Tracking Insurer Participation Changes in the ACA Marketplaces in 2027
This interactive tracks announced insurer exits from and entries into the ACA Marketplaces for 2027.
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Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?
Policy WatchThe 2025 reconciliation law makes sweeping changes to Medicaid that will affect every state through key eligibility and financing changes, including new work requirements, immigrant eligibility restrictions, and changes to provider taxes and state directed payments. This issue brief explains which states will be affected by each of these key provisions.
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As HHS Restores the LGBTQ 988 Suicide and Crisis Line Under Pressure From Congress, Questions Remain
Policy Watch988 is the federally mandated suicide and crisis line, overseen by the Substance Abuse and Mental Health Services Administration (SAMHSA). Between March 2023 and June 2025, and at the direction of Congress, 988 offered a specific service to meet the needs of LGBTQ young people. The service was ended under the Trump Administration in July 2025, at a time when utilization was increasing. This Policy Watch explores these policy developments and data on the LGBTQ…
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How Is The Federal Government Counting Measles Deaths?
Policy WatchRecently Secretary of HHS Robert F. Kennedy, Jr., changed how the federal government tracks deaths in its official measles tally, after Pennsylvania reported four deaths. This Policy Watch reviews the two roles, strengths, and weaknesses of the two public health surveillance systems at the center of this change: the Nationally Notifiable Diseases Surveillance System (NNDSS) and the National Vital Statistics System (NVSS).
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Early Medicaid Work Requirement Insights From Nebraska
Policy WatchThis brief describes the verification process for Medicaid work requirements in Nebraska and examines early data on outcomes for individuals subject to work requirements.
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Implementation of 2025 Reconciliation Law: Medicaid Managed Care Rate Setting Uncertainty & Potential Plan Exits
Policy WatchThis policy watch examines recent and anticipated managed care rate setting challenges and the potential implications of MCO exits.
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The White House Takes Another Shot at Changing U.S. Childhood Vaccine Recommendations
Policy WatchExamines the White House’s latest Executive Order seeking to reshape U.S. childhood vaccine recommendations, including a directive to separate MMR vaccines and use a new HHS task force for federal recommendations. It finds that the order is unlikely to have an immediate or sweeping effect on U.S. vaccine policy given courts blocked earlier, similar administration actions, and states are increasingly decoupling their policies from federal recommendations.
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The Future of CDC HIV Prevention Funding for Community Organizations
Policy WatchFollowing reports that CDC is ending Community Based Organization (CBO) funding for HIV prevention, this analysis provides a snapshot of where, to whom, and at what level these community grants were distributed in the past grant cycle. We find community organizations stand to lose significant amounts of funding, especially those located in the south.
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Medicare’s Proposed Cut to 340B Drug Payments Would Hit Safety-Net Hospitals While Benefiting For-Profit Hospitals
Policy WatchThis analysis finds that CMS’s proposed cut to Medicare reimbursement for 340B drugs, and accompanying increase for other outpatient services, would reduce revenues among safety-net hospitals while increasing revenues among for-profit hospitals.
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Medicare Advantage Insurers Deny Prior Authorization Requests for Post Acute Care at Substantially Higher Rates Than the Overall Denial Rate
Policy WatchTwo recent reports find that Medicare Advantage organizations deny prior authorization requests for long-term care hospital, inpatient rehabilitation hospital, and skilled nursing facility stays at higher rates than requests overall. When these decisions are appealed, they are frequently overturned, particularly for skilled nursing facility stays. This may cause delays for Medicare beneficiaries who are particularly vulnerable or have high care needs.