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This brief analyzes out-of-pocket limits in Medicare Advantage plans in 2026, variation by plan type, the distribution of enrollees facing different out-of-pocket limits, and trends over time.
This policy watch looks at the major new Ebola outbreak in DRC, discusses how the U.S. government has responded so far, and describes how the current situation compares to prior U.S. Ebola responses.
Ahead of the 2024 general election, a new KFF brief examines abortion ballot initiatives in progress in 13 states. These 13 states could follow six other states that have voted on constitutional amendments to protect or restrict abortion since the Supreme Court’s Dobbs decision overturning Roe v. Wade in 2022. In those six states, the side favoring access to abortion prevailed. Citizen-led abortion ballot initiatives have captured nationwide attention and promise to be closely watched;…
Affordable Care Act (ACA) Marketplace plans rarely cover GLP-1 drugs approved solely for obesity treatment, according to a new KFF analysis of 2024 federal plan data. Wegovy, a drug that is approved for weight loss, is covered by just 1% of Marketplace prescription drug plans, compared to 82% of Marketplace prescription drug plans for Ozempic, which contains the same active ingredient as Wegovy (semaglutide) but is approved only for diabetes. When GLP-1 drugs are covered…
It's not known when the court will issue an order on Planned Parenthood’s request for a more extensive preliminary injunction. Meanwhile, most Planned Parenthood clinics will not be able to receive federal Medicaid funding for non-abortion services…provided to Medicaid patients.
This fact sheet examines the U.S. government’s role in addressing neglected tropical diseases (NTDs) worldwide.
Managed care is the most common delivery system for Medicaid. Most states (42, including DC) use comprehensive managed care plans to provide care to at least some of their Medicaid enrollees, according to KFF’s updated explainer. Roughly 3 out of 4 Medicaid enrollees receive care through managed care organizations and payments to these organizations account for over half of total Medicaid spending. Five publicly traded firms – Centene, UnitedHealth Group, Anthem (renamed “Elevance” in 2022),…
This issue brief describes the share of dual-eligible individuals with full Medicaid benefits who use wraparound services, including institutional LTSS, home- and community-based services (HCBS), vision services, dental care, and non-emergency medical transportation (NEMT); and how use of these services varies by state and select demographic characteristics of enrollees.
In his latest column for the JAMA Health Forum, KFF’s Larry Levitt talks about how popular shows like “The Pitt” can make changes to the health care system stemming from this year’s federal tax and budget bill tangible for viewers, and offers some suggested story lines.
Amid renewed interest in Medicaid work requirements as part of a broader legislative package designed to significantly reduce federal Medicaid spending, KFF has updated its analysis of the work status and demographic characteristics of Medicaid enrollees with the latest data. Data show that, in 2023, 92% of Medicaid adults were either working full or part-time (64%), or were not working due to barriers to work such as caregiving responsibilities, illness or disability, or school attendance…
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