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

• Sixty Years Later…
• Connecticut Awarded $50 Million To Optimize Care Delivery & Improve Rural Hospital Infrastructure
• What’s Keeping You Up At Night?
• Crushing Fraud 2026: CMS Facts & Figures, January 1, 2026 – June 30, 2026
• Final Rule: Statement Of Delegation Of Authority
• Remedy Specialty Network Launches, Uniting Four Core Business Units Under One Integrated Brand
• Rise Adolescent Treatment Center Opens In Las Vegas To Serve Youth Ages 12-17
• Ascension To Sell Its Stake In Arizona’s Mercy Care To Aetna
• HealtHIE Nevada & b.well Connected Health Launch HealthRecords Nevada To Bring Statewide Health Information Directly To Consumers
• Solving The Parity Puzzle
• Athenahealth Selects IScribeHealth As A Preferred Partner For Ambient Clinical Documentation
• Lundbeck Pharmaceutical To Establish Global Innovation Hub In Greater Boston, Massachusetts & Relocate U.S. Headquarters
• Assort Health Unveils ‘Referrals,’ An AI Agent That Handles Processing, Triage & Continuous Consumer Conversations For Every Referral
• Tampa General Hospital, Florida Deploys Whole Blood Drone Delivery Program
• Final Rule: Patient Protection & Affordable Care Act, HHS Notice Of Benefit & Payment Parameters For 2027 & Basic Health Program

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

• 71% Of Medicare Advantage Prescription Drug Plan Enrollees In Four- Or Five-Star Plans For 2027
• Nebraska Denies Medicaid Coverage To 1,090 Applicants & Beneficiaries Under New Work Requirements 
• Michigan Sues Blue Cross Blue Shield Over Alleged Anticompetitive Practices & Low Provider Reimbursement
• Rhode Island Seeks Up To Three Health Plans For Integrated Medicare & Medicaid Program
• Federal Rule Changes Health Plan Price Reporting From Monthly To Quarterly

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