Medicare Advantage Enrollment Grew by About 1 Million People, Mainly Due to Special Needs Plans
Just over 35 million people are enrolled in Medicare Advantage in February 2026, an increase of 1.1 million since a […]
Uncategorized
Health Insurer Financial Performance in 2024
This analysis of trends in health insurers’ financial data shows that insurers’ gross margins per enrollee dipped slightly in 2024
What Newly Released Medicaid Data Do and Don’t Tell Us
On February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to
Medical or Prescription Denials- Very Helpful Resources
Medical or prescription denials can be frustrating, heart-breaking and downright wrong. Many denials are automated by AI and happen in
Medicaid Managed Care Reporting and Transparency: Managed Care Program Annual Reports
This brief describes the Managed Care Program Annual Report (MCPAR), a relatively new, comprehensive report on state Medicaid managed care
A Look at the Medicaid Payment Error Rate Measurement (PERM) Program and Upcoming Changes and Impacts
The PERM program measures improper payments in Medicaid through cyclical audits of state Medicaid programs. This brief explains the PERM
The IRA Has Improved Coverage of Drugs Selected for Medicare Price Negotiation
The Medicare drug price negotiation program could improve coverage of drugs selected for negotiation for Medicare beneficiaries because the law
Examining the Potential Impact of Medicare’s New WISeR Model
On January 1, 2026, the Center for Medicare & Medicaid Innovation (CMMI) launched the Wasteful and Inappropriate Service Reduction (WISeR)
Status of State Medicaid Expansion Decisions
This page displays an interactive map of the current status of state decisions on the Affordable Care Act’s Medicaid expansion.
Comparing States’ Rural Health Fund Allotments to Medicaid Spending Cuts Can be Misleading
This issue brief explains why it can be misleading to compare the first year of Rural Health Transformation Program allocations