beyond the data

BTD Health Policy in 2026

Drew Altman: Health Policy in 2026

In a new Beyond the Data column, President and CEO Dr. Drew Altman forecasts eight things to look for in health policy in 2026. “First and foremost,” he writes, “is the role health care affordability will play in the midterms.” And, he notes: “The average cost of a family policy for employers could approach $30,000 and cost sharing and deductibles will rise again after plateauing for several years.”

Timely insights and analysis from KFF staff

Medicaid Work Requirements

KFF Health News: Medicaid Work Rules Exempt the ‘Medically Frail.’ Deciding Who Qualifies Is Tricky.

New federal rules will require more than 18 million Medicaid enrollees nationwide to show they’re working, volunteering, or going to school for 80 hours a month starting in 2027 to keep their coverage. But lacking sufficient federal guidance, states are wrestling with how to define medical frailty — a consequential decision that could cut Medicaid coverage for many people, said state officials, consumer advocates, and health policy researchers.

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements

KFF’s interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. The tracker includes state-level data on Medicaid enrollment and renewal outcomes as well as current state enrollment and renewal policies.

AFFORDABILITY

new and noteworthy

Medicare Advantage 2026 Spotlight: A First Look at Plan Offerings

In 2026, the average Medicare beneficiary has a choice of 32 Medicare Advantage prescription drug (MA-PD) plans, two fewer than the 34 in 2025. Virtually all Medicare Advantage plans for 2026 provide multiple extra benefits like vision, hearing, and dental benefits, similar to last year.

Where Do Female Medicaid Enrollees Receive Their Contraceptive Care?

KFF shares the first state-level view of the role of different reproductive health safety net providers in contraceptive care for female Medicaid enrollees. In 2023, more than 4 in 10 female Medicaid enrollees had their last contraceptive visit at a Planned Parenthood, community health center, health department, or Indian Health Services.

Video: Explaining the ACA Marketplace Insurance Cost Increases

ACA marketplace premiums are going up an average of 26%. But what enrollees will pay could go up an average of 114%. How can both of those numbers be right? This short video explains the difference between what insurers charge and what enrollees will pay if the enhanced premium tax credits expire.

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