This report provides a comprehensive analysis of health economics in the United States. It begins by emphasizing the importance of outcomes assessment and benchmarking as tools for performance measurement within healthcare organizations. The report then details various insurance methods, including fee-for-service, Preferred Provider Organizations (PPOs), Managed Care, and Health Maintenance Organizations (HMOs), discussing their implications. A significant portion is dedicated to examining the roles of Medicare and Medicaid, highlighting how they both enable and disable healthcare delivery in the US. The report further investigates the effects of the Affordable Care Act (ACA), exploring its impact on healthcare access and costs. Finally, it concludes with proposals for potential changes in the healthcare financing system in the United States, advocating for equitable distribution of funds based on state needs and offering policy recommendations. The report draws on various research sources to support its arguments and provide a well-rounded view of the subject.