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Each year, the Centers for Medicare & Medicaid Services (CMS) updates Medicare payments for physician services and other Part B services through rulemaking. This issue brief answers key questions about how physicians are paid under the Medicare program, and reviews policy options under discussion for payment reform.
This brief provides an overview of the Medicare Part D prescription drug benefit, including current data on plan availability, enrollment, and spending and financing, and highlights changes made under the Inflation Reduction Act.
This brief looks at premium changes for Medicare Part D stand-alone prescription drug plans between 2025 and 2026. For plans that were offered nationwide in 2025 and will continue to be offered in 2026, Part D enrollees in many states will see lower monthly premiums in 2026.
Because states have flexibility in designing their programs, state Medicaid spending and enrollment varies across states. This data note provides an overview of total Medicaid spending per enrollee by eligibility group and state.
KFF estimates that, if Congress does not extend the enhanced premium tax credits, ACA Marketplace enrollees on average would see their premium payments more than double in 2026, growing by 114%, from an average of $888 in 2025 to $1,904 in 2026.
President Trump has prioritized mass deportation and detention of undocumented immigrations. This brief looks at recent trends in detention using Immigration and Customs Enforcement (ICE) data and health care risks and challenges facing those held in detention facilities.
This issue brief describes the hardship exception for individuals living in counties with high unemployment, and using the most recent available county-level unemployment data, estimates the number of counties that could meet the criteria for this exception and the number of expansion enrollees living in those counties who could be exempt from work requirements.
To better understand the growing role of Special Needs Plans (SNPs) in Medicare Advantage, this brief examines SNP enrollment trends using recent Medicare Advantage enrollment data published by the Centers for Medicare and Medicaid Services (CMS).
With recent federal actions to curtail vaccine access, many states have announced actions intended to maintain broader access. This issue brief provides a snapshot of this rapidly changing landscape, tracking which states have instituted changes in response to or in anticipation of administration policy changes.
This analysis of preliminary rate filings from 318 insurers across all 50 states and DC finds that small businesses with Affordable Care Act (ACA)-compliant plans could face a median premium increase of 11% for 2026.
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