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Government Healthcare Agencies
Market Trends...
  • Government's role in healthcare is expanding; healthcare reform has increased government agency size and created new entities for more oversight
  • Commercial, Medicaid, Medicare, 340B and DHA / TRICARE sectors impacted by ongoing regulatory change; insurers, pharmaceutical and medical device manufacturers continually re-aligning marketing strategy


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The six major government healthcare programs—Medicare, Medicaid, the State Children’s Health Insurance Program (SCHIP), the Department of Defense ( DOD ) DHA / TRICARE and TRICARE for Life programs (DOD TRICARE), the Veterans Health Administration (VHA) program, and Indian Health Services (IHS) program—provide healthcare support to roughly one-third of Americans.  Their combined budgets total roughly $500 billion.

Healthcare reform is keeping industry and government on the move.  As the marketplace evolves in response to clinical and financial changes triggered by healthcare reform, government is tasked with monitoring, modifying, managing and enforcing the legislation.  The Federal government has always been challenged with broad healthcare industry changes and these developments have become more granular with more specific patient, clinician and reimbursement perspectives along the way.

Examples of changes in the marketplace which have spurred Federal and State governments to take further action as a result of healthcare reform measures include:

  • Health system and health plan consolidation
  • Health plans withdrawing from state health exchanges
  • New physician practice, health system and MCO business models
  • Continual revisions to Federal and State reimbursement arrangements in multiple sectors

Widespread adoption of technology has created enormous innovation and change which government agencies have found challenging to keep up with.  Examples include IoT, mobile, privacy / security of patient information, growing varieties of social media venues and their use by consumers / patients, clinicians, insurers, healthcare marketers and other stakeholders. Administration, privacy, security, standardization, technical quality assurance and regulatory authority are some of the key considerations Federal and State lawmakers are dealing with as technology makes rapid inroads across the continuum of care.​


... This is a list of Government Healthcare Agencies and Government Institutes; scroll down for presentations and Federal regulation trends ...
... Learn the basics about the Medical Device Tax ... 
... Find out more about Accountable Care, explore the presentation below ...
... Learn key concepts about Medicare Part A, B, C and D, visit learning resources below ...
<img src="56350812.jpg" alt="Centers For Medicare and Medicaid building in Washington">
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