subspecialties
• Switchboard Health Acquires Livara Health To Integrate Value-Based Musculoskeletal Care
• Conscientia Health Launches Virtual Primary Care Services Integrating Mental & Physical Care
• Health Net Awards $900,000 Grant To Pear Suite To Assist Medi-Cal Members Through California Community Health Workers & Doulas
• Marvin AI Announces Two Landmark Partnerships, Bringing Health Care Professional Mental Health Support To 45,000+ Provider Organizations Across 10 States
• California & Illinois Have Largest Dollar Exposure To New Medicaid Hospital State-Directed Payment Limits
• Clinical Results Need Financial Innovation
• Xpress Wellness Transitions To Integrity Care Group; Current & Future Clinics Assume Integrity Name
• Careviso Releases Real-Time Pharmacy Benefit Feature Within SeeQer
• U.S. Employer Health Care Costs Projected To Increase 9.5%, Exceeding $19,000 Per Employee In 2027
• Providence Health Plan To Exit Most Health Insurance Business Lines Starting In 2027

See All

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

• New Verana Health AI Agent Boosts Efficiency & Compliance In MIPS Submissions
• TransformativeMed Partners With Red Rover Health To Bring Agentic AI Across Clinical Workflows
• Maven Clinic & Wellthy Partner To Deliver A Unified Family Care Platform For Employers
• Intrinsic Capacity Framework For Geroscience & Healthspan Trials: A Consensus
• HHS To Add 415 Health Center Sites Later This Year

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