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

• Tracking The Upswing
• CMS To Launch Medicare ‘App Library’ For Interoperable Digital Health Care Tools
• HRSA Announces $135 Million In Funding To Expand Nutrition Services & Strengthen Rural Health Workforce, Including Psychiatry
• Inovalon & AlayaCareLaunch Integration Linking ScriptMed & Nursing Management Platforms
• A Home For The Whole Person 
• ACO REACH Model List Of Performance Year 2026 Participants
• Shared Savings Program Fast Facts – As Of January 1, 2026
• CMS List Of First Wave Of Health Tech Ecosystem Pledge Companies
• Utah Medicaid Audit Finds About Half Of $1 Billion In Nursing Facility Payments Retained As Administrative Fees
• Making Something Big Happen
• Rural Health Care Leaders Cite Funding & Capacity Constraints As Barriers To Expanding Services
• MedArrive Acquires Key Assets From Inbound Health To Expand Home Care Operations Platform
• Function Acquires Getlabs, Bringing Health Care Directly To The Consumer
• Bain Capital & Evergreen Medical Properties Acquire Portfolio Of Six Medical Outpatient Facilities In The Atlanta Metropolitan Area
• The QHIN Advantage

See All

Maryland Expands Advanced Primary Care To Medicare & Medicaid Members

On January 21, 2026, the Maryland Department of Health announced that the state expanded its advanced primary care delivery system to cover approximately 1.2 million residents enrolled in Medicare and Medicaid. The expansion, which took effect January 1, aims to improve preventive care and reduce unnecessary hospital visits by focusing on coordinated care and addressing social determinants of health. The state now operates three advanced primary care programs designed to give care teams more time… Read

• NCQA Seeks Health Centers For HRSA-Funded PCMH Recognition & Behavioral Health Integration Program
• Society For Digital Mental Health Opens Registration For ‘Future Forward—Navigating Change In Digital Mental Health’ Conference In June 2026
• Medicaid Upper Payment Limit Supplement For Skilled Nursing Facilities Audit Report For The Period July 1, 2016 Through June 30, 2024
• Athenahealth Names Relatient As Preferred Solution Partner For Intelligent Scheduling
• Regen Therapy Partners With Stealth Health To Bring Specialized Telemedicine Services & Longevity Programs To 3,000 Clinics

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