This Week
The independent source for health policy research, polling, and news.
How Is Insurer Participation In the ACA Marketplaces Changing?
Six health insurers have announced they will exit ACA Marketplaces in 18 states next year, potentially leaving hundreds of thousands of ACA enrollees with fewer insurance options. KFF’s new tool tracks the changes, including the recently announced exits by Cigna Health, CareSource, PacificSource, Providence Health, Scott and White, and Taro Health. Track the changes→
A companion analysis shows how insurer participation in the ACA Marketplaces has changed at the state and county level from 2025 to 2026, and reviews the number of insurers offering plans at specific metal levels in 2026. Learn more →
What to Know About Recent Federal Actions Involving State Medicaid Program Integrity
The Trump administration continues its focus on rooting out fraud, waste, and abuse in federal programs, including Medicaid, and the Department of Health and Human Services has also taken nationwide and state-specific action in the Medicaid program. A new KFF brief describes these recent actions and outlines open questions about the future of Medicaid program integrity, including which states might become a focus of administration effort.
How Medicare Advantage Rebates Disadvantage Medicare’s Stand-Alone Drug Plan Market
The private plans that offer the Medicare Part D benefit—stand-alone drug plans and Medicare Advantage plans with drug coverage—are increasingly competing on uneven terms. We explore the growing instability of the Part D stand-alone drug plan market and how the Medicare Advantage payment system makes it harder to maintain competitive and affordable options in the PDP market in a new analysis. Learn more →
Plus, another KFF brief looks at Medicare Part D enrollment and costs in 2026 and trends over time. Read more →
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What the Health? The Drip, Drip, Drip of Declining Coverage
This week’s podcast covers how the expiration of enhanced tax credits for Affordable Care Act health plans is causing many people to lose coverage for failing to make premium payments. Plus, an interview with KFF’s Tricia Neuman, who retired this month as a senior vice president and the executive director of the Program on Medicare Policy.
Question of the Week
Last week, 74% of readers answered correctly that 55% of eligible Medicare beneficiaries are enrolled in Medicare Advantage in 2026.
How many states experienced a net decrease in the number of insurers offering ACA Marketplace plans in 2026?
See how many readers answered correctly in the next edition of This Week.
Health News
Final Rules for Medicaid Work Requirements Are Out. Here’s What You Need To Know.
By September, Nearly a Third of Americans Will Live in States With Legal Aid in Dying
Looming Medicaid Cuts Supercharge California’s Latest Labor-Industry Fight
FDA’s Greenlight of Old Chemical Offers Chance To Restore Faith in Sunscreen
MAHA’s Treatments for Autism: Camel’s Milk, Stem Cell Injections — And Spelling Therapy
Trump Bought Tobacco Stocks and Raked In Industry Donations as FDA Eased Standards
Anguished Parents. Doctors in Tears. Utah’s Long Measles Outbreak Takes a Toll.
More on Health Policy
Podcast: The Business of Health with Chip Kahn: Can AI Break the “Measurement Paradigm?”
The Monitor: Rare or Unverified Outcomes Shape Vaccine Safety and Gender Care Debates
An Update on Medicaid, Title X and Planned Parenthood
Women’s Health Insurance Coverage
Overview of President Trump’s Executive Actions on Global Health
U.S. Foreign Aid Freeze & Dissolution of USAID: Timeline of Events
Analysis of U.S. and Global Fund Funding Reductions in MOU Countries
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