Public Policy Institute

Commercial health insurance is obtained through an employer or the individual health insurance marketplace. It offers financial protection to enrollees by covering a portion of medical expenses, including hospital stays, doctor visits, and prescription medications.

Medicaid provides health insurance coverage to people who have limited incomes and is designed and administered by states within federal rules. A majority of states rely on Medicaid managed care organizations, like Elevance Health-affiliated plans, to provide Medicaid benefits. 

Medicare is the federal health insurance program for people aged 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease. The program consists of different parts, including hospital insurance (Part A), medical insurance (Part B), and prescription drug coverage (Part D). Alternatively, beneficiaries can choose coordinated coverage of all benefits through private Medicare Advantage plans (Part C).

High-value healthcare prioritizes both quality of care and affordability. Health plans and care providers can work together to create an efficient and effective healthcare system that delivers optimal health outcomes and improves patient experience. 

As the healthcare system evolves, a broader view of health is emerging, one that prioritizes behavioral and social factors along with physical health.  Embracing innovation, optimizing processes, and leveraging technology can make healthcare more accessible, efficient, and capable of meeting the changing needs of individuals and communities.