Increasing costs, declining value: U.S. health care at a crossroads

Medical Economics October 22, 2025
Richard Payerchin, Todd Shryock

Key Takeaways

• The U.S. healthcare system is at a crossroads, requiring internal reform to avoid external policy interventions.
• Significant variation exists in commercial negotiated rates, with no correlation between healthcare costs and quality.
• The shift from inpatient to outpatient care, accelerated by COVID-19, presents an opportunity to enhance healthcare value.
• Providers must adapt to the outpatient care trend to remain competitive and improve care continuity.

Trilliant Health’s 2025 report reveals rising costs, poor value, and shifting care trends as the U.S. health care system faces urgent transformation.

As Americans pay more and more for health care, but overall outcomes stagnate or get worse, the U.S. health care system is at a crossroads for change, according to one analytical...

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