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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Two More States Announced For CMS AHEAD Model; Six In Total Participating
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Nearly 1.5 Million Part D Enrollees Reached Out-of-Pocket Limit By June 2024
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Four States Approved To Allow Medicaid Coverage For Traditional Health Care Practices
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Small, Private For-Profit Hospitals Had Lowest Rate Of Health Care-Associated Infections
Latest Resources
- 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 Reported To Feds Between 2009 & 2024
- Are Middle Managers Your Change Agents?
- The Medicaid Question
- NYC Health + Hospitals Launches Workforce Development Program For Behavioral Health Nurses
- Medicare ACOs Not More Effective Than Traditional Medicare At Helping Beneficiaries With Dementia Avoid Unwanted Care At The End Of Life

- Care Career, Inc. Acquires Four Health Care Staffing Firms
- Virtual Physical Therapy Platform Hinge Health Becomes A Publicly Traded Company
- VirtuAlly & Teledigm Health Partner To Bring Virtual Nursing To Rural Health Care Systems
- Seattle Children’s Hospital Partners With Google Cloud To Launch AI Agent To Support Clinical Decision-Making
- Crisis Preparation & Recovery, Inc. Closes Outpatient Division
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Government Contract Award Announcements
- 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
- New Jersey’s Passaic County Awards Alternative Responses To Reduce Instances Of Violence & Escalation (ARRIVE) Together Critical Incident Model Services Contract To St. Joseph’s Health, Inc. dba St. Joseph’s University Medical Center, Inc.