The Role of Immigrants in the U.S. Health Care Workforce
This issue brief provides data on immigrants’ role in the U.S. health care workforce, including within key industries such as direct long-term care and the hospital workforce.
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Key Facts about the Uninsured Population
Issue BriefThe number and share of people without insurance grew in 2024, increasing for the first time since 2019, according to KFF's analysis of data from the American Community Survey (ACS). This issue brief describes trends in health coverage in 2024, examines the characteristics of the uninsured population , and summarizes the access and financial implications of not having coverage.
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Recent State Actions Related to Immigrants’ Access to Services and Immigration Enforcement
Issue BriefThis brief summarizes recent and proposed actions by states related to access to state-funded health coverage and other services for immigrants and immigration enforcement activity during the 2025 and 2026 state legislative sessions.
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Spending on Medicaid State Directed Payments Before New Limits Take Effect
Issue BriefThis issue brief analyzes Medicaid spending by state on SDPs that require prior CMS approval to better understand the use of SDPs before new limits in the reconciliation law take effect.
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Forthcoming Policy Changes to Medicaid State Directed Payments
Issue BriefThe 2025 reconciliation law reduced federal Medicaid spending by an estimated $911 billion from 2025 through 2034, some of which stems from new restrictions on Medicaid state directed payments (SDPs) for hospital and other health care services. This issue brief describes SDPs and forthcoming policy changes stemming from the 2025 reconciliation law and the proposed regulation to implement those requirements and make other changes.
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How Medicare Advantage Rebates Disadvantage Medicare’s Stand-Alone Drug Plan Market
Issue BriefThe private plans that offer the Medicare Part D benefit - stand-alone drug plans and Medicare Advantage drug plans - are increasingly are competing on uneven terms, in part because the payment system for Medicare Advantage plans enables them to lower Part D premiums or reduce Part D cost sharing, making drug coverage from Medicare Advantage plans appear considerably cheaper, or even premium-free, to the beneficiary. This brief discusses the growing instability of the Part…
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Medicare Part D Enrollment, Premiums, and Cost Sharing in 2026
Issue BriefThe Medicare Part D program provides an outpatient prescription drug benefit to 56 million older adults and people with long-term disabilities in Medicare who enroll in private plans. This brief analyzes Medicare Part D enrollment, premiums, and cost sharing in 2026 and trends over time, based on data from the Centers for Medicare & Medicaid Services (CMS).
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How Has Insurer Participation in the ACA Marketplaces Changed in 2026?
Issue BriefThis brief features maps showing how insurer participation has changed at the state and county level from 2025 to 2026 as well as insight into the number of issuers offering plans at specific metal levels.
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Analysis of U.S. and Global Fund Funding Reductions in MOU Countries
Issue BriefThis analysis assesses the magnitude of combined U.S. and Global Fund funding cuts between 2026 and 2029, relative to prior funding levels, in 29 countries with signed MOUs and available data.
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What to Know About Recent Federal Actions Involving State Medicaid Program Integrity
Issue BriefThis brief describes recent HHS actions (state-specific and nationwide) related to Medicaid program integrity and outlines some open questions about the future of Medicaid program integrity, including which states might become a focus of administration effort.