Transforming healthcare delivery through strategic procurement and business management in medicare and medicaid-focused institutions

The transformation of healthcare delivery systems through strategic procurement and business management practices in Medicare and Medicaid-focused institutions represents a critical area of healthcare administration research. This review synthesizes current evidence on procurement strategies and business management approaches that enhance operational efficiency, improve patient care quality, and optimize resource allocation in public health insurance-focused healthcare settings. Through systematic analysis of peer-reviewed literature and industry implementations spanning the past decade, this paper examines the evolving landscape of healthcare procurement and its impact on service delivery outcomes. The research highlights innovative procurement methodologies, including value-based purchasing models, integrated supply chain management systems, and technology-enabled procurement solutions that have demonstrated measurable improvements in healthcare delivery efficiency. Furthermore, this study investigates the role of strategic business management practices in fostering sustainable healthcare operations, particularly in institutions serving Medicare and Medicaid beneficiaries. The findings reveal significant correlations between advanced procurement strategies and enhanced patient care metrics, cost containment, and operational sustainability. This comprehensive analysis also identifies crucial gaps in current research and practice, particularly in areas of digital transformation, stakeholder engagement, and long-term sustainability metrics. The paper concludes by proposing a structured framework for healthcare administrators and policymakers to evaluate and implement effective procurement and management strategies, while highlighting areas requiring further investigation to advance the field of healthcare administration.