KFF Tracker: America First MOU Bilateral Global Health Agreements
This tracker provides up-to-date information on countries with signed bilateral MOU global health agreements with the U.S.
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How Has Projected Medicaid Spending and Enrollment Changed Since Passage of the 2025 Reconciliation Law?
Policy WatchCBO’s latest projections of Medicaid spending and enrollment from February 2026 show how enrollment and spending are expected to change over the next decade, accounting for the historic policy changes and their expected reductions in future federal Medicaid spending, as well as other economic and technical changes. This policy watch compares CBO’s February 2026 projections of Medicaid spending and enrollment to earlier CBO projections.
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Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026
Issue BriefThe Medicare program will spend at least $13 billion on the Medicare Advantage quality bonus program in 2026, as 68% of Medicare Advantage enrollees are in a plan that qualifies for higher payments under the program.
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AI: Show Me the Outcomes
PodcastChip talks with Dr. Toyin Ajayi, co-founder and CEO of Cityblock Health, which delivers value-based care to more than 100,000 Medicaid and dual-eligible members across ten states, many of them people of color managing chronic conditions. Ajayi makes a pointed case: Roughly 60 percent of health care AI investment goes to billing, coding, and risk adjustment — making sure someone gets paid — while only a fraction goes to delivering care. If we continue to…
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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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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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House Appropriations Committee Releases FY 2027 Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) Appropriations Bill & Accompanying Report
Fact SheetThis budget summary provides an analysis of global health funding amounts provided in the FY 2027 House Labor, Health and Human Services, Education, and Related Agencies (Labor HHS) appropriations bill and accompanying report.
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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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CMS’ New Approach to Federal Medicaid Spending in Cases of Potential Fraud
Issue BriefCMS is taking a new approach to fraud that will rely more heavily on options to pause or withhold significant amounts of federal funding in cases of potential fraud, which could have broad implications for states and enrollees. This issue brief explains the new approach.
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When Minutes Matter, What Is AI’s Role?
PodcastWhen minutes matter for a patient’s care, what is AI’s role in clinical practice? Elad Walach, co-founder and CEO of Aidoc — a company with a comprehensive AI health care platform that analyzes real-time images and flags time-sensitive findings — shares his perspective on AI’s transformative power in dodging diagnostic error, improving access to care, and ensuring care quality in busy clinical settings.