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
- Counties With Lowest Access To Broadband Internet Also Have Lowest Access To In-County Mental Health Care
- Children With Special Health Care Needs At Higher Risk Of Being Underinsured
- Cigna To Sell Its Medicare Advantage Business To Health Care Service Corporation For $3.3 Billion
- Wyoming Department Of Education Contracts With Care Solace To Launch Free Student Mental Health Care Coordination Program
Latest Resources
- Ascension Sells Three Northern Michigan Hospitals
- Netsmart Launches Netsmart Marketplace With Interoperability & Integration Offerings
- Mergers & Financial Sustainability: The Cornerstone Montgomery Case Study
- Dana-Farber Cancer Institute Launches Neuro-Inclusive Program That Integrates Palliative & Behavioral Health Care
- Contract Awards Change The Florida Medicaid MCO Landscape
- UCI Health Acquires Four Hospitals From Tenet Healthcare
- Walgreens Plans To Close More VillageMD Locations
- Family Hospital System Closes Two Nebraska Hospitals
- Oregon Adopts Legislation On ‘Physician Associate’ Title
- Oklahoma Seeks TRICARE Services
- Montana, South Dakota & Nebraska Have Best Business Environments For Physicians
- Colorado Medicaid eConsult – FAQ
- Private Payers Deny 15% Of Medical Claims, Even Some That Were Pre-Approved
- 25% Of Health Care Provider Organizations Plan To Deploy Generative AI To Enhance Consumer Engagement
- Praia Health Raises $20 Million, Spins Out From Providence
- 21.4 Million People Enrolled In 2024 ACA Plans
- National Telehealth Utilization Averaged 5% Of Claims In January
- Colorado Medicaid Launches eConsult Platform To Improve Access To Specialty Care Advice For Primary Care Professionals
- Health Coverage Under The Affordable Care Act: Current Enrollment Trends & State Estimates
- OptumCare To Acquire Provider Group Steward Medical
Government Contract Award Announcements
- Hawaii Awards Positive Youth Development & Capacity Building Coordinator Services Contract To Hilopa’a Family To Family, Inc.
- Colorado’s Adams County Awards Temporary Respite Housing Services Contract To HomeTowne Studios
- Nevada Awards E-Solution Services For The WIC Farmers Market Nutrition Program Contract To SoliSYSTEMS, LLC
- California’s Orange County Awards WIOA One-Stop Operator Services Contract To America Works Of California, Inc.
- Nevada Does Not Award Efficiency Assessment Services Contract