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Includes PEPFAR’s original authorizing legislation, as well as each subsequent reauthorization legislation.

The COP/ROP guidance underpins the development of annual plans by both bilateral and regional PEPFAR programs.

This brief analyzes 2024 Medicare Part D enrollment, premiums, and cost sharing. The analysis highlights the continued growth in Medicare Advantage enrollment in the Part D marketplace and substantially higher average monthly premiums for stand-alone Part D drug plan coverage. Changes to the Part D benefit included in the Inflation Reduction Act are helping to lower out-of-pocket costs for patients but could also contribute to higher-priced Part D coverage.

This analysis examines the extent to which states are providing health benefits to their Medicare-eligible retirees through Medicare Advantage arrangements. In 2024, a majority of states offer Medicare Advantage plans to their state retirees, with 13 offering Medicare Advantage exclusively.

Using health insurer financial data for 2023, we find that in 2023, per enrollee gross margins were highest in the Medicare Advantage market, and medical loss ratios were lowest in the individual insurance market. Across most markets, gross margins have been relatively stable in recent years.

On June 28, 2024, the U.S. Supreme Court overturned a longstanding legal precedent that required federal courts to defer to reasonable agency interpretation when statutes are ambiguous. The decision will shift many policy decisions from federal agencies to federal judges, with implications for health policy that will reverberate for years to come. This issue brief examines the decision and assesses what’s ahead.

Medicaid programs are a major source of coverage for people of color and a potential mechanism to address racial health disparities. This issue brief provides insight into ways Medicaid can mitigate racial health disparities, how coverage may vary by race and ethnicity, and other Medicaid initiatives states pursuing to address racial disparities in health and health care.

disparity, Disparities

The issues of loneliness and social isolation gained attention during the COVID-19 pandemic, and continue to be associated with poor mental and physical health conditions. One in six (15%) adults report feeling always or often lonely in the past year, with the highest shares among young adults ages 18-29. There is a strong relationship between feelings of loneliness, local support networks, and physical and mental health and well-being, but Black, Hispanic, and Asian adults are somewhat less likely to report strong local support networks compared to their White counterparts.