United States healthcare system

E274455

The United States healthcare system is a complex mix of public and private providers, insurers, and regulators that delivers medical care through a largely market-based structure with significant variations in access, cost, and quality.

All labels observed (5)

How this entity was disambiguated

Statements (91)

Predicate Object
instanceOf healthcare system
comparedWith other OECD healthcare systems
country United States of America
surface form: United States
facesIssue aging population pressures
chronic disease burden
mental health access challenges
rising healthcare costs
rural healthcare access challenges
financedBy employers
Federal government
surface form: federal government

households
local governments
state governments
governedBy Centers for Medicare & Medicaid Services
United States Department of Health and Human Services
surface form: Department of Health and Human Services

state departments of health
hasCharacteristic complex regulatory environment
employer-sponsored insurance dominance for working-age population
fee-for-service dominance historically
fragmented delivery system
fragmented financing
growing role of managed care
high administrative costs
high healthcare expenditure per capita
high prices for medical services
high prices for prescription drugs
high total healthcare expenditure as share of GDP
important role of public insurance programs
limited price regulation in many sectors
limited universal coverage mechanisms
market-based structure
mixed public and private system
network-based access restrictions in many plans
ongoing policy debate over cost control
ongoing policy debate over role of government
ongoing policy debate over universal coverage
relatively weak primary care orientation compared to some OECD countries
reliance on emergency departments for some uncompensated care
reliance on tax subsidies for employer coverage
significant geographic variation in outcomes
significant geographic variation in spending
significant geographic variation in utilization
significant health disparities by race and income
significant role of malpractice liability system
significant uninsured population historically
significant variation in access
significant variation in cost
significant variation in quality
specialist-oriented care pattern
strong role of for-profit providers
strong role of nonprofit providers
strong role of private health insurance
underinsured population
use of cost-sharing such as deductibles and copayments
use of employer mandate elements in some reforms
use of individual mandate elements in some reforms
includesComponent employer-sponsored health insurance
hospital care
individual health insurance market
long-term care services
mental health services
physician services
prescription drug coverage
public health services
includesProgram Affordable Care Act marketplaces
Children's Health Insurance Program
Indian Health Service
Medicaid
Medicare
TRICARE
Veterans Health Administration
includesStakeholder employers
federal regulators
health insurers
hospitals
medical device manufacturers
nurses
patients
pharmaceutical companies
physicians
state regulators
influencedBy Affordable Care Act
Balanced Budget Act of 1997
Employee Retirement Income Security Act of 1974
surface form: Employee Retirement Income Security Act

Health Insurance Portability and Accountability Act
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
surface form: Medicare Modernization Act of 2003

Social Security Amendments of 1965
state-level Medicaid expansion decisions
rankedAs one of the highest spenders on health globally per capita
regulatedBy United States government
surface form: federal government of the United States

state governments of the United States

How these facts were elicited

Referenced by (8)

Full triples — surface form annotated when it differs from this entity's canonical label.

AMA Board of Trustees appliesToJurisdiction United States healthcare system
CPT code set componentOf United States healthcare system
this entity surface form: United States healthcare reimbursement system
CPT code set jurisdiction United States healthcare system
James Wood Johnson businessRegion United States healthcare system
this entity surface form: United States healthcare market
Franklin Martin memberOf United States healthcare system
this entity surface form: American medical community
Betsy McCaughey hasWrittenOn United States healthcare system
this entity surface form: United States health care system
Nancy-Ann DeParle areaOfInfluence United States healthcare system
this entity surface form: United States health care system
HUM businessArea United States healthcare system
subject surface form: Humana Inc.
this entity surface form: United States healthcare market